Exploring the development of adaptive expertise through the lens of threshold concepts.

Published in: Medical education (2022)

Our findings suggest that participants were only beginning to transition into an adaptive expertise mindset upon entering practice, reinforcing the possibility that authentic practice may be an important impetus for recognising the limits of routine expertise. However, spontaneous comments from participants suggest that this transition might be better supported though active guided reflection in addition to meaningful clinical engagement with patients and colleagues.

Keyphrases

end stage renal disease
primary care
healthcare
ejection fraction
newly diagnosed
peritoneal dialysis
prognostic factors
quality improvement
patient reported outcomes