In this final chapter, we summarize the themes of this sourcebook along with the issues and trends in health professions education (HPE) identified by the chapter authors. By comparing and contrasting HPE and adult and continuing education, we discuss ways in which the two can be integrated.

This chapter provides an overview of the emerging social and organizational contexts for health professions education and the rationale for foundational adult and continuing education concepts to be included in the curricula of HPE graduate programs.

This chapter analyzes the development and changes within continuing professional education and the influence of four contested spaces on this field of adult education practice.

Program planning activities are not culturally neutral but are replete with various cultural values and affected by them. This qualitative study was conducted in Korea and examines how cultural values influence educational planning in Korea. Specifically, the study was to examine how Confucian cultural values play out in educational planning in…

If planners want to be ethically responsible for the consequences of their work, all who are affected by the program should be at the planning table. The reality of planning is that those with the most power will construct programs according to their interests. Planners must take responsibility to foster substantive involvement. (JOW)

Notes that throughout this century, adult education planning theory has been dominated by technical rationality, which has limited adult education activity to certain areas. Discusses how relational analysis provides alternative examples of what could constitute legitimate planning theory and practice. (SK)

Adult educators (n=226) recalled incidents of power and influence behaviors in designing and planning programs. Cluster analysis identified four behaviors: shotgun, tactician, ingratiator, and bystander. These power and influence styles related to organizational contexts. Planners' personal characteristics did not affect choice of style. (SK)

A case study of adult educators' use of negotiation identified two types of negotiation: (1) substantive negotiations in which they develop programs within the context of power relations and (2) meta-negotiations in which they attempt to change or maintain the power relations. Meta-negotiations directly affected the outcomes of substantive…

Analysis of 10 worker education programs indicated that their responses to globalization ranged from accommodation to transformative learning. There was no consensus on whose interests were served by globalization. Some programs promoted international solidarity, which can challenge the dominance of neoliberalism. The disunified provision of…

Learner centeredness is a naive position that does not account for political and ethical dilemmas arising from the newly central position of adult education in social and economic life. Adult education must be seen as a struggle for the distribution of knowledge and power in society. (SK)

Evaluates the efforts to achieve a common or single definition of adult literacy in the United States. The article describes the current understandings of literacy as reported in the professional literature, focuses on the feasibility of establishing a common definition of adult literacy in America, and explores the normative aspects of the issue.…

Collins believes that adult and continuing education should resist further professionalization, which undermines its moral force and emancipatory intent. Cervero considers that educators should shape the meaning and outcome of the process of professionalization for practice. (SK)

Argues that AIDS educators in the gay community in the United States have designed "generic" prevention programs that do not distinguish between those with and without HIV infection in an attempt to prevent the isolation of HIV-positive persons. Suggests that this type of undifferentiated education is a disservice to the community. Contains 36…

In-depth interviews with 12 ethical vegans revealed the process of becoming vegetarian. Transformative learning proved to be a journey rather than a one-time decision. Mezirow's transformative theory does not adequately account for the power relations central to this process. Therefore, transformative learning should be viewed more holistically.…

Includes a review by Malcolm of the new Handbook of Adult and Continuing Education and proceedings of a symposium on the handbook from the Standing Conference on University Teaching and Research in the Education of Adults (31st, London, England, July 2001). Addresses issues of knowledge production in the education of adults. (Contains 23…