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January 2010

Thanks!

By Russell Gonnering  ·  January 31, 2010  ·  Health Care

I appreciate the opportunity to be the guest blogger on this site the past two weeks. The comments from the readers have been excellent! We need to make sure that ideas of Cognitive Edge are made known to the individuals in health care who now stand at the brink of making significant improvements in the lives of many people. In particular we need to make sure of the following:

1. The Cynefin Framework and its implications are clear. Health care has some aspects that are simple, some complicated, some complex and some...

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An Approaching Shift in Medical Education?

By Russell Gonnering  ·  January 30, 2010  ·  Health Care

This past week we discussed the Flexner Report and its impact on the last century of health care, medical practice and medical education. We also explored how this fit into David's Charles Handy S-curves of utility of various paradigms in the broader perspective of organizational management. The February issue of Academic Medicine is devoted to a post-Flexner perspective on the future of medical education. From what I've seen,this will indeed be complex!

In the abstract to "The Flexnerian Legacy in the 21st Century" in this...

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We Need Health Care “Capatance”

By Russell Gonnering  ·  January 29, 2010  ·  Health Care

Thirty years ago, an attachment that became known as the "Capability Manifesto" was published in the Royal Society for the Encouragement of Arts, Manufactures and Commerce Journal http://www.heacademy.ac.uk/heca/manifesto. This crystalized a philosophy, the Capability Movement, that proved to be a long lived branching in how higher education viewed itself and its role. Now, somewhat late to the party, health care is "discovering" the same concept. Why is this important?

In the late 1990's and early 2000's, a major change...

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A Collision of Ideas: Synthesis or Destruction?

By Russell Gonnering  ·  January 28, 2010  ·  Health Care

The comments shared yesterday from a well-respected Dean of a medical school highlight a collision of ideas. On the one hand, we have Complexity Theory attempting to "make sense" out of the complex problems in health care. On the other hand, we have another powerful force, "disruptive innovation", that maximizes value out of simplification of complicated and complex problems. Are these two apparently competing philosophies on a collision course? Will they demolish each other and leave us picking up the pieces? Perhaps, unless we...

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Important Comments

By Russell Gonnering  ·  January 27, 2010  ·  Health Care

I have asked some of my colleagues to read this blog and offer their comments. The following comes from one of the brightest thinkers in medical education I know. He is the Dean of a medical school, and I have always respected his judgement. His comments have some important implications. I ask you to read them, and try to answer the questions he poses. They will form the basis of what we will discuss tomorrow.

Russ,   I'm not sure what you might be seeking, but here are some thoughts. They are largely posed in economic...

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