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Learning experiences of adaptive experts: a reflexive thematic analysis
Joanne Kua1, Winnie Teo2, Wee Shiong Lim3
1Department of Geriatric Medicine, Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. joanne_kua@ttsh.com.sg.
Adaptive experts in geriatric medicine learn through a journey of
Area of Science:
- Medical Education
- Geriatric Medicine
- Expertise Development
Background:
- Adaptive expertise in learning is well-researched, but the specific learning interactions remain unclear.
- Geriatric medicine involves interdisciplinary care for complex older adults, requiring adaptive expertise.
Purpose of the Study:
- To understand the learning experiences of adaptive experts in geriatric medicine.
- To examine how intra-personal, inter-personal, and organizational interactions foster adaptive expertise.
Main Methods:
- Exploratory qualitative study.
- Semi-structured interviews with 16 geriatrician experts in Singapore.
- Reflexive thematic analysis of interview data.
Main Results:
- Core learning experience described as 'knowing when we do not know'.
- Theme 1: Anchoring ethos of person-centric care, fostering holistic patient views.
- Theme 2: Enabling stance of curiosity, nurtured by reflection and time.
- Theme 3: Scaffolding organizational culture of inquiry, emphasizing psychological safety and mentoring.
Conclusions:
- Interactions at intra-personal, inter-personal, and organizational levels are crucial for adaptive expertise development in geriatric medicine.
- Person-centric care, curiosity, reflection, and supportive organizational culture are key components.
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