Spirals of success in preparing new professionals – a complex and uncertain future

Multiple external forces present an array of challenges in designing, implementing, evaluating and updating education programs for trainees and consultants in all disciplines. This lecture focuses around a conceptual model of educational planning and sustainability for professional groups. Considerations include aspects which are common for all doctors as well as those core and specific imperatives for particular disciplines. The 'nautilus' model also permits a contiguous examination of education and training through multiple lens' - the individual 'learner', the teacher and the institution. The challenge faced is one of alignment of capacities for individual and 'institutional ' (or organisational) learning.