Lost in translation? Paradigm conflict at the primary–secondary care interface

• DOI: 10.1111/medu.13758
• Publication Date: 2018-11-16T02:25:41Z
• Authors: Jennifer L Johnston; Deirdre Bennett
• Keywords: Sociocultural Perspective

Historically, primary care (community and family) medicine has often been viewed as lower status than secondary (hospital) practice. Current evidence suggests this pattern continues to impact medical practice education. Medical education however, yet fully reflect power dynamic, with undergraduate training in many institutions maintaining the hegemonic position of prime context for learning.In paper, we present conflicting paradigms Using a sociocultural lens drawing on Figured Worlds theory, implications are explored.We outline two having distinct epistemologies, identities practices. Tensions at primary-secondary interface can, from perspective, be seen developing identity day-to-day clinical issues such patient safety. We offer possibilities engaging paradigm conflict meaningful ways suggest potential changes future educational policy