Dr. Lorelei Lingard | Collective Competence (web video) | September 13, 2012 | TedX Bayfield

Not infrequently, competent individuals come together to form an incompetent team, says Lorelei Lingard.

Joe got competent care in hospital. He recovered from his pneumonia. He got competent care from his family doctor, his diabetes specialist, his homecare nurses and the pharmacist. Each of those individuals, within their scope of practice, and acting on the information at hand, did the right thing for Joe. But the sum total of those care events is not overall competent care for Joe. [around 4:50]

Now this is a very complex problem, and it’s being tackled from a number of different angles. Systems engineers are trying to understand it better, to improve the situation. Organizational scientists are trying to work on it. Sociologists are working on it. Tonight, I’m going to shed some light on this problem from my perspective of a communications researcher trying to improve medical education. [around 5:20]

There are significant barriers that make it difficult for individual competence to translate into collective competence. I’m going to focus on three. [around 5:45]

The first is scientific reductionism. This refers to the way that we tackle complex scientific phenomena, by breaking them down into their component parts. [….] [around 6:00]

The second barrier between individual and collective competence is specialization. [….] [around 6:20]

The third barrier between individual and collective competence is the very concept of individual competence itself. The goal of producing an individually competent healthcare provider, with their own specific tightly-bounded expertise drives everything: in health profession education generally, and medical education specifically. [around 7:00]

[….]

Together, and kind of paradoxically, these three factors combine, to produce one of healthcare’s greatest weaknesses. That is, that providers work in isolation from one other, each person focused on the particular issue about which they are an expert. When that happens, patients can fall into the cracks between the individually competent healthcare providers. [around 8:00]

[….]

What do we need to adapt from? I would argue that we need to adapt from our exclusive focus on the goal of individual competence. Individual competence is a set of pervasive, and rarely challenged assumptions. It’s not unique to medical education, it’s true of education everywhere.

I would like to touch on three ways in which we are, right now, moving towards collective competence. [around 12:20]

[….]

Joe travels through the healthcare system more quickly than his healthcare information does. We have the technology to address this problem, to move information more efficiently. One example … is the global medication electronic record. [around 13:40]

[….]

The shift to delivery primary care through family health teams. [….]

The third way in which we’re moving toward collective competence is a more strategic way. [….] Take a look at the healthcare system, find those points in the system where a failure of collective competence can have dire consequences, and build initiatives to support collective competence in those moments.

Dr. Lorelei Lingard | Collective Competence | September 13, 2012 | TedX Bayfield at http://www.ted.com/tedx/events/4674, video at http://youtu.be/vI-hifp4u40

Lorelei Lingard is founding director and senior scienist at the Centre for Education Research and Innovation, at the Schulich School of Medicine and Dentistry, at the Western University.  Here’s her bio:

Dr. Lorelei Lingard is a leading researcher in the study of communication and collaboration on healthcare teams. She is a Professor in the Department of Medicine at the University of Western Ontario (UWO) and the inaugural Director of the Centre for Education Research & Innovation at the Schulich School of Medicine & Dentistry. Dr. Lingard obtained her Ph.D. in Rhetoric from the English Department at Simon Fraser University, specializing in rhetorical theory, genre theory, medical discourse, and qualitative methodology. As a rhetorician, she investigates ‘language as social action’: that is, how social groups use language to get things done, and how that language acts on them, their identities, their purposes, their situations, and their relationships. Her research program has investigated the nature of communication on inter-professional healthcare teams in a variety of clinical settings, including the operating room, the intensive care unit, the internal medicine ward, the adult rehabilitation unit, and the family health centre.

Via TedX Bayfield, Theme: Adaptation at http://www.ted.com/tedx/events/4674.

Lorelei Lingard, Western University

Advertisements
About

David Ing blogs at coevolving.com , photoblogs at daviding.com , and microblogs at http://ingbrief.wordpress.com . See .

Tagged with: , ,
Posted in Talk Video Streaming

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

w

Connecting to %s

Translate
Beyond this media queue
This content is syndicated to Twitter. For professional perspectives, look to Coevolving Innovations; for a photoblog, look to Reflections, Distractions.
  • Open Innovation Learning, Book Launch
    Video and audio recordings of the launch of my book, Open Innovation Learning, may be a more accessible preliminary way into the content, with the open access publication better as a reference.
  • Eight infographics on Systems Methods (UToronto iSchool 2018)
    The UToronto iSchool graduate student groups created 8 infographics reflecting impressions on the systems methods most relevant to their research in winter 2018.
  • Negotiating Order with Generative Pattern Language
    A workshop at PLoP 2017 framed dialogue as "Creating Order of" and "Negotiating Order with" frames of reference, to encourage collective sensemaking
  • Exploring the Context of Pattern Languages
    Pattern language is not for wicked problems, said Max Jacobson, coauthor with Christopher Alexander of the 1977 A Pattern Language: Towns, Building, Construction.  In addition, the conventional definition of an Alexandrian pattern as “a solution to a problem in context” when applied to social change might better use the term “intervention”, rather than “solu […]
  • Multiparadigm Inquiry Generating Service Systems Thinking
    Expanding pattern language to service systems through multiparadigm inquiry sweeps in research by scholars contemporaneous to Christopher Alexander.
  • Christopher Alexander, Horst Rittel, C. West Churchman
    Christopher Alexander (pattern languages), Horst Rittel (wicked problems) and C. West Churchman (the systems approach) were neighbours on campus at U.C. Berkeley in the 1960s and 1970s. What might we synthesize from their joint wisdom?
  • 2018/05 Moments May 2018
    Barely recovered from jet lag from China, bounced back to west coast for some continuing research. Returned home as spring turns into summer.
  • 2018/03 Moments March 2018
    A month in Toronto, as I came out of the Air Cast for my Achilles Tendon injury from December, and started physiotherapy.
  • 2018/04 Moments April 2018
    Relearning to walk, after ankle in cast, across Shanghai, Wuhan and Vancouver, with DY as my sherpa.
  • 2018/02 Moments February 2018
    A second month when the only occasions to leave the house required my spouse to accompany me.
  • 2018/01 Moments January 2018
    Ankle in a cast, a limited mobility month, maximum 10km from home
  • 2017/12 Moments December 2017
    Completed round-the-world trip Helsinki-Hameenlinna-London, then busy holiday season including an Achilles tendon injury from parkour, and our da shou Double 60 celebration.
  • Program Logic Models and Theory of Change | Kellogg Foundation | 2004
    From the program evaluation community, with the W.K. Kellogg Foundation … The program logic model is defined as a picture of how your organization does its work – the theory and assumptions underlying the program. A program logic model links outcomes (both short- and long-term) with program activities/processes and the theoretical assumptions/principles of t […]
  • Restoring Manjaro Grub after Ubuntu upgrade
    On a multi-boot Linux computer where Ubuntu has already been installed, adding on Manjaro Linux installs its own version of Grub (that I’ll call Arch-Grub) that is different but compatible with that previously installed (that I’ll call Debian-Grub). Updating Ubuntu to a newer version (or installing an older version) restores Debian-Grub, replacing the workin […]
  • 2018/03/19 16:10 Geoffrey Bowker, “How the West was Won by Data”, UToronto iSchool
    Lecture at UToronto iSchool, on four overlapping epochs in data history This digest was created in real-time during the meeting,based on the speaker’s presentation(s) and comments from the audience. The content should not be viewed as an official transcript of the meeting, but only as an interpretation by a single individual. Lapses, grammatical errors, and […]
  • Draw.io open source
    I’ve been a fan of using @drawio to create SVG diagrams since early 2016, when I created maps for systems thinking course at Aalto U. in Finland.  At that time, draw.io was freeware on many platforms (e.g. saving on Google Drive). On May 22, 2017, draw.io adopted the Apache 2.0 license, becoming fully open source […]
  • Android PDF links
    On Android Oreo tablet, reference links on my PDF book don’t show up via Adobe Acrobat nor Google PDF Reader.  Links show up with qPDF Viewer, Foxit PDF Reader & Editor, and Xodo PDF Reader & Editor.  Presumption of basic functionality by bigger names is untrue.
  • Kubuntu 17.10 LaTeX textgreek.sty
    Under Ubuntu 16.04, building a PDF under TeXstudio worked.  Under Kubuntu 17.10 (with pdfTeX 3.14159265-2.6-1.40.18 (TeX Live 2017/Debian)), running the same input files resulted in: ! LaTeX Error: File `textgreek.sty' not found. These seemed like an error with reported in Feb. 2015, as “texlive-latex-extra: missing dependency – textgreek.sty requires l […]
Contact
I welcome your e-mail. If you don't have my address, here's a contact page.
%d bloggers like this: