Complexity theory and the "puzzling" competencies: Systems-based Practice And Practice-based Learning explored

Journal of Surgical Education
Russell S Gonnering

Abstract

Of all the clinical competencies, the least understood are Systems-Based Practice and Practice-Based Learning and Improvement. With a shift to competency-based education and evaluation across the spectrum of surgical education and practice, a clear understanding of the power and utility of each competency is paramount. Health care operates as a complex adaptive system, with dynamics foreign to many health care professionals and educators. The adaptation and evolution of such a system is related directly to both the individual and the organizational learning of the agents within the system and knowledge management strategies. Far from being "difficult," Systems-Based Practice and Practice-Based Learning form the heart of quality improvement initiatives and future productivity advances in health care.

References

Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Mar 5, 2003·The Journal of Continuing Education in the Health Professions·John T Parboosingh
May 15, 2003·Mayo Clinic Proceedings·Paul S MuellerNicholas F LaRusso
Jul 15, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Greg OgrincPaul V Miles
Mar 16, 2007·JAMA : the Journal of the American Medical Association·Michael E Porter, Elizabeth Olmsted Teisberg
Jul 23, 2009·JAMA : the Journal of the American Medical Association·Scot Silverstein

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Citations

Jun 26, 2018·Current Opinion in Ophthalmology·Russell S Gonnering
Mar 12, 2020·Journal of Genetic Counseling·Marc RosenbaumPriscila D Hodges

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