Nuggets
From early on after Alex was injured I learned about nuggets. Nuggets are bits of information which God then takes and builds upon.
Here are a few examples of nuggets that God built on…
Foundational Principles
Expertise is not a competition. It is a collaboration.
The right expertise is willing to both teach and be taught.
The best clinicians I’ve met were not threatened by what they didn’t know. They were curious enough to learn it.
The measure of expertise is not simply what someone knows. It is also their willingness to recognize the expertise of others.
Generalized training prepares someone to begin learning.
Individualized competency prepares someone to safely care for a particular person.
The individual is not simply the recipient of care. They are one of the most important teachers in the caregiver’s education.
The goal is not simply to deliver care. The goal is to continually improve care by learning from the person receiving it.
The most knowledgeable people in a medically complex person’s life may not all have the same credentials—but together they often hold the knowledge needed to keep that person safe.
The safest care environment is one in which every member of the team is both a teacher and a learner—and where the individual living with the condition remains at the center of that learning.


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