The discussion around changing the culture of teaching and learning with a stronger focus on competence-oriented teaching within a framework of self-development and self-appropriation is not a new discussion in pedagogy. It is apparent that a competence-oriented learning paradigm is required, the need for its implementation has been clearly recognized, however the way to achieve it remains unclear. This paper outlines the paradigm of competence-oriented teaching and learning based on the understanding of constructive alignment. This is the basis for demonstrating, from a system-theoretical perspective, contradictions and conflicting requirements between the entities of the health care system, which can only shape action (action-shaping) and the entities which are able to act (action-capable). A Framework model of field transformation for a paradigm shift in paramedic training has been developed in order to highlight starting points for everyday changes in the learning culture.
Prescher, T., Konig, H., & Wiesner, C. (2021). A pedagogical framework for a paradigm shift in emergency paramedic training: Rescue service schools between requirement conflicts and learning culture development. In W. B. James, C. Cobanoglu, & M. Cavusoglu (Eds.), Advances in global education and research (Vol. 4, pp. 1–13). USF M3 Publishing. https://www.doi.org/10.5038/9781955833042
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