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By Gillian Brown MSc DipCOT SROT, Susan Esdaile PhD MAPS OTR, Susan Ryan

This article examines complex perform within the future health professions and the significance of evidence-based perform, carrying on with expert improvement, utilizing concept to notify perform, being reflective, moral, and arranged, and proactively making plans a profession as a complicated practitioner.

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Although it is a matter of personal choice, at times this may well be a forced choice. Embarking on an advanced degree will increase the time you spend in the studying role and likely limit extensive involvement in other roles over the short term. Let us see how Gouws' levels of choice might be applied to Aden's career. Aden began working directly after he finished high school. He spent 12 years in law enforcement and during that time was able to evaluate the importance of his working role in relation to the investment of time and energy that it took and the manner in which it overlapped into his other roles.

What do I need to know about career-planning and decision-making to get there? • What do I need to know about myself? • How do I become an advanced practitioner? To answer these questions we enlisted the help of several health practitioners from different countries and at various stages in their careers. Practitioners were asked what they understood was meant by the concept 'advanced practitioner'. They briefly described their careers and the decision-making points along the way. They commented on how they planned their careers and, if on looking back, they would have done anything differently.

Again, this is an examination of both small and big issues. For example, if planning to submit an abstract for review at a professional conference that is due in 3 weeks, you have to plan in detail what has to be done by when, so you will need a concave lens to focus small. When you are planning your career development for the next 5 years, you will need the convex lens to see the big picture. Organizing your time, and setting realistic priorities are important, but you will need to consider other factors as well in coping with work-related stress.

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