
Expertise in Transition
Expansive Learning in Medical Work
Yrjoe Engestroem(Author)
Cambridge University Press
Published on 2. August 2018
Book
Paperback/Softback
290 pages
978-0-521-40785-4 (ISBN)
Description
This book challenges standard notions of expertise. In today's world, truly effective expertise is built on fluid collaboration between practitioners from multiple backgrounds. Such collaborative expertise must also be transformative, must be able to tackle emerging new problems and changes in its organizational framework. Engestroem argues that the transition toward collaborative and transformative expertise is based on three pillars: expertise needs to be understood and cultivated as a collective activity; expertise needs to be built on flexible knot-working among diverse practitioners; and expertise needs to be fostered as the expansive learning of models and patterns of activity that are in progress. In this book, Engestroem recasts expertise as fluid collaboration on complex tasks that requires envisioning the future and mastering change.
Reviews / Votes
'This is simply the best book that I have read on medical education ... Engestroem's thinking ... is far ahead of that of anybody else whom I know in the field of clinical education, and we should be grateful for his cumulative insights, theorising, and modelling. They provide extraordinarily rich templates for anybody pursuing innovative, applied clinical education research. ... It should be standard reading across medical schools and postgraduate medical centres.' Alan Bleakley, Mind, Culture, and ActivityMore details
Language
English
Place of publication
Cambridge
United Kingdom
Target group
College/higher education
Product notice
Paperback (trade)
Illustrations
5 Tables, black and white; 41 Halftones, black and white; 5 Line drawings, black and white
Dimensions
Height: 229 mm
Width: 152 mm
Thickness: 16 mm
Weight
427 gr
ISBN-13
978-0-521-40785-4 (9780521407854)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Other editions
Additional editions

Book
08/2018
Cambridge University Press
€90.60
Shipment within 15-20 days
Person
Yrjoe Engestroem is Professor Emeritus of Communication at the University of California, San Diego and Professor Emeritus of Adult Education at the University of Helsinki, Finland, where he is also Director of the Center for Research on Activity, Development, and Learning (CRADLE). In his work, Engestroem applies and develops cultural-historical activity theory as a framework for the study of transformations in educational settings, work environments, and communities. He has carried out interventionist research in health care settings for over thirty years. He is known for his theory of expansive learning and for the methodology of formative interventions, including the Change Laboratory method. Engestroem's most recent books are From Teams to Knots: Activity-Theoretical Studies of Collaboration and Learning at Work (Cambridge, 2008), Learning by Expanding: An Activity-Theoretical Approach to Developmental Research (Cambridge, Second Edition, 2015), and Studies in Expansive Learning: Learning What Is Not Yet There (Cambridge, 2016).
Content
Part I. The Theoretical Landscape: 1. Toward a new framework for understanding expertise; Part II. Expertise as Objected-Oriented Activity: 2. Constructing the object in the work activity of primary care physicians; 3. Objects and contradictions as drivers of expert work; 4. Spatial and temporal expansion of the object; Part III. Expertise as Knotworking: 5. The emergence of knotworking in medicine; 6. Knotworking as expansive decision making; 7. Knotworking as history making; Part IV. Expertise as Expansive Learning: 8. Expansive visibilization of medical work; 9. Expansive learning in a hospital; 10. The horizontal dimension of expansive learning; Part V. Toward Collaborative and Transformative Expertise: 11. From stabilization knowledge to possibility knowledge; 12. Expertise in transition.