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Educational implications of practice isolation

In medical schools and in postgraduate medical education there are ample opportunities to learn and work in close social contact with others, as students and teachers. In medical practice the opportunities for continued learning alongside peers become less predictable, and depend largely on the social structure of the doctor's work environment ± whether clans of specialists in tertiary level university hospitals or lone general practitioners in remote areas. This commentary examines the reasons to be concerned about professional isolation and the educational challenges that arise.