{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T20:43:25Z","timestamp":1791319405436,"version":"4.3.1"},"reference-count":31,"publisher":"Informa UK Limited","issue":"8","funder":[{"name":"American Medical Association Accelerating Change in Education Project"}],"content-domain":{"domain":["www.tandfonline.com"],"crossmark-restriction":true},"short-container-title":["Medical Teacher"],"published-print":{"date-parts":[[2018,8,3]]},"DOI":"10.1080\/0142159x.2018.1485887","type":"journal-article","created":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T14:48:12Z","timestamp":1533826092000},"page":"820-827","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":43,"title":["Learning to balance efficiency and innovation for optimal adaptive expertise"],"prefix":"10.1080","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5236-6598","authenticated-orcid":false,"given":"Martin V.","family":"Pusic","sequence":"first","affiliation":[{"name":"NYU School of Medicine, New York, NY, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8327-8002","authenticated-orcid":false,"given":"Sally A.","family":"Santen","sequence":"additional","affiliation":[{"name":"Department of Medicine, Virginia Commonwealth University, Richmond, VA, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8548-3624","authenticated-orcid":false,"given":"Michael","family":"Dekhtyar","sequence":"additional","affiliation":[{"name":"American Medical Association, Chicago, IL, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0520-6978","authenticated-orcid":false,"given":"Ann N.","family":"Poncelet","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of California San Francisco, San Francisco, CA, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1880-2859","authenticated-orcid":false,"given":"Nicole K.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Medical Education, City University of New York, New York, NY, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3427-2202","authenticated-orcid":false,"given":"Amy L.","family":"Wilson-Delfosse","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, Case Western Reserve University, Cleveland, OH, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1538-9779","authenticated-orcid":false,"given":"William B.","family":"Cutrer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"301","published-online":{"date-parts":[[2018,8,9]]},"reference":[{"key":"CIT0001","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-5885.2005.00180.x"},{"key":"CIT0002","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12075"},{"key":"CIT0003","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001323"},{"key":"CIT0004","doi-asserted-by":"publisher","DOI":"10.21236\/ADA084551"},{"key":"CIT0005","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2005.02337.x"},{"key":"CIT0006","volume-title":"Failure: why science is so successful \u2013 Stuart Firestein \u2013 Google Books","author":"Firestein S","year":"2016","edition":"1"},{"key":"CIT0007","unstructured":"Gawande A. 1998. No Mistake. New Yorker March 30th, 74\u201381."},{"key":"CIT0008","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12637"},{"key":"CIT0009","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000951"},{"key":"CIT0010","doi-asserted-by":"publisher","DOI":"10.1037\/10096-014"},{"key":"CIT0011","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12672"},{"key":"CIT0012","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0029"},{"key":"CIT0013","volume-title":"Where good ideas come from: the seven patterns of innovation","author":"Johnson S","year":"2012","edition":"1"},{"key":"CIT0014","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-9025-8_1"},{"key":"CIT0015","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-6520.2005.00099.x"},{"key":"CIT0016","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001543"},{"key":"CIT0017","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2006.02528.x"},{"key":"CIT0018","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-199009000-00045"},{"key":"CIT0019","doi-asserted-by":"publisher","DOI":"10.1002\/job.237"},{"key":"CIT0020","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181405a76"},{"key":"CIT0021","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2008.03254.x"},{"key":"CIT0022","doi-asserted-by":"publisher","DOI":"10.1080\/00222895.2017.1327416"},{"key":"CIT0023","doi-asserted-by":"publisher","DOI":"10.3310\/hta5120"},{"key":"CIT0024","doi-asserted-by":"publisher","DOI":"10.5465\/ambpp.2014.11224abstract"},{"key":"CIT0025","first-page":"61","volume":"24","author":"Schwartz D","year":"1999","journal-title":"Rev Res Educ"},{"key":"CIT0026","first-page":"1","volume-title":"Transfer of learning from a modern multidisciplinary perspective","author":"Schwartz DL","year":"2005","edition":"1"},{"key":"CIT0027","doi-asserted-by":"publisher","DOI":"10.1002\/pfi.4170300510"},{"key":"CIT0028","doi-asserted-by":"publisher","DOI":"10.1287\/msom.1120.0385"},{"key":"CIT0029","first-page":"63","volume-title":"Best care at lower cost: the path to continuously learning health care in America","author":"Smith M","year":"2013","edition":"1"},{"key":"CIT0030","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c951"},{"key":"CIT0031","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-006-9054-y"}],"container-title":["Medical Teacher"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.tandfonline.com\/doi\/pdf\/10.1080\/0142159X.2018.1485887","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T01:43:35Z","timestamp":1597715015000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/0142159X.2018.1485887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,3]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8,3]]}},"alternative-id":["10.1080\/0142159X.2018.1485887"],"URL":"https:\/\/doi.org\/10.1080\/0142159x.2018.1485887","relation":{},"ISSN":["0142-159X","1466-187X"],"issn-type":[{"value":"0142-159X","type":"print"},{"value":"1466-187X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,3]]},"assertion":[{"value":"The publishing and review policy for this title is described in its Aims & Scope.","order":1,"name":"peerreview_statement","label":"Peer Review Statement"},{"value":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=imte20","URL":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=imte20","order":2,"name":"aims_and_scope_url","label":"Aim & Scope"},{"value":"2018-08-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}