In practicing our clinical expertise, our mental models structure our perception and understanding of the practice. These, in turn, inform our choice of actions in delivering our expertise. Conversely, by the roles we play and the routines and practices we use in delivering expertise influence the evolution of those mental models, what we perceive and what we understand. An understanding of the dynamics of mental models, can enable us to speed the transition toward more complete integration with less frustration, conflict, or chance of failure. In this session we will spend 15 minutes describing the workings of mental models, 20 minutes describing the evolution of roles and practices in delivering integrated care, and 10 minutes discussing ways of using an adjustment of roles and practices to speed evolution of mental models from the dichotomized models in which most are trained to the models that support integration. The last 15 minutes will be interaction with the audience.

Discuss the conscious and unconscious nature of professional expertise

Say why learning skills first might be quicker than learn new mental models.

List several ways that clinicians can learn to competently perform interventions in a new mental model before they take on the model.