Using grounded theory, the learning processes used by nine physicians to diagnose Lyme Disease were investigated. Repetition and counterexperiences served to frame the problem along a continuum of familiarity. Results suggest ways to prepare case studies that include variety, repetition, and counterexperiences to teach diagnosis. (Contains 28…

Continuing education in the health professions should stress the process approach--teaching learners how to learn. The administrator of continuing medical education should be an adult educator trained to be an educational facilitator, instructional designer, and manager of the learning environment. (SK)