310). This seems entirely true, but I believe that it is seldom put into effect. The institution that was most relevant here was, of course, the hospital and the health system as a whole. Learning in a hospital is very different from learning in school. This is something that we failed to attend to with sufficient care as we worked with our adult learners.

One of the key differences between adult and young learners (as described above) is the distinction between problem finding and problem solving. We focused on problem solving without ever realizing how frustrating such a focus was to our patients. In the future I will present material in a way that encourages adult learners to begin to ask their own questions about (for example), what health means to them, how they personally deal with the issue of change, what they believe to be the ongoing goals that...
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