British journal of anaesthesia
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Multicenter Study
Expertise in practice: an ethnographic study exploring acquisition and use of knowledge in anaesthesia.
Expert professional practice in any field is known to rely on both explicit (formal) and tacit (personal) forms of knowledge. Current anaesthetic training programmes appear to favour explicit knowledge and measurable competencies. We aimed to describe and explore the way different types of knowledge are learned and used in anaesthetic practice. ⋯ Opportunities for developing expertise are linked to the independent development of personal routines. Evidence-based approaches to professional practice may obscure the role played by the interpretation of knowledge. We suggest that the restriction of apprenticeship-style training threatens the acquisition of anaesthetic expertise as defined in this paper.
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Comment Letter Multicenter Study
Effectiveness of acute postoperative pain management.