Expertise as a domain of epistemics in intensive care shift-handovers

This paper examines how expertise is treated as a separable domain of epistemics by looking at simulated intensive care shift-handovers between resident physicians. In these handovers, medical information about patient transferred from an outgoing physician (OP) to incoming (IP). These handovers contain different interactional activities, such discussing the identifiers, giving clinical impression, and tasks focus points. We found that with respect (factual) knowledge patient, OPs display orientation imbalance, but (clinical) procedures, reasoning, they balance. use ‘expertise’ refer this latter type knowledge. ‘Expertise’ differs from, adds to, often in it concerned professional competence or ‘knowing how’. terms epistemics, participants orient steep epistemic gradient when concerns while simultaneously displaying horizontal gradient.