Traffic Jam Learning ; learn the key concepts and skills for 21st century healthcare while driving or just sitting

How many minutes do you spend in a car each day?

Even if you are lucky and don't have a traffic jam there is a lot of down time. It's not all bad of course, going in there is time to think, plan and prepare, even to rehearse a difficult consultation or conversation with a colleague (remember the SAS doctrine - Plan, Rehearse, Execute)

Going home it can be a chance to unwind and relax but the car is also a great place for learning by listening and reflecting, and completing the learning record at the end of the journey.

Of course if you can walk to work you can also do walking learning but DONT attempt cycling learning


The clinical advances of the last fifty years have led to dramatic increases in life expectancy and years of life free from disability but there are still many problems, old and new, which cannot be solved by more money, even if the latter were an option.

Here are the old problems

patient harm, even when the quality of care is high

  • waste, that is anything that does not add value to the outcome for patients or uses resources that could give greater value if used for another group of patients
  • unwarranted variation in access, quality, cost and outcome,
  • inequity, and
  • failure to prevent the diseases that healthcare can prevent , stroke in atrial fibrillation for example.

In addition most countries face rising need and demand with no more resources and these problems cannot  be solved by reorganising the bureaucracy of healthcare. A new paradigm is needed. a new way of thinking, and this requires new skills 

            Understanding and Increasing Value
  Designing and building Systems of Care
  Creating the Right Healthcare Culture
  Delivering Population-based Medicine
  Designing and delivering Patient Centred and Personalised Care