title: Collaborative work by using videoconferencing: opportunities for learning in daily medical practice.
abstract: In this article, I explore what happens when general practitioners (GPs) and specialists meet using videoconferencing to collaborate on a patient's treatment. By using videoconferencing, GPs and specialists are offered opportunities to share and produce knowledge. The data corpus was 42 videotaped videoconferences. The treatment of one specific patient was selected.This patient was discussed over a period of 9 days, which constituted five videoconferences. I describe how GPs and specialists discuss treatment strategies and exemplify how knowledge sharing creates opportunities for learning in boundary zones across activity systems as a part of daily practice.The talk about the treatment occurs by information exchange and by consultation. Information exchange without any dilemmas presented might support decisions already made. Consultations wherein dilemmas are presented and solved by bridging knowledge gaps between the general practitioner and the specialist create opportunities for learning.
authors.affiliation: University Hospital of North Norway, Tromsø, Norway. line.lundvoll.nilsen@telemed.no
authors.forename: Line
authors.initials: L
authors.lastname: Lundvoll Nilsen
mesh_terms: D000369:Aged, 80 and over; D000884:Anthropology, Cultural; D015897:Comorbidity; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003299:Cooperative Behavior; D003657:Decision Making; D005260:Female; D058005:General Practitioners; D006801:Humans; D009664:Norway; D036301:Qualitative Research; D019114:Remote Consultation / Q000379:methods*; D013038:Specialization; D049269:Videoconferencing