This article aims at investigating whether physicians can acquire and develop practical wisdom in their practices through structural case discussions focused on learning. Our starting point is that practical wisdom is essential to realize the moral purpose of professional care: to help each individual patient to alleviate her suffering and to promote her health in a way that is attuned to her individual personality and situation. In recent publications on learning practical wisdom after the formal curriculum, we have found two different opinions. Some authors claimed that practical wisdom can only be learned implicitly from experiences in the workplace; others that learning practical wisdom can also be accomplished intentionally in peer groups reflecting on their work. We have analyzed the lessons learned from 100 case reviews, recorded by the participating physicians themselves. The discussions had been organized in a Dutch general hospital during a twelve-year period. We have found that the joint practitioners really did acquire practical wisdom through reflection and deliberation, partly implicitly, partly explicitly. We have also discovered that they managed to translate practical wisdom into the infrastructure and the culture of collaborating groups, practices and the institutional work context. The results of this investigation have led us to formulate proposals to stimulate the learning of practical wisdom through reflection on everyday work in hospitals. Practical wisdom will foster the realization of the moral purpose of professional medical practices.

中文翻译：

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专业的职场学习。可以学习实践智慧吗？

本文旨在研究医生是否可以通过针对学习的案例讨论来获取和发展实践中的实践智慧。我们的出发点是实践智慧对于实现专业护理的道德目标至关重要：帮助每个患者减轻痛苦并以适合其个性和处境的方式促进健康。在最近的关于在正式课程之后学习实践智慧的出版物中，我们发现了两种不同的观点。一些作者声称，实践智慧只能从工作场所的经验中隐性地学习。其他人也可以在同龄人小组中反思自己的工作，有意识地学习实践智慧。我们已经分析了从100个案例审查中吸取的教训，由参与的医生自己记录。讨论是在十二年的时间里在一家荷兰综合医院组织的。我们发现，联合执业者确实确实通过反思和审议（部分地，部分地，部分地）获得了实践智慧。我们还发现，他们设法将实践智慧转化为基础，协作小组，实践和机构工作环境的文化。这项调查的结果使我们提出了一些建议，以通过反思医院的日常工作来激发实践智慧的学习。实践智慧将促进专业医疗实践的道德目标的实现。讨论是在十二年的时间里在一家荷兰综合医院组织的。我们发现，联合执业者确实确实通过反思和审议（部分地，部分地，部分地）获得了实践智慧。我们还发现，他们设法将实践智慧转化为基础，协作小组，实践和机构工作环境的文化。这项调查的结果使我们提出了一些建议，以通过反思医院的日常工作来激发实践智慧的学习。实践智慧将促进专业医疗实践的道德目标的实现。讨论是在十二年的时间里在一家荷兰综合医院组织的。我们发现，联合执业者确实确实通过反思和审议（部分地，部分地，部分地）获得了实践智慧。我们还发现，他们设法将实践智慧转化为基础，协作小组，实践和机构工作环境的文化。这项调查的结果使我们提出了一些建议，以通过反思医院的日常工作来激发实践智慧的学习。实践智慧将促进专业医疗实践的道德目标的实现。部分明确地。我们还发现，他们设法将实践智慧转化为基础，协作小组，实践和机构工作环境的文化。这项调查的结果使我们提出了一些建议，以通过反思医院的日常工作来激发实践智慧的学习。实践智慧将促进专业医疗实践的道德目标的实现。部分明确地。我们还发现，他们设法将实践智慧转化为基础，协作小组，实践和机构工作环境的文化。这项调查的结果使我们提出了一些建议，以通过反思医院的日常工作来激发实践智慧的学习。实践智慧将促进专业医疗实践的道德目标的实现。