Adolfo Peña

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CONTEXT The Dreyfus model describes how individuals progress through various levels in their acquisition of skills and subsumes ideas with regard to how individuals learn. Such a model is being accepted almost without debate from physicians to explain the 'acquisition' of clinical skills. OBJECTIVES This paper reviews such a model, discusses several(More)
BACKGROUND In the choice and definition of quality of care indicators, there may be an inherent tension between feasibility, generally enhanced by simplicity, and validity, generally enhanced by accounting for clinical complexity. OBJECTIVE To study the process of developing quality indicators using an expert panel and analyze the tension between(More)
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