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The Thistle and the Maple Leaf: Practice-Based Small-Group Learning in Canada and Scotland

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Clinical Uncertainty in Primary Care

Abstract

Drs. MacVicar and Armson describe the Practice-Based Small-Group Learning (PBSGL) programme, an international programme for facilitating discussions between clinician peers that focus on real problems in practice and the challenge of integrating evidence-based care with the uncertain problems that patients present. They review the development of the programme in the 1980s in Canada and the collaboration with Scotland starting in 2002, highlighting the programme’s theoretical underpinnings in reflective practice and practice-based learning. An overview of key programme attributes includes descriptions of the small group process, the role of trained facilitators, the use of educational modules as group discussion content, the production of the educational modules, and the development of communities of practice that sustain the groups. The authors review the several evaluations of PBSGL in both Canada and Scotland and conclude with a discussion of research efforts undertaken to assess PBSGL’s impact on clinician practice.

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Author information

Authors and Affiliations

  1. Department of Family Medicine, University of Calgary, 2685 36 St NE, Calgary, T1Y 5S3, AB, Canada

    Heather Armson

  2. NHS Education for Scotland, Centre for Health Science, Old Perth Road, Inverness, IV2 3JH, UK

    Ronald MacVicar

Authors
  1. Heather Armson
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  2. Ronald MacVicar
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Corresponding author

Correspondence to Heather Armson .

Editor information

Editors and Affiliations

  1. , Dept. Family and Community Medicine, University of California, San Francisco, 2393 Filbert Street, San Francisco, 94123, California, USA

    Lucia Siegel Sommers

  2. Tavistock Clinic, 120 Belsize Lane, London, NW3 5BA, United Kingdom

    John Launer

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Armson, H., MacVicar, R. (2013). The Thistle and the Maple Leaf: Practice-Based Small-Group Learning in Canada and Scotland. In: Sommers, L., Launer, J. (eds) Clinical Uncertainty in Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6812-7_6

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  • DOI: https://doi.org/10.1007/978-1-4614-6812-7_6

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  • Online ISBN: 978-1-4614-6812-7

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