11
understand whether or how to adapt an educational approach so that it is successful
in a given time and place. Participatory action research demonstrates that theory
development and practice improvement are tightly interwoven community activities
in which educators have an important part.
At this point, learning about surgical learning through participation within a
community should sound very familiar. Like expert surgeons constantly honing
their skills, educators continually seeking to improve trainee development are, by
the very nature of their pursuits, committed to working at the edge of uncertainty, a
place where time is slowed [ 52 ] and the invisible—the state of affairs we take for
granted—becomes visible and open to inspection [ 17 , 34 ]. Pausing in the midst of
ongoing activity to ask “Why?” and “What’s going on here?” empowers the educa-
tor to adapt to changing circumstances, ask for help when needed, and consistently
achieve success. Understanding and improving how surgeons learn is, one might
say, as far away as a close look.
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Academic Medicine, ePub ahead of print.
1 “See One, Do One, Teach One?” A Story of How Surgeons Learn