Abstract: | In this exploratory study, researchers collected and analyzed physician's stories of how they had applied what they had learned from a medical fellowship. We describe and explain the patterns shown in five cases of application. Based on these cases we form a theory of transfer for autonomous professionals learning an open skill. The findings support the claim that transfer is a dynamic process. We view transfer as part of a continuous learning and motivational process extending to a learner's past and projecting into a learner's future. The theory, in brief, is that professionally oriented learners follow an iterative constructive pattern of application when applying knowledge: learners perceive the usefulness of an idea, become ready to use the notion, make the application, and learn from its implementation. We also briefly describe practical and theoretical implications of the theory. |