Abstract
In this article, we address the following question: how should clinical environments be designed to promote learning opportunities for clinicians? We develop an ecologically-informed account of learning opportunities informed by Gibson’s influential ecological theory of perception (Gibson, 1977, 1979). The so-called ‘push-pull’ account is proposed as a framework in which we can conceptualise how affordances are formed and actioned across different areas of clinical practice. We develop an account of health-care-related affordances that is discussed in relation to surgical training with a particular emphasis in terms of how skills are acquired in the use of robotic surgical techniques. Our primary focus is on the performative aspects of surgical performative process. We situate the current discussion in relation to a broader discussion about skills development in the context of healthcare as well as the future design of clinical spaces.
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