Each of these approaches address Lave and Wenger's requirements for communities of practice, and by doing so, also address
the needs of the individual clinician who operates within that framework.
Identifying what needs to change and how to implement it is a messy and complicated process for clinical medicine. Each of
the tactics described above requires resources, buy-in from multiple stakeholders, and time and commitment for the long haul
from providers. It is certain that individual providers cannot do this alone. In fact, providers themselves will need to create
communities of practice to address the change that will make this work.
Steve Singer is director of educational services at PeerPoint Medical Education Institute. He can be reached at firstname.lastname@example.org