'This is simply the best book that I have read on medical education … Engeström's thinking … is far ahead of that of anybody else whom I know in the field of clinical education, and we should be grateful for his cumulative insights, theorising, and modelling. They provide extraordinarily rich templates for anybody pursuing innovative, applied clinical education research. … It should be standard reading across medical schools and postgraduate medical centres.' Alan Bleakley, Mind, Culture, and Activity
Part I. The Theoretical Landscape: 1. Toward a new framework for understanding expertise; Part II. Expertise as Objected-Oriented Activity: 2. Constructing the object in the work activity of primary care physicians; 3. Objects and contradictions as drivers of expert work; 4. Spatial and temporal expansion of the object; Part III. Expertise as Knotworking: 5. The emergence of knotworking in medicine; 6. Knotworking as expansive decision making; 7. Knotworking as history making; Part IV. Expertise as Expansive Learning: 8. Expansive visibilization of medical work; 9. Expansive learning in a hospital; 10. The horizontal dimension of expansive learning; Part V. Toward Collaborative and Transformative Expertise: 11. From stabilization knowledge to possibility knowledge; 12. Expertise in transition.