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#6573 From: "Fred Nickols" <nickols@...>
Date: Thu Jun 1, 2006 11:13 am
Subject: Re: [cp] Loitering with (good) intent - clarification
fwnickols
Send Email Send Email
 
Matthew Moore writes:

> CMC = Computer Mediated Communication. It also stands for the
Country Music Channel but let's not go there.

Thanks for the clarification re CMC.

> I like both simplicity & complexity, can I get both, huh huh, can I?

You can have all the complexity you can handle and you can have all
the simplicity you can create.

Regards,

Fred Nickols
nickols@...

#6574 From: "tiacarrwilliams" <tcw@...>
Date: Thu Jun 1, 2006 10:03 pm
Subject: Why people do what they do
tiacarrwilliams
Send Email Send Email
 
In relation to online behaviours such as lurking, I wanted to alert
members to a programme on american court tv channel this evening about
how people are conditioned, as well as footage of the famous
experiments in the seventies that indicated how 'programmable'we can
be.

I hope this isn't too off topic.

Best
Tia

#6575 From: "Cornejo Castro, Miguel" <miguel.cornejo@...>
Date: Fri Jun 2, 2006 9:37 am
Subject: RE: [cp] Revisiting/lurking/loitering: a (new) paper
Macuarium
Send Email Send Email
 
Hi all,

since before I published the "Revisiting CoPs" paper, I've been getting
a lot of feedback. Many of those kind enough to give it mentioned the
subject of lurking in the new framework (as the debate sparked here by
Joitske Hulseboch shows), and the clash of private resource ownership
with individual and communal intellectual property rights.

I got to writing what was supposed to have been an annex... and it grew
and grew as I tried to ground it in previous solid work. Then I showed
it to Rosanna Tarsiero (who got me to include some graphs) and some of
those friends, and the final result, as usual in 0.99 draft form, is
here:

http://www.macuarium.com/cms/index.php?option=com_remository&itemid=0&fu
nc=fileinfo&id=135

(Provisional home until KB puts it up at their site).

The title is "Revisiting Communities of Practice (II): the honourable
lurker and the institution".

And, just as before, I'd really appreciate your feedback, comments
and/or criticism. I feel it's pretty solid, but it does make some
contentious assumptions, and I'd like to contrast how it fits with other
people's experience.

Thanks again and best regards,

Miguel




-----Mensaje original-----
De: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] En nombre
de tiacarrwilliams
Enviado el: viernes, 02 de junio de 2006 0:03
Para: com-prac@yahoogroups.com
Asunto: [cp] Why people do what they do

In relation to online behaviours such as lurking, I wanted to alert
members to a programme on american court tv channel this evening about
how people are conditioned, as well as footage of the famous experiments
in the seventies that indicated how 'programmable'we can be.

I hope this isn't too off topic.

Best
Tia






*-- The email forum on communities of practice --* Yahoo! Groups Links

#6576 From: Hoang Ho <twomtns2002@...>
Date: Fri Jun 2, 2006 5:23 pm
Subject: Re: [cp] Digest Number 1535
twomtns2002
Send Email Send Email
 
Hoang Ho <twomtns2002@...> wrote:     It is possible that I am a 'lurker'.
As a Communications major with aspirations to contribute and monitor legislation
regarding the 'Net and free speech I must say that lurking and spamming must be
related in some way. All new terms that become jargon or legitimately used
phrases or terminology should be closely monitored to make sure that they are
not being 'sequestered' or hoarded for use by specific groups for insular
reasons bordering on monopoly or discrimination.

   It is probably easier in the longrun to agree with 'intellectual' type of
statement. Laymen or those of less edu sector experience may find that they
would agree with the 'intellectual' overtime as comprehension sets in. .... But
the goal is still to make one's point rather than disorientate with
misunderstood statement.

   This Yahoogroup seems to have a "tech aspect to it as seen in the language
used.
   Hoang Ho Consulting Design Div is available for input in newprojects and
conceptual development. We will add a couple click-ons for our more
controversial subject posted at other groups.
   Thanks for your patience in these matters and let's try to come up with a
different term for lurk... like observe...attempt..or editorialize.

   http://finance.groups.yahoo.com/group/meancosmalltalk/message/88

   http://finance.groups.yahoo.com/group/meancosmalltalk/message/183



com-prac@yahoogroups.com wrote:
   There are 3 messages in this issue.

Topics in this digest:

1. Re: Loitering with (good) intent - clarification
From: "Fred Nickols" nickols@...
2. Why people do what they do
From: "tiacarrwilliams" tcw@...
3. Re: Revisiting/lurking/loitering: a (new) paper
From: "Cornejo Castro, Miguel" miguel.cornejo@...

________________________________________________________________________
________________________________________________________________________

Message: 1
Date: Thu Jun 1, 2006 4:14 am (PDT)
From: "Fred Nickols" nickols@...
Subject: Re: Loitering with (good) intent - clarification


Matthew Moore writes:

> CMC = Computer Mediated Communication. It also stands for the
Country Music Channel but let's not go there.

Thanks for the clarification re CMC.

> I like both simplicity & complexity, can I get both, huh huh, can I?

You can have all the complexity you can handle and you can have all
the simplicity you can create.

Regards,

Fred Nickols
nickols@...







________________________________________________________________________
________________________________________________________________________

Message: 2
Date: Thu Jun 1, 2006 3:04 pm (PDT)
From: "tiacarrwilliams" tcw@...
Subject: Why people do what they do


In relation to online behaviours such as lurking, I wanted to alert
members to a programme on american court tv channel this evening about
how people are conditioned, as well as footage of the famous
experiments in the seventies that indicated how 'programmable'we can
be.

I hope this isn't too off topic.

Best
Tia






________________________________________________________________________
________________________________________________________________________

Message: 3
Date: Fri Jun 2, 2006 2:37 am (PDT)
From: "Cornejo Castro, Miguel" miguel.cornejo@...
Subject: Re: Revisiting/lurking/loitering: a (new) paper


Hi all,

since before I published the "Revisiting CoPs" paper, I've been getting
a lot of feedback. Many of those kind enough to give it mentioned the
subject of lurking in the new framework (as the debate sparked here by
Joitske Hulseboch shows), and the clash of private resource ownership
with individual and communal intellectual property rights.

I got to writing what was supposed to have been an annex... and it grew
and grew as I tried to ground it in previous solid work. Then I showed
it to Rosanna Tarsiero (who got me to include some graphs) and some of
those friends, and the final result, as usual in 0.99 draft form, is
here:

http://www.macuarium.com/cms/index.php?option=com_remository&itemid=0&fu
nc=fileinfo&id=135

(Provisional home until KB puts it up at their site).

The title is "Revisiting Communities of Practice (II): the honourable
lurker and the institution".

And, just as before, I'd really appreciate your feedback, comments
and/or criticism. I feel it's pretty solid, but it does make some
contentious assumptions, and I'd like to contrast how it fits with other
people's experience.

Thanks again and best regards,

Miguel




-----Mensaje original-----
De: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] En nombre
de tiacarrwilliams
Enviado el: viernes, 02 de junio de 2006 0:03
Para: com-prac@yahoogroups.com
Asunto: [cp] Why people do what they do

In relation to online behaviours such as lurking, I wanted to alert
members to a programme on american court tv channel this evening about
how people are conditioned, as well as footage of the famous experiments
in the seventies that indicated how 'programmable'we can be.

I hope this isn't too off topic.

Best
Tia






*-- The email forum on communities of practice --* Yahoo! Groups Links









________________________________________________________________________
________________________________________________________________________

*-- The email forum on communities of practice --*

------------------------------------------------------------------------
Yahoo! Groups Links




------------------------------------------------------------------------





   __________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
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Do You Yahoo!?
Tired of spam?  Yahoo! Mail has the best spam protection around
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[Non-text portions of this message have been removed]

#6577 From: "joitske" <joitske@...>
Date: Sun Jun 4, 2006 10:57 am
Subject: Summary of the discussion on LPP and lurkers
joitske
Send Email Send Email
 
I made a summary of the discussion on LPP and lurking on my blog

http://joitskehulsebosch.blogspot.com/2006/06/communities-of-practice-
legitimate.html

The conclusion is: I think that there may be communities of practice,
using a variety of means to communicate, work and learn together. A
discussion list may be one of the more public means of that community
and may provide a low-threshold space for people to get interested in
the community of practice. (a form of LPP?). If they identify with the
community of practice, they may move on to other forms of
communication/participation. So not all lurkers may actually aspire to
become really part of the community of practice, you may use it just
to fish for links (like I do with some discussion groups). But for a
community of practice it is unlikely that the discussion group is the
sole means of interaction (though it may be the most visible part for
outsiders).

Did not read the new paper of Miguel Cornejo yet!

#6578 From: "John D. Smith" <john.smith@...>
Date: Sun Jun 4, 2006 4:36 pm
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
smithjd2tele...
Send Email Send Email
 
Joitske,

Thanks for the summary!  I think it demonstrates how many venues there are
just around this one conversation.  For example Nancy White's blog (
http://tinyurl.com/m6ll8 ) has comments from Joitske and Shawn Callahan (all
three of whom are on this list but chose to interact with blog comments).

(Here's a non-folded link to Joiske's summary if you haven't read it yet:
http://tinyurl.com/obplt )

John
*
* John D. Smith - John.Smith@... Voice: 503.963.8229
* "Words are, of course, the most powerful drug used by mankind." - Kipling

#6579 From: "Cornejo Castro, Miguel" <miguel.cornejo@...>
Date: Sun Jun 4, 2006 6:09 pm
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
Macuarium
Send Email Send Email
 
You'll see that we mostly agree on that :-D.




-----Mensaje original-----
De: com-prac@yahoogroups.com en nombre de joitske
Enviado el: dom 04/06/2006 12:57
Para: com-prac@yahoogroups.com
Asunto: [cp] Summary of the discussion on LPP and lurkers

I made a summary of the discussion on LPP and lurking on my blog

http://joitskehulsebosch.blogspot.com/2006/06/communities-of-practice-
legitimate.html

The conclusion is: I think that there may be communities of practice,
using a variety of means to communicate, work and learn together. A
discussion list may be one of the more public means of that community
and may provide a low-threshold space for people to get interested in
the community of practice. (a form of LPP?). If they identify with the
community of practice, they may move on to other forms of
communication/participation. So not all lurkers may actually aspire to
become really part of the community of practice, you may use it just
to fish for links (like I do with some discussion groups). But for a
community of practice it is unlikely that the discussion group is the
sole means of interaction (though it may be the most visible part for
outsiders).

Did not read the new paper of Miguel Cornejo yet!






*-- The email forum on communities of practice --*
Yahoo! Groups Links










[Non-text portions of this message have been removed]

#6581 From: "Rosanna" <rosanna@...>
Date: Sun Jun 4, 2006 8:35 pm
Subject: The 10th International Conference on Experiential Learning
gionnetto
Send Email Send Email
 
Hello folks,



On july 10-14 2006 the Brathay Academy will host The 10th International
Conference on Experiential Learning at University of Lancaster. The topic of
the conference will be "Inspiring Leadership: Experiential Learning and
Leadership Development".

On July 13 I will present my paper "Facilitating experiential learning:
Leading communities of practice (CoPs)" which will explore how facilitators
can lead experiential learning in communities of practices (CoPs) through a
theoretical overview of some concepts like self-organization, servant
leadership, action science, policy government and story-telling. (I want to
stress here that I couldn't use another format because they wanted formal
papers to be presented in a "formal" way). At the end of the formal event,
participants can interact and ask questions.



Of course, I hope to see many of you in Lancaster.



Rosanna Tarsiero






Rosanna Tarsiero
Online Facilitator





Mobile: +393356759481

Email:  <mailto:rosanna@...> rosanna@...
IM: gionnethics (Skype)
  Professional <https://www.linkedin.com/e/fps/1127530/>  Profile
My Blog <http://gionnetto.blogspot.com/>

  <http://www.gionnethics.com> Gionnethics
  <http://maps.google.com/maps?q=&hl=en>


See who we know in common <https://www.linkedin.com/e/wwk/1127530/>

Want a signature <https://www.linkedin.com/e/sig/1127530/>  like this?







[Non-text portions of this message have been removed]

#6582 From: "John D. Smith" <john.smith@...>
Date: Sun Jun 4, 2006 11:01 pm
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
smithjd2tele...
Send Email Send Email
 
Some further thoughts:

* I've only heard the term "lurker" and similar terms in reference to email
lists and other technologies where there is a delimited, identified list of
people who have access.

* New gradations of engagement are available using blogs as a community
platform, in roughly increaseing levels of engagement around Blog A:

> someone who reads a posting on Blog A more or less by accident
> someone who posts a comment on Blog A in response to A's post
> someone who regularly reads Blog A via an RSS feed
> someone who occasionally responds in their own blog to postings in Blog A
> someone who interacts regularly with the author of Blog A, so is on Blog
A's blogroll

* We're seeing more and more technologies where access is available to an
even larger periphery -- you can subscribe to someone's tagging through RSS
but you can't really post a response to their tags.  The term lurker seems
old-fashioned and irrelevant on some technology platforms.

* The idea of accountability of engagement will always be important...

John
*
* John D. Smith - John.Smith@... Voice: 503.963.8229
* "Words are, of course, the most powerful drug used by mankind." - Kipling

#6583 From: "Cornejo Castro, Miguel" <miguel.cornejo@...>
Date: Mon Jun 5, 2006 7:41 am
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
Macuarium
Send Email Send Email
 
Hi John,

blogs are not a community platform by themselves, but a personal
publishing platform that may (or not) spawn different types of
conversations. Relationship with readers is tremendously asymmetrical.
Relationship with other bloggers through cross-postings and comments...
would you call that a community, or just a group of like-minded people?
What's the difference?

It's not a rethorical question :-).

Best regards,

Miguel


-----Mensaje original-----
De: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] En nombre
de John D. Smith
Enviado el: lunes, 05 de junio de 2006 1:01
Para: com-prac@yahoogroups.com
Asunto: RE: [cp] Summary of the discussion on LPP and lurkers

Some further thoughts:

* I've only heard the term "lurker" and similar terms in reference to
email lists and other technologies where there is a delimited,
identified list of people who have access.

* New gradations of engagement are available using blogs as a community
platform, in roughly increaseing levels of engagement around Blog A:

> someone who reads a posting on Blog A more or less by accident someone

> who posts a comment on Blog A in response to A's post someone who
> regularly reads Blog A via an RSS feed someone who occasionally
> responds in their own blog to postings in Blog A someone who interacts

> regularly with the author of Blog A, so is on Blog
A's blogroll

* We're seeing more and more technologies where access is available to
an even larger periphery -- you can subscribe to someone's tagging
through RSS but you can't really post a response to their tags.  The
term lurker seems old-fashioned and irrelevant on some technology
platforms.

* The idea of accountability of engagement will always be important...

John
*
* John D. Smith - John.Smith@... Voice: 503.963.8229
* "Words are, of course, the most powerful drug used by mankind." -
Kipling



*-- The email forum on communities of practice --*
Yahoo! Groups Links

#6584 From: Humberto Alejandro Gumeta Chávez <hgumeta@...>
Date: Mon Jun 5, 2006 1:26 pm
Subject: PhD student looking for host organization
hgumeta
Send Email Send Email
 
Hi all,

I'm doing research on what it means to support informal structures
(such as CoPs)in organizations with IT, and after some initial
unsuccessful attempts I'm still looking for a "host" organization to do
in-depth research for 9-12 months. I'm mainly interested in
organizations with a strong formal structure and substantial use of IT
in their operations. Any help would be appreciated.

Regards,
Humberto Gumeta
PhD student
University of Cambridge

#6585 From: Eric Hoffer <erichoffer@...>
Date: Mon Jun 5, 2006 1:29 pm
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
erichoffer
Send Email Send Email
 
I would probably have been considered a lurker to everyone here -  because I've
not participated in this thread thus far.  That said,  I've been observing to
learn, think, question - and pipe up if/when  something struck me (which is the
case).  As has been discussed,  there are many reasons someone might sit on the
sidelines of a  thread.  All those aside, my sense is that the question really 
comes down to two factors: 1) each individual's unique interests,  needs,
motivations and intentions, and 2) the many possible  perspectives on the
definition of community.  Correct me if I'm  wrong - but both are acceptable
within a community.

Taken  together - while community connotes common interest - not every member 
is going to have exactly the same set of motivations in regards to the 
element(s) that they do happen have in common with the community and  which bind
them individually to it.  Even where motivations are  similar, each individual
has the potential for (and right to) a  different perspective on them.

  Unless a community  defines, with all in total agreement, the required level of
activity in  order to be considered a member, it shouldn't judge who is a valid 
community member lest it be more of a club than a community.  Of  course,
perhaps I'm taking the term "lurker" only in its negative  sense.  If that is
not the intent, and the discussion is really  just a non-derogatory effort to
classify members for some other valid  purpose (similar to the way "active" and
"inactive" might be), then I'm  curious as to what that purpose might be.

   Eric


"Cornejo Castro, Miguel" <miguel.cornejo@...> wrote:  Hi John,

blogs are not a community platform by themselves, but a personal
publishing platform that may (or not) spawn different types of
conversations. Relationship with readers is tremendously asymmetrical.
Relationship with other bloggers through cross-postings and comments...
would you call that a community, or just a group of like-minded people?
What's the difference?

It's not a rethorical question :-).

Best regards,

Miguel


-----Mensaje original-----
De: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] En nombre
de John D. Smith
Enviado el: lunes, 05 de junio de 2006 1:01
Para: com-prac@yahoogroups.com
Asunto: RE: [cp] Summary of the discussion on LPP and lurkers

Some further thoughts:

* I've only heard the term "lurker" and similar terms in reference to
email lists and other technologies where there is a delimited,
identified list of people who have access.

* New gradations of engagement are available using blogs as a community
platform, in roughly increaseing levels of engagement around Blog A:

> someone who reads a posting on Blog A more or less by accident someone

> who posts a comment on Blog A in response to A's post someone who
> regularly reads Blog A via an RSS feed someone who occasionally
> responds in their own blog to postings in Blog A someone who interacts

> regularly with the author of Blog A, so is on Blog
A's blogroll

* We're seeing more and more technologies where access is available to
an even larger periphery -- you can subscribe to someone's tagging
through RSS but you can't really post a response to their tags.  The
term lurker seems old-fashioned and irrelevant on some technology
platforms.

* The idea of accountability of engagement will always be important...

John
*
* John D. Smith - John.Smith@... Voice: 503.963.8229
* "Words are, of course, the most powerful drug used by mankind." -
Kipling



*-- The email forum on communities of practice --*
Yahoo! Groups Links









*-- The email forum on communities of practice --*
Yahoo! Groups Links










Eric Hoffer
973.494.1073

---------------------------------
New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.

[Non-text portions of this message have been removed]

#6586 From: "joitske" <joitske@...>
Date: Tue Jun 6, 2006 12:34 pm
Subject: Re: Summary of the discussion on LPP and lurkers
joitske
Send Email Send Email
 
Hi Eric,

You wrote:

>  Unless a community  defines, with all in total agreement, the
required level of activity in  order to be considered a member, it
shouldn't judge who is a valid  community member lest it be more of a
club than a community.  Of  course, perhaps I'm taking the
term "lurker" only in its negative  sense.  If that is not the intent,
and the discussion is really  just a non-derogatory effort to classify
members for some other valid  purpose (similar to the way "active"
and "inactive" might be), then I'm  curious as to what that purpose
might be.
>

That's an important contribution to me in the whole concept of
communities of practice, that you have different levels of engagement,
and people can jump in and out and shift their engagement levels,
making it more organic than participatory meetings/governance models
where all members have to participate equally (or that's the ideal).

Your remark on 'a CoP should not judge who is a valid community
member' made me think that's the weird thing about lurking in
electronic lists and and perceiving the list as a CoP space. If I just
use a list for quick information, I don't want to be called community
member, I want it to be what it is (a discussion list). Even if
there's a community of some sort around the list, it should probably
be conscious of the fact that this is a public/boundary space. Easily
accessible for any subscriber. So indeed it will be hard to use it to
label/classify people, I think.

Joitske Hulsebosch (sorry I posted the link to my blog anonymously
again)

#6587 From: Kaye Vivian <kvivian@...>
Date: Tue Jun 6, 2006 2:09 pm
Subject: Re: [cp] Digest Number 1538
kayevivian
Send Email Send Email
 
ooooh!!  Nice new digest format!  Thanks! :)
Kaye Vivian


com-prac@yahoogroups.com wrote:

> Communities of Practice
>
<http://us.lrd.yahoo.com/_ylc=X3oDMTJkNzl2bGRwBF9TAzk3MzU5NzE1BGdycElkAzEzOTY1Nj\
kEZ3Jwc3BJZAMxNjAwNTQyMDI0BHNlYwNoZHIEc2xrA2hwaARzdGltZQMxMTQ5NTg4OTQw;_ylg=1/SI\
G=11blgjm5h/**http%3a//groups.yahoo.com/group/com-prac>
>
>
>
>   Messages In This Digest (2 Messages)
>
> 1.
>     PhD student looking for host organization <#1> From: Humberto
>     Alejandro Gumeta Chávez
>
> 2.
>     Re: Summary of the discussion on LPP and lurkers <#2> From: Eric
>     Hoffer
>
> View All Topics
>
<http://us.lrd.yahoo.com/_ylc=X3oDMTJmcjUxMm4yBF9TAzk3MzU5NzE1BGdycElkAzEzOTY1Nj\
kEZ3Jwc3BJZAMxNjAwNTQyMDI0BHNlYwNkbXNnBHNsawNhdHBjBHN0aW1lAzExNDk1ODg5NDA-;_ylg=\
1/SIG=12a7vn5dj/**http%3a//groups.yahoo.com/group/com-prac/messages%3fxm=1%26m=p\
%26tidx=1>
> | Create New Topic
>
<http://us.lrd.yahoo.com/_ylc=X3oDMTJmdHQ1YjA1BF9TAzk3MzU5NzE1BGdycElkAzEzOTY1Nj\
kEZ3Jwc3BJZAMxNjAwNTQyMDI0BHNlYwNkbXNnBHNsawNudHBjBHN0aW1lAzExNDk1ODg5NDA-;_ylg=\
1/SIG=11g43rtdg/**http%3a//groups.yahoo.com/group/com-prac/post>
>
>
>
>   Messages
>
> 1.
>
>
>         PhD student looking for host organization
>        
<http://us.lrd.yahoo.com/_ylc=X3oDMTJxcW5zZDJrBF9TAzk3MzU5NzE1BGdycElkAzEzOTY1Nj\
kEZ3Jwc3BJZAMxNjAwNTQyMDI0BG1zZ0lkAzY1ODQEc2VjA2Rtc2cEc2xrA3Ztc2cEc3RpbWUDMTE0OT\
U4ODk0MA--;_ylg=1/SIG=11om960j0/**http%3a//groups.yahoo.com/group/com-prac/messa\
ge/6584>
>
>
>
>           Posted by: "Humberto Alejandro Gumeta Chávez"
>           hgumeta@...
>          
<mailto:hgumeta@...?Subject=Re:%20PhD%20student%20looking%20for%20host%20or\
ganization>
>             hgumeta <http://profiles.yahoo.com/hgumeta>
>
>
>             Mon Jun 5, 2006 6:28 am (PST)
>
>     Hi all,
>
>     I'm doing research on what it means to support informal structures
>     (such as CoPs)in organizations with IT, and after some initial
>     unsuccessful attempts I'm still looking for a "host" organization
>     to do
>     in-depth research for 9-12 months. I'm mainly interested in
>     organizations with a strong formal structure and substantial use
>     of IT
>     in their operations. Any help would be appreciated.
>
>     Regards,
>     Humberto Gumeta
>     PhD student
>     University of Cambridge
>
>     Back to top <#toc>
>     Reply (via email)
>    
<mailto:com-prac@yahoogroups.com?Subject=Re:%20PhD%20student%20looking%20for%20h\
ost%20organization>
>     | Reply (via web post)
>    
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>    
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>     (1)
>
> 2.
>
>
>         Re: Summary of the discussion on LPP and lurkers
>        
<http://us.lrd.yahoo.com/_ylc=X3oDMTJxczNxcDduBF9TAzk3MzU5NzE1BGdycElkAzEzOTY1Nj\
kEZ3Jwc3BJZAMxNjAwNTQyMDI0BG1zZ0lkAzY1ODUEc2VjA2Rtc2cEc2xrA3Ztc2cEc3RpbWUDMTE0OT\
U4ODk0MA--;_ylg=1/SIG=11orirlnm/**http%3a//groups.yahoo.com/group/com-prac/messa\
ge/6585>
>
>
>
>           Posted by: "Eric Hoffer" erichoffer@...
>          
<mailto:erichoffer@...?Subject=%20Re:%20Summary%20of%20the%20discussion%20\
on%20LPP%20and%20lurkers>
>             erichoffer <http://profiles.yahoo.com/erichoffer>
>
>
>             Mon Jun 5, 2006 6:57 am (PST)
>
>     I would probably have been considered a lurker to everyone here -
>     because I've not participated in this thread thus far. That said,
>     I've been observing to learn, think, question - and pipe up
>     if/when something struck me (which is the case). As has been
>     discussed, there are many reasons someone might sit on the
>     sidelines of a thread. All those aside, my sense is that the
>     question really comes down to two factors: 1) each individual's
>     unique interests, needs, motivations and intentions, and 2) the
>     many possible perspectives on the definition of community. Correct
>     me if I'm wrong - but both are acceptable within a community.
>
>     Taken together - while community connotes common interest - not
>     every member is going to have exactly the same set of motivations
>     in regards to the element(s) that they do happen have in common
>     with the community and which bind them individually to it. Even
>     where motivations are similar, each individual has the potential
>     for (and right to) a different perspective on them.
>
>     Unless a community defines, with all in total agreement, the
>     required level of activity in order to be considered a member, it
>     shouldn't judge who is a valid community member lest it be more of
>     a club than a community. Of course, perhaps I'm taking the term
>     "lurker" only in its negative sense. If that is not the intent,
>     and the discussion is really just a non-derogatory effort to
>     classify members for some other valid purpose (similar to the way
>     "active" and "inactive" might be), then I'm curious as to what
>     that purpose might be.
>
>     Eric
>
>
>     "Cornejo Castro, Miguel" <miguel.cornejo@...
>     <mailto:miguel.cornejo%40getronics.com>> wrote: Hi John,
>
>     blogs are not a community platform by themselves, but a personal
>     publishing platform that may (or not) spawn different types of
>     conversations. Relationship with readers is tremendously asymmetrical.
>     Relationship with other bloggers through cross-postings and
>     comments...
>     would you call that a community, or just a group of like-minded
>     people?
>     What's the difference?
>
>     It's not a rethorical question :-).
>
>     Best regards,
>
>     Miguel
>
>     -----Mensaje original-----
>     De: com-prac@yahoogroups.com <mailto:com-prac%40yahoogroups.com>
>     [mailto:com-prac@yahoogroups.com
>     <mailto:com-prac%40yahoogroups.com>] En nombre
>     de John D. Smith
>     Enviado el: lunes, 05 de junio de 2006 1:01
>     Para: com-prac@yahoogroups.com <mailto:com-prac%40yahoogroups.com>
>     Asunto: RE: [cp] Summary of the discussion on LPP and lurkers
>
>     Some further thoughts:
>
>     * I've only heard the term "lurker" and similar terms in reference to
>     email lists and other technologies where there is a delimited,
>     identified list of people who have access.
>
>     * New gradations of engagement are available using blogs as a
>     community
>     platform, in roughly increaseing levels of engagement around Blog A:
>
>     > someone who reads a posting on Blog A more or less by accident
>     someone
>
>     > who posts a comment on Blog A in response to A's post someone who
>     > regularly reads Blog A via an RSS feed someone who occasionally
>     > responds in their own blog to postings in Blog A someone who
>     interacts
>
>     > regularly with the author of Blog A, so is on Blog
>     A's blogroll
>
>     * We're seeing more and more technologies where access is available to
>     an even larger periphery -- you can subscribe to someone's tagging
>     through RSS but you can't really post a response to their tags. The
>     term lurker seems old-fashioned and irrelevant on some technology
>     platforms.
>
>     * The idea of accountability of engagement will always be
>     important...
>
>     John
>     *
>     * John D. Smith - John.Smith@...
>     <mailto:John.Smith%40LearningAlliances.net> Voice: 503.963.8229
>     * "Words are, of course, the most powerful drug used by mankind." -
>     Kipling
>
>     *-- The email forum on communities of practice --*
>     Yahoo! Groups Links
>
>     *-- The email forum on communities of practice --*
>     Yahoo! Groups Links
>
>     Eric Hoffer
>     973.494.1073
>
>     ---------------------------------
>     New Yahoo! Messenger with Voice. Call regular phones from your PC
>     and save big.
>
>     [Non-text portions of this message have been removed]
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#6588 From: "Fred Nickols" <nickols@...>
Date: Tue Jun 6, 2006 2:54 pm
Subject: CoPs in Pharmaceutical Firms
fwnickols
Send Email Send Email
 
I'm looking for write-ups of CoPs in pharmaceuticals firms.  Any
pointers greatly appreciated.

Regards,

Fred Nickols
www.nickols.us
nickols@...

#6589 From: Bronwyn Stuckey <bstuckey@...>
Date: Tue Jun 6, 2006 3:27 pm
Subject: Re: [cp] CoPs in Pharmaceutical Firms
bronwynstuckey
Send Email Send Email
 
Hi Fred

Quick and off the top of my head

*Céline Monette* (Aventis Pharma) presented at E-Learn with a number of
us in 2002.
http://www.editlib.org/index.cfm?fuseaction=Reader.ViewAbstract&paper_id=15350
*Doug Rush* is/was also associated with Aventis Pharma

*Josh Plashkoff* and *Denham Grey *have relationships with Eli Lilly and
will know of resources/publications  there.
http://education.indiana.edu/~istdept/R685bonk/notess&Plaskof.pdf
http://www.elearnmag.org/subpage.cfm?section=tutorials&article=8-1
http://www.providersedge.com/docs/events/Pharma_KM_for_Accelerated_R&D_-_12-02.p\
df

*ISPE* has a number of communities in pharmaceuticals
http://www.ispe.org/page.ww?name=Communities+of+Practice§ion=Communities+of+\
Practice

Bronwyn



Fred Nickols wrote:

> I'm looking for write-ups of CoPs in pharmaceuticals firms. Any
> pointers greatly appreciated.
>
> Regards,
>
> Fred Nickols
> www.nickols.us
> nickols@... <mailto:nickols%40att.net>
>
>

#6590 From: "John D. Smith" <john.smith@...>
Date: Tue Jun 6, 2006 4:58 pm
Subject: RE: [cp] PhD student looking for host organization
smithjd2tele...
Send Email Send Email
 
Humberto,

The US Army makes substantial use of IT and is very hierarchical. Not
suggesting it as a host organization, but you'd probably get a lot out of:

Nancy M. Dixon, Nate Allen, Tony Burgess, Pete Kilner, Steve Schweitzer,
CompanyCommand; Unleashing the power of the army profession
(West Point, NY: Center for the Advancement of Leader Development &
Organizational Learning, 2005).
Available from Amazon or Nancy Dixon's website
http://www.commonknowledge.org (using paypal)

There was a really good New Yorker article about them that had some nice
details about the relationship.  One vivid quip from Tony Burgess (who is on
this list when he has time to pipe up): it was easy (more or less) to get
support for companycommand from top generals "but try buying a number 2
pencil."

John
*
* John D. Smith - John.Smith@... Voice: 503.963.8229
* "Words are, of course, the most powerful drug used by mankind." - Kipling

#6591 From: Nancy White <nancyw@...>
Date: Wed Jun 7, 2006 2:47 am
Subject: JOB: Dir of Organizational Learning
choconancy
Send Email Send Email
 
A colleague asked me to pass this along to the group, in case any of
you know of any potential candidates.

Catholic Relief Services (CRS), has just created a position entitled
"Director of Organizational Learning, Knowledge Management and
Internal Communications."  The position reports directly to the
agency's Chief Operating Officer and supervises a team of
approximately 25 people around the world.  The  responsibilities for
the position are listed in the following URL:

<https://sh.webhire.com/servlet/av/jd?ai=495&ji=1775236&sn=I>https://sh.webhire.\
com/servlet/av/jd?ai=495&ji=1775236&sn=I


To date, CRS has received some very strong resumes, especially from
private sector candidates.  However, there have been fewer applicants
with international development experience.  Recognizing this
weakness, the selection committee would like to reach out to more
potential candidates from the development field.  As part of this
effort to expand the net, I was wondering whether you would know of
any potential candidates for the position?  Please feel free to
contact me if you know of anyone who might be interested in the
position, or feel free to liberally share this job description among
members of your network.  Michael Culligan  Senior Technical Advisor
for Learning  office: 800 235 2772 x3011  cell:    412 559
3031  aim:    culliganmike
mculliga at crs dot org
Nancy White - Full Circle Associates - http://www.fullcirc.com - 206-517-4754
Blog: http://www.fullcirc.com/weblog/onfacblog.htm


[Non-text portions of this message have been removed]

#6592 From: "Marco Bettoni" <marco.bettoni@...>
Date: Wed Jun 7, 2006 10:44 am
Subject: Re: CoPs in Pharmaceutical Firms
marco_cesare
Send Email Send Email
 
Hi Fred,

in the region of Basel there are the Headquarters of Novartis and
Roche. Here you may contact the following persons or visit the
following sites:

The KM Institute - Switzerland
http://www.kminstituteswitzerland.org/index.php

Barry Hardy, PhD Email: barry.hardy@...
Nicki Douglas nicki.douglas@...

Douglas Connect, Switzerland
+41 61 851 0170
www.douglasconnect.com


InnovationWell - http://www.innovationwell.net/
a member-based network and Community of Practice (CoP) of experts,
researchers and executives with a common interest in innovation and
knowledge management in the pharmaceutical, life science and
healthcare sectors

Best wishes,

Marco.


--- In com-prac@yahoogroups.com, "Fred Nickols" <nickols@...> wrote:
>
> I'm looking for write-ups of CoPs in pharmaceuticals firms.  Any
> pointers greatly appreciated.
>
> Regards,
>
> Fred Nickols
> www.nickols.us
> nickols@...
>

#6593 From: Benoit Couture <benoitctr@...>
Date: Wed Jun 7, 2006 12:44 pm
Subject: Re: [cp] Re: CoPs in Pharmaceutical Firms
benoitctr
Send Email Send Email
 
Dear all,

   Would it be feasable to think that from here, we could go about co-editing and
presenting a research and developement process to reconcile the benefits of
Traditional Chinese Medecine's herbal applications, as well as all other ancient
healing methods, with the pharmaceutical industry and Western medecine?

   Thank you,
   Benoit Couture


Marco Bettoni <marco.bettoni@...> wrote:
           Hi Fred,

in the region of Basel there are the Headquarters of Novartis and
Roche. Here you may contact the following persons or visit the
following sites:

The KM Institute - Switzerland
http://www.kminstituteswitzerland.org/index.php

Barry Hardy, PhD Email: barry.hardy@...
Nicki Douglas nicki.douglas@...

Douglas Connect, Switzerland
+41 61 851 0170
www.douglasconnect.com

InnovationWell - http://www.innovationwell.net/
a member-based network and Community of Practice (CoP) of experts,
researchers and executives with a common interest in innovation and
knowledge management in the pharmaceutical, life science and
healthcare sectors

Best wishes,

Marco.

--- In com-prac@yahoogroups.com, "Fred Nickols" <nickols@...> wrote:
>
> I'm looking for write-ups of CoPs in pharmaceuticals firms. Any
> pointers greatly appreciated.
>
> Regards,
>
> Fred Nickols
> www.nickols.us
> nickols@...
>





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#6594 From: bob van limburg <bobbyvanlimburg@...>
Date: Wed Jun 7, 2006 12:45 pm
Subject: CoP in hospitals
bobbyvanlimburg
Send Email Send Email
 
Hi,

I am looking for CoP in hospitals or related
industries.

Who can help?

Sincerely,

Bob

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#6595 From: "John Parboosingh" <parboo@...>
Date: Wed Jun 7, 2006 3:08 pm
Subject: Re: [cp] CoP in hospitals
johnparboosingh
Send Email Send Email
 
Hello Bob,
Most of my work is developing pilots and mentoring health care groups on how to
"invest in relationships" , using the principles and practices behind CoPs. But
most care delivery units in Canada dont have the same resources as I see in
industry to experiment. Feel free to contact me if you think I could help.

There is also a large push to develop research projects that use  interventions
at the leadership level to create a learning organization culture in clinical
departments, and develop basic knowledge management systems, if only to collect
and manage lessons learned around patient safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada  T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@...

   ----- Original Message -----
   From: bob van limburg
   To: com-prac@yahoogroups.com
   Sent: Wednesday, June 07, 2006 6:45 AM
   Subject: [cp] CoP in hospitals


   Hi,

   I am looking for CoP in hospitals or related
   industries.

   Who can help?

   Sincerely,

   Bob

   __________________________________________________
   Do You Yahoo!?
   Tired of spam? Yahoo! Mail has the best spam protection around
   http://mail.yahoo.com




[Non-text portions of this message have been removed]

#6596 From: "Roger Bush" <roger.bush@...>
Date: Wed Jun 7, 2006 7:28 pm
Subject: Re: [cp] CoP in hospitals
roger.bush@...
Send Email Send Email
 
Bob & John,
I am the Director of an Internal Medicine Residency Program in Seattle,
and lead an innovation project for the ACGME, which accredits all
Internal Medicine training, both general and specialty-based, in the
US.
http://www.acgme.org/acWebsite/RRC_140/140_EIPindex.asp

I have been auditing (whether legitimate, lurking, or otherwise) this
listserve for some months now, and using CoP methods to connect Internal
Medicine Residency Programs. I have been slef-directed and unmentored;
therefore am very interested in learning more, collaborating and
sharing.

There is a LOT of money flowing through the US healthcare system, but
much less in it at any one time. There are resources flowing from our
federal government to hospitals intended to support Graduate Medical
Edication, but there is a catastophic slip twixt that cup and the
learning lips: the work of learning tends to occur in resource-poor
settings.  Bottom line, there are fewer resources in health care for CoP
and KM activities than in many public companies.

I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO.
Roger

Roger W. Bush, MD, FACP
Director, Internal Medicine Residency Program
Virginia Mason Medical Center H8GME
925 Seneca Street
Seattle, WA 98101
206 583-6079
FAX 206 583-2307
https://www.virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&jsess\
ionid=3230472b6e2e60426c72

>>> parboo@... 06/07/06 8:08 AM >>>
Hello Bob,
Most of my work is developing pilots and mentoring health care groups
on how to "invest in relationships" , using the principles and practices
behind CoPs. But most care delivery units in Canada dont have the same
resources as I see in industry to experiment. Feel free to contact me if
you think I could help.

There is also a large push to develop research projects that use
interventions at the leadership level to create a learning organization
culture in clinical departments, and develop basic knowledge management
systems, if only to collect and manage lessons learned around patient
safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada  T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@...

   ----- Original Message -----
   From: bob van limburg
   To: com-prac@yahoogroups.com
   Sent: Wednesday, June 07, 2006 6:45 AM
   Subject: [cp] CoP in hospitals


   Hi,

   I am looking for CoP in hospitals or related
   industries.

   Who can help?

   Sincerely,

   Bob

   __________________________________________________
   Do You Yahoo!?
   Tired of spam? Yahoo! Mail has the best spam protection around
   http://mail.yahoo.com




[Non-text portions of this message have been removed]



*-- The email forum on communities of practice --*
Yahoo! Groups Links









************ Confidentiality Disclaimer *************************
The information contained in this e-mail may be confidential. IF YOU
RECEIVED THIS IN ERROR, please call Privacy Officer (206) 223-7505.
Thank you.

Patients - Email is NOT considered secure.  By choosing to communicate
with Virginia Mason by email, you will assume these confidentiality
risks.  Please do not rely on e-mail communication if you or a family
member suffers a sudden or substantial change in health or injury.
If you need emergency attention, call 911.

   ----------

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Bush, Roger
ORG:;Hospitalist Service
EMAIL;WORK;PREF;NGW:Hosrwb@...
N:Bush;Roger
TITLE:Hospitalist
END:VCARD



[Non-text portions of this message have been removed]

#6597 From: "Rosanna" <rosanna@...>
Date: Wed Jun 7, 2006 10:02 pm
Subject: RE: [cp] CoP in hospitals
gionnetto
Send Email Send Email
 
Hello Roger,



You wrote:

"I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO."



Awesome perspective! In my spare time, I'm a medical student *grin* I have
passed 52 of the 59 exams required to graduate in Italy, and have done most
of the training (needs 2 more months only, both of them in Internal
Medicine, because I've already passed Pediatrics, Gynecology and 2 months of
General Surgery).



Medicine has increasingly been looked at from a process management approach
(see the several diagnostic algorithms for almost anything under the sun..
here I could get polemical, they almost always come from *surgeons*, the
most technical branch I guess!). I am slightly more comfortable with the
medication "tiers" (like first-choice, second-choice and third-choice drugs
for given pathologies).



However, the part that has been neglected is the human part, ie: coaching,
mentoring and - especially - apprenticeship!



This being said, I have some questions for you:

1. have you tried mentoring programs (formal or informal)?
2. have you some peer-review stuff in place (like, "newbies" writing up
an assignment and old timers reviewing it)?
3. have you tried some "case of the day" discussion, through listserv
and wikis?



After all, isn't the training period a part of the life of a doctor in which
a doctor gets acquainted with informal learning?



;;)



Rosanna





"Real knowledge is to know the extent of one's ignorance."

-Confucius

  <https://www.linkedin.com/in/gionnetto>
https://www.linkedin.com/in/gionnetto

I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO.
Roger

Roger W. Bush, MD, FACP
Director, Internal Medicine Residency Program
Virginia Mason Medical Center H8GME
925 Seneca Street
Seattle, WA 98101
206 583-6079
FAX 206 583-2307
https://www.
<https://www.virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&
jsessionid=3230472b6e2e60426c72>
virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&jsessionid=32
30472b6e2e60426c72

>>> parboo@telusplanet. <mailto:parboo%40telusplanet.net> net 06/07/06 8:08
AM >>>
Hello Bob,
Most of my work is developing pilots and mentoring health care groups
on how to "invest in relationships" , using the principles and practices
behind CoPs. But most care delivery units in Canada dont have the same
resources as I see in industry to experiment. Feel free to contact me if
you think I could help.

There is also a large push to develop research projects that use
interventions at the leadership level to create a learning organization
culture in clinical departments, and develop basic knowledge management
systems, if only to collect and manage lessons learned around patient
safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@telusplanet. <mailto:parboo%40telusplanet.net> net

----- Original Message -----
From: bob van limburg
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 6:45 AM
Subject: [cp] CoP in hospitals

Hi,

I am looking for CoP in hospitals or related
industries.

Who can help?

Sincerely,

Bob

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail. <http://mail.yahoo.com> yahoo.com

[Non-text portions of this message have been removed]

*-- The email forum on communities of practice --*
Yahoo! Groups Links

************ Confidentiality Disclaimer *************************
The information contained in this e-mail may be confidential. IF YOU
RECEIVED THIS IN ERROR, please call Privacy Officer (206) 223-7505.
Thank you.

Patients - Email is NOT considered secure. By choosing to communicate
with Virginia Mason by email, you will assume these confidentiality
risks. Please do not rely on e-mail communication if you or a family
member suffers a sudden or substantial change in health or injury.
If you need emergency attention, call 911.

----------

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Bush, Roger
ORG:;Hospitalist Service
EMAIL;WORK;PREF;NGW:Hosrwb@vmmc. <mailto:Hosrwb%40vmmc.org> org
N:Bush;Roger
TITLE:Hospitalist
END:VCARD

[Non-text portions of this message have been removed]







[Non-text portions of this message have been removed]

#6598 From: "Roger Bush" <roger.bush@...>
Date: Wed Jun 7, 2006 10:59 pm
Subject: RE: [cp] CoP in hospitals
roger.bush@...
Send Email Send Email
 
Rosanna,
We have both fromal "advising" and informal mentoring programs in
place, as do monay US training programs.

We have peer-review, real time observation & feedback built into our
program, with action learning, reflection, modelling, and
apprentice-like functions. While GME trainees are no longer residents in
the literal sense, their lives increasingly mimic the practitioner's
experience.

There are many venues for case discussion. GME parlance includes
Morning Report, Teaching Rounds, Clinical Practice Conferences,
Morbidity and Mortality Conferences, etc. Wiki, Moodle, and online
collboration is not prevalent among practitioners, but is increasing
among medical educators.
R

>>> rosanna@... 06/07/06 3:02 PM >>>
Hello Roger,



You wrote:

"I am also concerned about the impact of process engineering
initiatives
in health care, if left unbalanced with relationship-based
initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods
in
healthcare, which has done much for patient safety, but less for
robust
relationships, IMHO."



Awesome perspective! In my spare time, I'm a medical student *grin* I
have
passed 52 of the 59 exams required to graduate in Italy, and have done
most
of the training (needs 2 more months only, both of them in Internal
Medicine, because I've already passed Pediatrics, Gynecology and 2
months of
General Surgery).



Medicine has increasingly been looked at from a process management
approach
(see the several diagnostic algorithms for almost anything under the
sun..
here I could get polemical, they almost always come from *surgeons*,
the
most technical branch I guess!). I am slightly more comfortable with
the
medication "tiers" (like first-choice, second-choice and third-choice
drugs
for given pathologies).



However, the part that has been neglected is the human part, ie:
coaching,
mentoring and - especially - apprenticeship!



This being said, I have some questions for you:

1. have you tried mentoring programs (formal or informal)?
2. have you some peer-review stuff in place (like, "newbies"
writing up
an assignment and old timers reviewing it)?
3. have you tried some "case of the day" discussion, through
listserv
and wikis?



After all, isn't the training period a part of the life of a doctor in
which
a doctor gets acquainted with informal learning?



;;)



Rosanna





"Real knowledge is to know the extent of one's ignorance."

-Confucius

  <https://www.linkedin.com/in/gionnetto>
https://www.linkedin.com/in/gionnetto

I am also concerned about the impact of process engineering
initiatives
in health care, if left unbalanced with relationship-based
initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods
in
healthcare, which has done much for patient safety, but less for
robust
relationships, IMHO.
Roger

Roger W. Bush, MD, FACP
Director, Internal Medicine Residency Program
Virginia Mason Medical Center H8GME
925 Seneca Street
Seattle, WA 98101
206 583-6079
FAX 206 583-2307
https://www.
<https://www.virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&

jsessionid=3230472b6e2e60426c72>
virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&jsessionid=32
30472b6e2e60426c72

>>> parboo@telusplanet. <mailto:parboo%40telusplanet.net> net 06/07/06
8:08
AM >>>
Hello Bob,
Most of my work is developing pilots and mentoring health care groups
on how to "invest in relationships" , using the principles and
practices
behind CoPs. But most care delivery units in Canada dont have the same
resources as I see in industry to experiment. Feel free to contact me
if
you think I could help.

There is also a large push to develop research projects that use
interventions at the leadership level to create a learning
organization
culture in clinical departments, and develop basic knowledge
management
systems, if only to collect and manage lessons learned around patient
safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@telusplanet. <mailto:parboo%40telusplanet.net>
net

----- Original Message -----
From: bob van limburg
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 6:45 AM
Subject: [cp] CoP in hospitals

Hi,

I am looking for CoP in hospitals or related
industries.

Who can help?

Sincerely,

Bob

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail. <http://mail.yahoo.com> yahoo.com

[Non-text portions of this message have been removed]

*-- The email forum on communities of practice --*
Yahoo! Groups Links

************ Confidentiality Disclaimer *************************
The information contained in this e-mail may be confidential. IF YOU
RECEIVED THIS IN ERROR, please call Privacy Officer (206) 223-7505.
Thank you.

Patients - Email is NOT considered secure. By choosing to communicate
with Virginia Mason by email, you will assume these confidentiality
risks. Please do not rely on e-mail communication if you or a family
member suffers a sudden or substantial change in health or injury.
If you need emergency attention, call 911.

----------

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Bush, Roger
ORG:;Hospitalist Service
EMAIL;WORK;PREF;NGW:Hosrwb@vmmc. <mailto:Hosrwb%40vmmc.org> org
N:Bush;Roger
TITLE:Hospitalist
END:VCARD

[Non-text portions of this message have been removed]







[Non-text portions of this message have been removed]



*-- The email forum on communities of practice --*
Yahoo! Groups Links

#6599 From: "John Parboosingh" <parboo@...>
Date: Thu Jun 8, 2006 2:10 am
Subject: Re: [cp] CoP in hospitals
johnparboosingh
Send Email Send Email
 
Roger and Rosanna,
I concur with your concerns re rate of change in health care and education.
The major issue is that as the population ages and health problems become
more complex, professionals are required to make judgments in complex and
unpredictable situations and work in areas of uncertainty on behalf of those
they serve. Professional judgement and practical wisdom is central to what,
how and why we practice. Without these competencies, professional action
'degenerates into an intellectual exercise, and good practice becomes
indistinguishable from instrumental cleverness" a quote from Colin Coles.

A paper in McKinsey Quarterly, 2005 # 4 entitled  "The next revolution in
interactions" points out that performance enhancement for the Tacit worker
is achieved mainly by encouraging team member interactions thru for
instance, CoPs,  but health education is slow to change. I am familiar with
the changes in ACGME and ABMS competencies, but there is no 'space' for
collective competencies, and the education format is still teacher to
learner. Lateral mentoring is not a term that is understood although it
happens naturally.

Yet there are a few fires on the go. Jim Palmer and I have an interest in
studying Stroke Centers that claim that it is by investing in relationships
that they have  good results. Also, the work of Jody Gittell that shows the
contribution relational coordination makes to quality of care in hospitals
with hip replacement programs.
Finally, I am involved in two research projects funded by Health Canada on
the role of CoPs   in teaching interdisciplinary health care to trainees

I have just completed workshops in a course at U of Toronto on CoPs. There
were 28 health professionals in the course and their interest in the
concepts was surprizingly high.

Enough for now

John Parboosingh



----- Original Message -----
From: Rosanna
To: com-prac@yahoogroups.com
Sent: Wednesday, June 07, 2006 4:02 PM
Subject: RE: [cp] CoP in hospitals


Hello Roger,

You wrote:

"I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO."

Awesome perspective! In my spare time, I'm a medical student *grin* I have
passed 52 of the 59 exams required to graduate in Italy, and have done most
of the training (needs 2 more months only, both of them in Internal
Medicine, because I've already passed Pediatrics, Gynecology and 2 months of
General Surgery).

Medicine has increasingly been looked at from a process management approach
(see the several diagnostic algorithms for almost anything under the sun..
here I could get polemical, they almost always come from *surgeons*, the
most technical branch I guess!). I am slightly more comfortable with the
medication "tiers" (like first-choice, second-choice and third-choice drugs
for given pathologies).

However, the part that has been neglected is the human part, ie: coaching,
mentoring and - especially - apprenticeship!

This being said, I have some questions for you:

1. have you tried mentoring programs (formal or informal)?
2. have you some peer-review stuff in place (like, "newbies" writing up
an assignment and old timers reviewing it)?
3. have you tried some "case of the day" discussion, through listserv
and wikis?

After all, isn't the training period a part of the life of a doctor in which
a doctor gets acquainted with informal learning?

;;)

Rosanna

"Real knowledge is to know the extent of one's ignorance."

-Confucius

<https://www.linkedin.com/in/gionnetto>
https://www.linkedin.com/in/gionnetto

I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO.
Roger

Roger W. Bush, MD, FACP
Director, Internal Medicine Residency Program
Virginia Mason Medical Center H8GME
925 Seneca Street
Seattle, WA 98101
206 583-6079
FAX 206 583-2307
https://www.
<https://www.virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&
jsessionid=3230472b6e2e60426c72>
virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&jsessionid=32
30472b6e2e60426c72

>>> parboo@telusplanet. <mailto:parboo%40telusplanet.net> net 06/07/06 8:08
AM >>>
Hello Bob,
Most of my work is developing pilots and mentoring health care groups
on how to "invest in relationships" , using the principles and practices
behind CoPs. But most care delivery units in Canada dont have the same
resources as I see in industry to experiment. Feel free to contact me if
you think I could help.

There is also a large push to develop research projects that use
interventions at the leadership level to create a learning organization
culture in clinical departments, and develop basic knowledge management
systems, if only to collect and manage lessons learned around patient
safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@telusplanet. <mailto:parboo%40telusplanet.net> net

----- Original Message -----
From: bob van limburg
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 6:45 AM
Subject: [cp] CoP in hospitals

Hi,

I am looking for CoP in hospitals or related
industries.

Who can help?

Sincerely,

Bob

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail. <http://mail.yahoo.com> yahoo.com

[Non-text portions of this message have been removed]

*-- The email forum on communities of practice --*
Yahoo! Groups Links

************ Confidentiality Disclaimer *************************
The information contained in this e-mail may be confidential. IF YOU
RECEIVED THIS IN ERROR, please call Privacy Officer (206) 223-7505.
Thank you.

Patients - Email is NOT considered secure. By choosing to communicate
with Virginia Mason by email, you will assume these confidentiality
risks. Please do not rely on e-mail communication if you or a family
member suffers a sudden or substantial change in health or injury.
If you need emergency attention, call 911.

----------

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Bush, Roger
ORG:;Hospitalist Service
EMAIL;WORK;PREF;NGW:Hosrwb@vmmc. <mailto:Hosrwb%40vmmc.org> org
N:Bush;Roger
TITLE:Hospitalist
END:VCARD

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

#6600 From: "John D. Smith" <john.smith@...>
Date: Thu Jun 8, 2006 2:28 am
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
smithjd2tele...
Send Email Send Email
 
Miguel,

You say, "blogs are not a community platform by themselves."  And I would
reply that, depending on the community, neither is a Yahoo group.  The
community around com-prac, for example, meets on the phone, does projects on
the side, meets at conferences, bids on jobs together, competes, huddles in
CPsquare, uses IM or email to talk about health issues, reads books that
others in the community recommend, etc., etc.  A "complete" community
platform is quite a peculiar concept, I think.

My point was that "community platform" from the perspective of a web
developer may be a unique and possibly problematic concept.  One of the
ideas we've been exploring in the "technologies for communities of practice"
project (Nancy White, Etienne and I working over the past 2 years:
www.technologyforcommunities.com ) is to try to turn our thinking upside
down by thinking about the technologies second and the communities first.
Rather than ask whether a group of people using a tool or technology is a
community of practice, find the community and ask what tools they are using.
That makes us start with people's sense of identity, engagement or
trajectory (who are they fighting with? learning from? indebted or
accountable to? etc.)

In improv, there's a nice concept of "platform" as "something stable upon
which a performer (or group of performers) can build".  So when improv
actors are inventing a scene and establish that the two characters on the
stage are estranged lovers meeting in a café on a winter morning, that's the
platform and it suggests and constrains future action at the same time.  For
those of us who like to keep our nomenclature clear, I think this use of the
word platform is part of what Wenger '98 refers to as "repertoire".
(Repertoire includes more -- from the stuff that a practitioner uses in the
field to do her work all the way to stuff she uses to collaborate and think
with partners back home in the bosom of the community.)

Anyway, I see communities of practice out there that include blogs as part
of their platform (or repertoire). My sense of what we're trying to do in
understanding communities of practice is that, in the spirit of Situated
Learning, we actually look at whatever people do socially and otherwise to
learn with and from each other.  During the past 10 years that's included
platforms like Yahoo Groups, Macuarium, web boards of all kinds, and there
have been all kinds of debates about whether the groups on those platforms
are communities of practice or not.  Looking at those groups do their thing
is interesting, partly because groups that come together with those
platforms feel different from the little girls running errands for their
aunties in the Yucatec forest.  We need to START by looking at effective and
engaged communities and then ask what technologies they use (and how they
are combined, and what the implications of that might be).

My point about blogs was that they create a larger periphery around a
conversation than a closed-form medium like an email list or a web-board.

John
*
* John D. Smith - John.Smith@... V: 503.963.8229
* "With company you quicken your ascent." -- Rumi --
-----Original Message-----
From: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] On Behalf
Of Cornejo Castro, Miguel
Sent: Monday, June 05, 2006 12:41 AM
To: com-prac@yahoogroups.com
Subject: RE: [cp] Summary of the discussion on LPP and lurkers

Hi John,

blogs are not a community platform by themselves, but a personal publishing
platform that may (or not) spawn different types of conversations.
Relationship with readers is tremendously asymmetrical.
Relationship with other bloggers through cross-postings and comments...
would you call that a community, or just a group of like-minded people?
What's the difference?

It's not a rethorical question :-).

Best regards,

Miguel

#6601 From: "Rosanna" <rosanna@...>
Date: Thu Jun 8, 2006 3:01 am
Subject: RE: [cp] Summary of the discussion on LPP and lurkers
gionnetto
Send Email Send Email
 
John,



You said:

“Rather than ask whether a group of people using a tool or technology is a
community of practice, find the community and ask what tools they are using.
That makes us start with people's sense of identity, engagement or
trajectory (who are they fighting with? learning from? indebted or
accountable to? etc.)”



That gets us back to:

1. the definition of community: say, according to one definition vs
another, a group of ppl may or may not be a community. So, WHICH definition
do we use?
2. the sense of identity that, in *your* way of looking at CoPs, is
pivotal. In mine, for example, identity is a by-product of community, not
one of the founding fathers (I do realize that some communities fit your
definitions and some fit mine, that’s not my point. My point is, your
approach depends on the definition we use).



My question for you is: is negotiating definitions the only/mainly way of
speaking and/or doing practice about CoPs? I say “no”, because communities
are CoPs even when they aren’t aware of their practice, identity,
repertoire.



Rosanna





"Real knowledge is to know the extent of one’s ignorance."

—Confucius

  <https://www.linkedin.com/in/gionnetto>
https://www.linkedin.com/in/gionnetto

-----Original Message-----
From: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] On Behalf
Of John D. Smith
Sent: Thursday, June 08, 2006 4:29 AM
To: com-prac@yahoogroups.com
Subject: RE: [cp] Summary of the discussion on LPP and lurkers



Miguel,

You say, "blogs are not a community platform by themselves." And I would
reply that, depending on the community, neither is a Yahoo group. The
community around com-prac, for example, meets on the phone, does projects on
the side, meets at conferences, bids on jobs together, competes, huddles in
CPsquare, uses IM or email to talk about health issues, reads books that
others in the community recommend, etc., etc. A "complete" community
platform is quite a peculiar concept, I think.

My point was that "community platform" from the perspective of a web
developer may be a unique and possibly problematic concept. One of the
ideas we've been exploring in the "technologies for communities of practice"
project (Nancy White, Etienne and I working over the past 2 years:
www.technologyforcommunities.com ) is to try to turn our thinking upside
down by thinking about the technologies second and the communities first.
Rather than ask whether a group of people using a tool or technology is a
community of practice, find the community and ask what tools they are using.
That makes us start with people's sense of identity, engagement or
trajectory (who are they fighting with? learning from? indebted or
accountable to? etc.)

In improv, there's a nice concept of "platform" as "something stable upon
which a performer (or group of performers) can build". So when improv
actors are inventing a scene and establish that the two characters on the
stage are estranged lovers meeting in a café on a winter morning, that's the
platform and it suggests and constrains future action at the same time. For
those of us who like to keep our nomenclature clear, I think this use of the
word platform is part of what Wenger '98 refers to as "repertoire".
(Repertoire includes more -- from the stuff that a practitioner uses in the
field to do her work all the way to stuff she uses to collaborate and think
with partners back home in the bosom of the community.)

Anyway, I see communities of practice out there that include blogs as part
of their platform (or repertoire). My sense of what we're trying to do in
understanding communities of practice is that, in the spirit of Situated
Learning, we actually look at whatever people do socially and otherwise to
learn with and from each other. During the past 10 years that's included
platforms like Yahoo Groups, Macuarium, web boards of all kinds, and there
have been all kinds of debates about whether the groups on those platforms
are communities of practice or not. Looking at those groups do their thing
is interesting, partly because groups that come together with those
platforms feel different from the little girls running errands for their
aunties in the Yucatec forest. We need to START by looking at effective and
engaged communities and then ask what technologies they use (and how they
are combined, and what the implications of that might be).

My point about blogs was that they create a larger periphery around a
conversation than a closed-form medium like an email list or a web-board.

John
*
* John D. Smith - John.Smith@Learning
<mailto:John.Smith%40LearningAlliances.net> Alliances.net V: 503.963.8229
* "With company you quicken your ascent." -- Rumi --
-----Original Message-----
From: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
[mailto:com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com] On
Behalf
Of Cornejo Castro, Miguel
Sent: Monday, June 05, 2006 12:41 AM
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Subject: RE: [cp] Summary of the discussion on LPP and lurkers

Hi John,

blogs are not a community platform by themselves, but a personal publishing
platform that may (or not) spawn different types of conversations.
Relationship with readers is tremendously asymmetrical.
Relationship with other bloggers through cross-postings and comments...
would you call that a community, or just a group of like-minded people?
What's the difference?

It's not a rethorical question :-).

Best regards,

Miguel





[Non-text portions of this message have been removed]

#6602 From: "Rosanna" <rosanna@...>
Date: Thu Jun 8, 2006 3:17 am
Subject: RE: [cp] CoP in hospitals
gionnetto
Send Email Send Email
 
John,



You wrote:

"Yet there are a few fires on the go. Jim Palmer and I have an interest in
studying Stroke Centers that claim that it is by investing in relationships
that they have good results. Also, the work of Jody Gittell that shows the
contribution relational coordination makes to quality of care in hospitals
with hip replacement programs.
Finally, I am involved in two research projects funded by Health Canada on
the role of CoPs in teaching interdisciplinary health care to trainees"



do you have some links to those studies? They sound sooo interesting :-)





You wrote:

"I have just completed workshops in a course at U of Toronto on CoPs. There
were 28 health professionals in the course and their interest in the
concepts was surprizingly high."



I'm curious here. why surprising? Historically, medicine is a "group
affaire".. In fact, the original oath of Hippocrates says:

"I will keep this Oath and this stipulation - to reckon him who taught me
this Art equally dear to me as my parents, to share my substance with him,
and relieve his necessities if required; to look upon his offspring in the
same footing as my own brothers, and to teach them this art, if they shall
wish to learn it, without fee or stipulation; and that by precept, lecture,
and every other mode of instruction,

I will impart a knowledge of the Art to my own sons, and those of my
teachers, and to disciples bound by a stipulation and oath according to the
law of medicine, but to none others."

I think that the "modern view" of medicine and society in general
(especially in *some* countries) have changed the original profession (re:
making it more individualistic).



Rosanna





"Real knowledge is to know the extent of one's ignorance."

-Confucius

  <https://www.linkedin.com/in/gionnetto>
https://www.linkedin.com/in/gionnetto

-----Original Message-----
From: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] On Behalf
Of John Parboosingh
Sent: Thursday, June 08, 2006 4:11 AM
To: com-prac@yahoogroups.com
Subject: Re: [cp] CoP in hospitals





I have just completed workshops in a course at U of Toronto on CoPs. There
were 28 health professionals in the course and their interest in the
concepts was surprizingly high.

Enough for now

John Parboosingh

----- Original Message -----
From: Rosanna
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 4:02 PM
Subject: RE: [cp] CoP in hospitals

Hello Roger,

You wrote:

"I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO."

Awesome perspective! In my spare time, I'm a medical student *grin* I have
passed 52 of the 59 exams required to graduate in Italy, and have done most
of the training (needs 2 more months only, both of them in Internal
Medicine, because I've already passed Pediatrics, Gynecology and 2 months of
General Surgery).

Medicine has increasingly been looked at from a process management approach
(see the several diagnostic algorithms for almost anything under the sun..
here I could get polemical, they almost always come from *surgeons*, the
most technical branch I guess!). I am slightly more comfortable with the
medication "tiers" (like first-choice, second-choice and third-choice drugs
for given pathologies).

However, the part that has been neglected is the human part, ie: coaching,
mentoring and - especially - apprenticeship!

This being said, I have some questions for you:

1. have you tried mentoring programs (formal or informal)?
2. have you some peer-review stuff in place (like, "newbies" writing up
an assignment and old timers reviewing it)?
3. have you tried some "case of the day" discussion, through listserv
and wikis?

After all, isn't the training period a part of the life of a doctor in which
a doctor gets acquainted with informal learning?

;;)

Rosanna

"Real knowledge is to know the extent of one's ignorance."

-Confucius

<https://www. <https://www.linkedin.com/in/gionnetto>
linkedin.com/in/gionnetto>
https://www. <https://www.linkedin.com/in/gionnetto>
linkedin.com/in/gionnetto

I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO.
Roger

Roger W. Bush, MD, FACP
Director, Internal Medicine Residency Program
Virginia Mason Medical Center H8GME
925 Seneca Street
Seattle, WA 98101
206 583-6079
FAX 206 583-2307
https://www.
<https://www.
<https://www.virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&
> virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&
jsessionid=3230472b6e2e60426c72>
virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&jsessionid=32
30472b6e2e60426c72

>>> parboo@telusplanet. <mailto:parboo%40telusplanet.net> net 06/07/06 8:08
AM >>>
Hello Bob,
Most of my work is developing pilots and mentoring health care groups
on how to "invest in relationships" , using the principles and practices
behind CoPs. But most care delivery units in Canada dont have the same
resources as I see in industry to experiment. Feel free to contact me if
you think I could help.

There is also a large push to develop research projects that use
interventions at the leadership level to create a learning organization
culture in clinical departments, and develop basic knowledge management
systems, if only to collect and manage lessons learned around patient
safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@telusplanet. <mailto:parboo%40telusplanet.net> net

----- Original Message -----
From: bob van limburg
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 6:45 AM
Subject: [cp] CoP in hospitals

Hi,

I am looking for CoP in hospitals or related
industries.

Who can help?

Sincerely,

Bob

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
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[Non-text portions of this message have been removed]

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BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Bush, Roger
ORG:;Hospitalist Service
EMAIL;WORK;PREF;NGW:Hosrwb@vmmc. <mailto:Hosrwb%40vmmc.org> org
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[Non-text portions of this message have been removed]





[Non-text portions of this message have been removed]

#6603 From: "John Parboosingh" <parboo@...>
Date: Thu Jun 8, 2006 4:56 am
Subject: Re: [cp] CoP in hospitals
johnparboosingh
Send Email Send Email
 
Hi Rosanne,
Here is the reference to Jody Gittell:
Gittell JH, Fairfield KM, Bierbaum B, Head W, Jackson R, Kelly M et al.:
Impact of
relational coordination on quality of care, postoperative pain and
functioning,
and length of stay: a nine-hospital study of surgical patients. Medical Care
2000,
38: 807-819.
and Colin Coles:
Coles C. Developing professional judgement. J Contin Educ Health Prof. 2002;
22: 55-62.
Coles C. Developing our intuitive knowing: an alternative approach to the
assessment of doctors. In Bashook PG, Miller SH, Parboosingh J, Horowitz SG,
eds. Credentialing physician specialists: a world perspective. Proceedings
of the conference held in Chicago: The Royal College of Physicians and
Surgeons of Canada and the American Board of Medical Specialists, 93 - 108.
2000

You Wrote:
I think that the "modern view" of medicine and society in general
(especially in *some* countries) have changed the original profession (re:
making it more individualistic).
You are right. It started in the 20th Century when certification by
examination of the individual and assessment of performance became focused
on the individual. As you know, its the evaluation that determines how
professionals behave. As long as they are rewarded in this way, learning
from teachers, as opposed to learning from peers and using teachers as
mentors and resources, will prevail

John Parboosingh


----- Original Message -----
From: Rosanna
To: com-prac@yahoogroups.com
Sent: Wednesday, June 07, 2006 9:17 PM
Subject: RE: [cp] CoP in hospitals


John,

You wrote:

"Yet there are a few fires on the go. Jim Palmer and I have an interest in
studying Stroke Centers that claim that it is by investing in relationships
that they have good results. Also, the work of Jody Gittell that shows the
contribution relational coordination makes to quality of care in hospitals
with hip replacement programs.
Finally, I am involved in two research projects funded by Health Canada on
the role of CoPs in teaching interdisciplinary health care to trainees"

do you have some links to those studies? They sound sooo interesting :-)

You wrote:

"I have just completed workshops in a course at U of Toronto on CoPs. There
were 28 health professionals in the course and their interest in the
concepts was surprizingly high."

I'm curious here. why surprising? Historically, medicine is a "group
affaire".. In fact, the original oath of Hippocrates says:

"I will keep this Oath and this stipulation - to reckon him who taught me
this Art equally dear to me as my parents, to share my substance with him,
and relieve his necessities if required; to look upon his offspring in the
same footing as my own brothers, and to teach them this art, if they shall
wish to learn it, without fee or stipulation; and that by precept, lecture,
and every other mode of instruction,

I will impart a knowledge of the Art to my own sons, and those of my
teachers, and to disciples bound by a stipulation and oath according to the
law of medicine, but to none others."

I think that the "modern view" of medicine and society in general
(especially in *some* countries) have changed the original profession (re:
making it more individualistic).

Rosanna

"Real knowledge is to know the extent of one's ignorance."

-Confucius

<https://www.linkedin.com/in/gionnetto>
https://www.linkedin.com/in/gionnetto

-----Original Message-----
From: com-prac@yahoogroups.com [mailto:com-prac@yahoogroups.com] On Behalf
Of John Parboosingh
Sent: Thursday, June 08, 2006 4:11 AM
To: com-prac@yahoogroups.com
Subject: Re: [cp] CoP in hospitals

I have just completed workshops in a course at U of Toronto on CoPs. There
were 28 health professionals in the course and their interest in the
concepts was surprizingly high.

Enough for now

John Parboosingh

----- Original Message -----
From: Rosanna
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 4:02 PM
Subject: RE: [cp] CoP in hospitals

Hello Roger,

You wrote:

"I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO."

Awesome perspective! In my spare time, I'm a medical student *grin* I have
passed 52 of the 59 exams required to graduate in Italy, and have done most
of the training (needs 2 more months only, both of them in Internal
Medicine, because I've already passed Pediatrics, Gynecology and 2 months of
General Surgery).

Medicine has increasingly been looked at from a process management approach
(see the several diagnostic algorithms for almost anything under the sun..
here I could get polemical, they almost always come from *surgeons*, the
most technical branch I guess!). I am slightly more comfortable with the
medication "tiers" (like first-choice, second-choice and third-choice drugs
for given pathologies).

However, the part that has been neglected is the human part, ie: coaching,
mentoring and - especially - apprenticeship!

This being said, I have some questions for you:

1. have you tried mentoring programs (formal or informal)?
2. have you some peer-review stuff in place (like, "newbies" writing up
an assignment and old timers reviewing it)?
3. have you tried some "case of the day" discussion, through listserv
and wikis?

After all, isn't the training period a part of the life of a doctor in which
a doctor gets acquainted with informal learning?

;;)

Rosanna

"Real knowledge is to know the extent of one's ignorance."

-Confucius

<https://www. <https://www.linkedin.com/in/gionnetto>
linkedin.com/in/gionnetto>
https://www. <https://www.linkedin.com/in/gionnetto>
linkedin.com/in/gionnetto

I am also concerned about the impact of process engineering initiatives
in health care, if left unbalanced with relationship-based initiatives,
Knowledge Engineering, or management of intangible values. My medical
center is 5 years into using Toyota Global Production System methods in
healthcare, which has done much for patient safety, but less for robust
relationships, IMHO.
Roger

Roger W. Bush, MD, FACP
Director, Internal Medicine Residency Program
Virginia Mason Medical Center H8GME
925 Seneca Street
Seattle, WA 98101
206 583-6079
FAX 206 583-2307
https://www.
<https://www.
<https://www.virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&
> virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&
jsessionid=3230472b6e2e60426c72>
virginiamason.org/body.cfm?id=838&CFID=481719&CFTOKEN=63107863&jsessionid=32
30472b6e2e60426c72

>>> parboo@telusplanet. <mailto:parboo%40telusplanet.net> net 06/07/06 8:08
AM >>>
Hello Bob,
Most of my work is developing pilots and mentoring health care groups
on how to "invest in relationships" , using the principles and practices
behind CoPs. But most care delivery units in Canada dont have the same
resources as I see in industry to experiment. Feel free to contact me if
you think I could help.

There is also a large push to develop research projects that use
interventions at the leadership level to create a learning organization
culture in clinical departments, and develop basic knowledge management
systems, if only to collect and manage lessons learned around patient
safety.

Hope this helps

John Parboosingh MB FRCSC
Professor Emeritus, University of Calgary
Consultant, Community Learning

Mailing address: 146 Rundle Crescent, Canmore,
Alberta, Canada T1W 2L6
Phone (403) 609-3321
Fax: (403) 609-3371
Email address: parboo@telusplanet. <mailto:parboo%40telusplanet.net> net

----- Original Message -----
From: bob van limburg
To: com-prac@yahoogroup <mailto:com-prac%40yahoogroups.com> s.com
Sent: Wednesday, June 07, 2006 6:45 AM
Subject: [cp] CoP in hospitals

Hi,

I am looking for CoP in hospitals or related
industries.

Who can help?

Sincerely,

Bob

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail. <http://mail. <http://mail.yahoo.com> yahoo.com> yahoo.com

[Non-text portions of this message have been removed]

*-- The email forum on communities of practice --*
Yahoo! Groups Links

************ Confidentiality Disclaimer *************************
The information contained in this e-mail may be confidential. IF YOU
RECEIVED THIS IN ERROR, please call Privacy Officer (206) 223-7505.
Thank you.

Patients - Email is NOT considered secure. By choosing to communicate
with Virginia Mason by email, you will assume these confidentiality
risks. Please do not rely on e-mail communication if you or a family
member suffers a sudden or substantial change in health or injury.
If you need emergency attention, call 911.

----------

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Bush, Roger
ORG:;Hospitalist Service
EMAIL;WORK;PREF;NGW:Hosrwb@vmmc. <mailto:Hosrwb%40vmmc.org> org
N:Bush;Roger
TITLE:Hospitalist
END:VCARD

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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