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Volume 28 (Suppl1)

Volume 28, Supplement 1, Fall 2008line
J Contin Educ Health Prof 2008; 28(Suppl1):S19
FOUNDATIONS OF CONTINUING EDUCATION

Maintaining Competence in the Field: Learning About Practice, Through Practice, In Practice
Glenn Regehr, Maria Mylopoulos

A b s t r a c t

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

Lessons for Practice

  • Many of the daily problems of practice act as opportunities for learning; spending time to reflect on these moments can lead to informed and intentional changes to practice.
  • Physicians may be improving ordinarily and suboptimally through incidental accrual and practice drift.

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