iiinova — where your digital self keeps evolving

Derek Louey @theoryenthusiast.bsky.social · 04/09/2026

Any model or framework of feedback, debriefing, or formative assessment will be less effective if any suggested change isn't co-constructed from within the learner's values, assumptions, purposes, motivations, understanding and cognition.

static.klipy.com

Jalapeno Pepper Plant Time-Lapse Growth

ALT: Jalapeno Pepper Plant Time-Lapse Growth

011

Derek Louey @theoryenthusiast.bsky.social · 03/04/2026

Most HPE discourses of autonomous learning and professional identity formation already contain an implicit normative standard. They do not provide a framework to reflect upon or exercise epistemic agency. #relevance

020

Derek Louey @theoryenthusiast.bsky.social · 12/09/2025

Tying up loose ends HPE research is increasingly addressing population gaps ranging from the learner's access to & experience of education to the community's access to & experience of healthcare But do we have better theories to inform the concrete pedagogical steps to improving them together?

media.tenor.com

a person is tying the laces on a pair of black converse shoes

ALT: a person is tying the laces on a pair of black converse shoes

020

Derek Louey @theoryenthusiast.bsky.social · 14/07/2025

It is useful to research the diversity of learner & patient experiences, the influence of power in discourses & decisions in HPE, and to prescribe fairer processes or procedures. But have we investigated stakeholder thought processes & motivations to ensure transparent debate? imgflip.com/i/a07cng

imgflip.com

Change My Mind

A Change My Mind meme. Caption your own images or memes with our Meme Generator.

030

Derek Louey @theoryenthusiast.bsky.social · 03/07/2025

Tim Wilkinson makes the provocative suggestion that a chaotic curriculum prepares learners better for the complexities of healthcare #ANZAHPE2025

020

Derek Louey @theoryenthusiast.bsky.social · 02/07/2025

If we suspect reduced effectiveness of burnt out clinicians, I wonder what is the impact of burnt out health professions educators? #ANZAHPE2025

000

Derek Louey @theoryenthusiast.bsky.social · 01/07/2025

Are generational differences in professionalism a myth? #ANZAHPE2025

000

Derek Louey @theoryenthusiast.bsky.social · 01/07/2025

It's not that AI will forcible replace humans but that we will just allow it to happen #ANZAHPE2025

000

Derek Louey @theoryenthusiast.bsky.social · 01/07/2025

Do clinicians have the same capacity to hallucinate and behave erratically like AI? #ANZAHPE2025

000

Derek Louey @theoryenthusiast.bsky.social · 13/06/2025

Do competency frameworks serve as useful education models? Learning and performance is not a pyramid, flower, or Venn diagram. How should we represent the complex and inter-related domains pertaining to competence, expertise, & the varied work of health professionals?

000

Derek Louey @theoryenthusiast.bsky.social · 07/06/2025

The future of Health Professions Education scholarship

100

Derek Louey @theoryenthusiast.bsky.social · 06/06/2025

For more societal impact Health Professions Education Research needs better: #Boyer #knowledgegaps #implementationscience

000

Derek Louey @theoryenthusiast.bsky.social · 12/02/2025

Who is being served by HPE research? The HPE literature is mostly a random collection of empirical observations with few theories to explain how they all fit together. Of the theories that do exist, many of them are too abstract & inaccessible to grass-roots educators.

000

Derek Louey @theoryenthusiast.bsky.social · 06/02/2025

Education does not involve the teacher running ahead of the learner, but alongside them

000

Derek Louey @theoryenthusiast.bsky.social · 04/02/2025

I am sad to hear that the @PapersPodcast produced their last episode this week. Thanks for headlining some of the key conversations in our field. May these continue in the health professions education community with ongoing scholarly rigour. @drjfrank @sherbino @LaraVarpio

000

Derek Louey @theoryenthusiast.bsky.social · 03/02/2025

A Theory of Mind? AI technology has grown in leaps & bounds. What was first met with scepticism & resistance has turned into cautious acceptance & even unbridled enthusiasm. At first it was an amusing curiosity, now it's a serious tool.

100

Derek Louey @theoryenthusiast.bsky.social · 28/01/2025

In one way, out another The biggest error we can make as educators is believing that teaching and learning only involves a cognitive transformation. It is possible to induce apparently complex behaviours that are not based on any thinking process.

010

Derek Louey @theoryenthusiast.bsky.social · 22/01/2025

Medical education facts Shame is not a sustainable motivator Teaching & learning is not unidirectional High stakes testing doesn't promote effective learning Objective assessment is a unicorn Competency & Expertise can't be separated

000

Derek Louey @theoryenthusiast.bsky.social · 19/01/2025

Illusions of Cognition We forget that simplistic responses to complex stimuli can still be explained by behaviouralism, and an entire education system can be based on this theory.

000

Derek Louey @theoryenthusiast.bsky.social · 17/12/2024

What is the impact of an inadequate theoretical understanding of a complex educational intervention?

100

Derek Louey @theoryenthusiast.bsky.social · 17/12/2024

Learning & motivational theories that guide our pedagogies Meaningful learning, mastery, authenticity, active learning, reflective practice, adaptive expertise, belongingness, social cognition, expectancy value, goal orientation, psychological safety

000

Derek Louey @theoryenthusiast.bsky.social · 10/12/2024

Which areas of Health Professions Research are in desperate need of better theories?

000

Derek Louey @theoryenthusiast.bsky.social · 04/12/2024

Most of the constructs in HPE competency frameworks e.g. #expert #scholar #professional #advocate should be viewed as:

100

Derek Louey @theoryenthusiast.bsky.social · 30/11/2024

What is the relationship between Assessment & Learning?

100

Derek Louey @theoryenthusiast.bsky.social · 30/11/2024

Is it epistemological/ontological arrogance to say that ChatGPT 'hallucinates"? Do statistical algorithms of large human datasets provides inferior or less error-prone knowledge to other methods of inquiry?

000

Derek Louey @theoryenthusiast.bsky.social · 30/11/2024

I wonder if HPE research eventually lead to changes to programs without really changing how teachers think about learning, teaching & assessment

000

Derek Louey @theoryenthusiast.bsky.social · 29/11/2024

Poll #1 What is the main outcome for why we perform Learner Assessments in Health Profession Education?

000

Derek Louey @theoryenthusiast.bsky.social · 29/11/2024

Poll #2 What is the main outcome for why we perform Learner Assessments in Health Profession Education

000

Derek Louey @theoryenthusiast.bsky.social · 28/11/2024

What is relevant for expertise is likely to be relevant for competence? What is the difference? How does this impact how we learn, teach & assess?

000

Derek Louey @theoryenthusiast.bsky.social · 28/11/2024

We have to give up on the idea pf measuring grand outcomes from complex & variably defined interventions such as PBL, PA, or CBE. We would be better off verifying their allegedly underpinning theories & how they impact discrete elements of learning or motivation.

000

Derek Louey @theoryenthusiast.bsky.social · 26/11/2024

The degree of personal practice variation amongst experts is the best evidence that knowledge is not the sole determinant or measure of competence. Without an adequate explanation, how can we confidently decide the relevant educational experiences & tests we subject learners to?

000

Derek Louey @theoryenthusiast.bsky.social · 26/11/2024

If we framed EPAs as authentic problems to be solved rather than tasks to be completed, we would have a better idea of the relevant cognitive, metacognitive, psychomotor & attitudinal attributes required for competence practice.

100

Derek Louey @theoryenthusiast.bsky.social · 25/11/2024

Operating at The Zone of Distal Development or a firm belief in Meno's paradox

000

Derek Louey @theoryenthusiast.bsky.social · 24/11/2024

The predominant difference between Health Professions Education scholars and practitioners that lead to poor knowledge translation is

000

Derek Louey @theoryenthusiast.bsky.social · 13/11/2024

What do we mean by variation in HPE graduate or program outcomes?

000

Derek Louey @theoryenthusiast.bsky.social · 07/11/2024

The validity argument is built around a purpose. How does an assessor or progress committee know which data points are appropriate for a summative decision? Some assessments just simply serve learners, and some won't serve them at all. #PA #AfL #AoL

000

Derek Louey @theoryenthusiast.bsky.social · 07/11/2024

The responsibility of patient assessment is nowhere near as diffused across so many clinicians, as a program of assessment would be for a learner. #PA #trust #fragmentation

000

Derek Louey @theoryenthusiast.bsky.social · 29/10/2024

It's enough trouble getting clinical educators to explain their clinical reasoning. We want them now to explain their assessment decisions. #ratercognition #assessorcognition #thinkaloud #gestalt

000

Derek Louey @theoryenthusiast.bsky.social · 29/10/2024

Wait! What? A radiologist who has done the clinical correlation for me!

000