![]() As such, they often appear as an expression of "how we do things here." Consider how you learned to engage clients or recognize a patient with parvovirus. ![]() These belief systems are passed from parent to child, teacher to student or colleague to mentee almost without question. Consider that most established paradigms represent the dominant thinking about a topic and as such, are seldom questioned. There are however ways in which our paradigms can limit our growth, success, fulfillment or advancement. The utility of this is obvious given that throughout our lives, we will attempt to resolve countless unknowns in the world around us (including those in our exam rooms) and our paradigms will reliably give us some basis from which to attempt to resolve these unknowns. This is good because paradigms provide us with a clear frame of reference and a set of rules to work by. Joel Barker, a well published futurist and change specialist noted that paradigms always do two things: First, they set the edge or boundaries of the paradigm and second, they provide the rules for how we must work within the paradigm if we are to achieve success within that paradigm. That we have a paradigm for gravity and it is well known to us is good because when we are on a rooftop or up on a ladder, it helps keep us aware of the risk and safe. because it keeps us safe, informed and on track in many parts of our life where consistency is important. Nearly every part of our life is shaped by a host of core beliefs that define our own personal reality and guide our approach to future opportunities and interactions. Social, spiritual, marital, academic, recreational, scientific and financial paradigms exist for each of us. How far does the influence of paradigms stretch? Literally they impact every corner of our lives. ![]() Our paradigms form our own unique personal vision of reality and we live them out every day. It is from these many experiences that we come to believe we can make medical diagnoses, operate our businesses and know what our clients want when they come into to our hospitals, even without asking them. As such many of our experiences underscore our native expectations, a form of confirmation bias. Our paradigms set us up to see certain things because we expect to see them. Every exchange, every interaction, every communication and every experience in an examination room with our clients or our health care team members contributes to our growing repository of life experience. They direct where we look and what we actually see. Paradigms are functionally like blinders. All of our actions, our personal life choices, our professional and our medical practice decisions are heavily influenced and at times, strongly directed by our personal paradigms. Those belief systems or paradigms are quite simply, the way in which we see the world. Our world is defined in large measure by our belief systems.
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