Abstract In this era of increasing complexity, there is a growing gap between what we need our medical experts to do and the training provide them. While education has long history being guided by theories expertise inform curriculum design implementation, that currently underpin educational programs not account for necessary excellence in changing health care context. The more comprehensive view gained research on both clinical reasoning adaptive provides useful framing re‐shaping physician...

Context Evidence suggests that clinicians may not be learning effectively from all facets of their practice, potentially because training has fully prepared them to do so. To address this gap, we argue there is a need identify systems instruction and assessment enhance clinicians' 'preparation for future learning'. Preparation (PFL) understood the capacity learn new information, use resources innovatively, invent strategies problem solving in practice. Current state Education researchers...

Context Many approaches to the study of expertise in medical education have their roots most strongly established traditional cognitive psychology literature. As such, they take a common approach construction and frame questions way. This paper reflects on few paradigmatic assumptions that 'come along for ride' with approach, explores what might been left out as consequence. Methods We examine operational definition 'expert' it has evolved using paradigm we explore some alternative...

The development of standardized, valid, and reliable methods for assessment students' practice competence continues to be a challenge social work educators. In this study, the Objective Structured Clinical Examination (OSCE), originally used in medicine assess performance through simulated interviews, was adapted include reflective dialogue that focused on ability conceptualize practice. Participants included current MSW students, recent graduates, experienced workers. study demonstrated...

Abstract The aim of this paper is to develop a better understanding the concept meta-competence as it applies in social work. Eighteen work students took part five-scenario Objective Structured Clinical Examination adapted for consisting 15-minute interview followed by reflective dialogue following structured questions designed elicit dimensions meta-competence. Ninety reflections were transcribed and analyzed revealing variation students' ability conceptualize practice, intentionally use...

Objectives The construct of 'preparation for future learning' (PFL) is understood as the ability to learn new information from available resources, relate learning past experiences and demonstrate innovation flexibility in problem solving. Preparation has been proposed a key competence adaptive expertise. There need educators ensure that opportunities are provided students develop PFL assessments accurately measure development this form competence. objective research was compare relative...

To explore surgeons' perceptions of and potential concerns about coaching.There is growing recognition that the traditional model continuing professional development suboptimal. This has led to increasing interest in alternative strategies take place within actual practice environment such as coaching. However, if coaching be a successful strategy for development, it will need accepted by surgeons.This was qualitative interview-based study using constructivist grounded theory approach....

In 1988, the Edinburgh Declaration challenged medical teachers, curriculum designers and leaders to make an organised effort change education for better. Among a series of recommendations was call integrate training in science clinical practice across breadth contexts. The aim create physicians who could serve needs all people provide care multitude years since, numerous efforts towards integration, new models curricula have been proposed implemented with varying levels success.In this...

An essential component of expertise is a clinician's ability to adapt uncertain, complex, or novel situations while maintaining their competence in routine situations. Adaptive provides framework for understanding and developing experts who have the skills effectively balance support these dimensions work using both procedural conceptual knowledge. It important educators understand that often training which fosters adaptive does not require new tools approaches, but rather...

The ability to innovate new solutions in response daily workplace challenges is an important component of adaptive expertise. Exploring how optimally develop this skill therefore paramount importance education researchers. This certainly no less true health care, where optimal patient care contingent on the continuous efforts doctors and other workers provide best their patients through development incorporation knowledge. Medical programmes must foster skills attitudes necessary engage...

The study of expertise in medical education has a long history success. Researchers have identified and elaborated on many dimensions expert performance. In part, this success derived from researchers' ability to effectively isolate the explore each separately. Although deconstruction been successful, need recombine as part an integrated construct practice recently become increasingly evident imperative health professions education.The aims paper are first they expressed literature;...

To further the development of a substantive theory expert diagnostic practice, authors explored ways in which exceptional physicians, nominated by their peers, conceptualized own expertise specifically and excellence generally.In this grounded theory, interview-based study, physicians at six North American research sites were peers as diagnosticians professionals invited to participate study. A saturation sample included 34 participants, 20 diagnosticians, 14 professionals. Using constant...

Purpose Residency poses challenges for residents’ personal relationships. Research suggests residents rely on family and friends support during their training. The authors explored the impact of residency demands relationships effects changes in those could have wellness. Method used a constructivist grounded theory approach. In 2012–2014, they conducted semistructured interviews with purposive theoretical sample 16 Canadian from various specialties training levels. Data analysis occurred...

"I'd really like to do a survey" or "Let's conduct some interviews" might sound reasonable starting points for research project. However, it is crucial that researchers examine their philosophical assumptions and those underpinning questions before selecting data collection methods. Philosophical relate ontology, the nature of reality, epistemology, knowledge. Alignment researcher's worldview (ie, ontology epistemology) with methodology (research approach) methods (specific collection,...

Many of the assumptions about "adult, self-directed learner" that form basis current model formal continuing education delivery are largely unsupported by literature. Yet most practitioners maintain competence despite apparent flaws in this model. After elaborating a set problematic regarding construction self-regulating professional learner who uses to competence, paper explores another likely source for learning allows engage their own development: process from personal experiences solving...

When individuals adapt their practice in order to solve novel or unexpected problems of practice, they are creating new knowledge. This form innovation development is understood as a core competency adaptive expertise and the basis for knowledge building community practice. However, little known about ways which this knowledge, produced through daily, innovative problem solving, developed, identified shared by health care professionals.Following line inquiry, we conducted semi-structured...

This study aimed to explore faculty attendings' scoring and opinions of students' written responses professionally challenging situations.In this mixed-methods study, 10 pairs attendings (attending physicians in internal medicine) marked a professionalism examination taken by 40 medical students were then interviewed regarding their decisions. Quantitatively, inter-rater agreement was calculated for each pair global scores compared with previously developed theoretical framework....

Education researchers in a variety of disciplines have attempted to use their understanding expert processes inform learning across the continuum from school lifelong learning. In medical education, this has led models expertise that aim understand accurate and efficient clinical reasoning. More recently, outside medicine begun develop 'adaptive expertise'. As these additional constructions are introduced into health professions there is considerable potential enhance research by providing...