FIGURE 2.

Learning frameworks. Three common conceptualizations of learning in the health professions. A, Master adaptive learner. B, Plan-do-study-Act. C, Senge learning organization. Each operates at different levels from individual through to organization. Although the frameworks differ in details and intentions, we point out the commonalities. Each is concerned with learning. Each proposes an initial reflection, a subsequent phase of learning and then monitoring of the success of that learning and its alignment with a larger goal. Taken together, the frameworks define the landscape across which some aspects of cognition must be distributed, with the electronic health record being an important mediator. The frameworks are described in greater detail in the Supplemental Digital Content (see Appendix, http://links.lww.com/JCEHP/A164).