Journal of Continuing Education in the Health Professions



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CURRENT ISSUE BACK ISSUES SUBSCRIBE ADVERTISE ABOUT JCEHP FOR AUTHORS JCEHP AWARD SEARCH		Volume 23 (Suppl) Volume 23, Supplement 1 J Contin Educ Health Prof 2003; 23(suppl):S27-S33 ISSUES INVOLVING PRACTICE-BASED LEARNING AND IMPROVEMENT Systems thinking: a new lens for old problems Bierema LL A b s t r a c t This article introduces systems thinking and identifies its implications for practice-based learning and improvement. The article defines systems, identifies fundamental aspects of systems thinking, and provides strategies for creating more practice-based learning environments in medical contexts. Lessons for Practice We need to view our organizations as systems of interconnectivity. Individual, group, and organizational learning capacity can be improved through critical reflection, dialogue, and questioning. Systems thinking requires new approaches to organizational structure that effectively manage complex environments by moving beyond blame and regarding problems as originating from a system. Critical reflection on practice can help uncover learning disabilities and contradictions between thought and action. This thinking must not only be practiced but taught to others as well. MeSH Terms: Attitude of Health Personnel; Education, Medical, Continuing; Practice Guidelines; Problem-Based Learning; Thinking
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