Expertise in Transition: Expansive Learning in Medical Work
Cambridge University Press
Edition: Illustrated, 8/2/2018
EAN 9780521404488, ISBN10: 0521404487
Hardcover, 290 pages, 23.4 x 16 x 2.1 cm
Language: English
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. Engeström 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, Engeström recasts expertise as fluid collaboration on complex tasks that requires envisioning the future and mastering change.
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.