Educational diagnosis wheel (adapted from (Lacasse, 2009).
This framework refers to a socioconstructivist approach to learning, where the learner interacts with a teacher in a learning environment or system. Learner issues involve academic difficulties (fundamental, clinical, procedural or work setting knowledge; cognitive, interpersonal, structural or procedural skills; and personal, interpersonal or professional attitudes) as well as personal life issues (health, spouse/family, financial issues, cultural adaptation and social network). These personal life issues, together with difficulties at the teacher level (personal life issues or lacks in faculty development) or environment/system level (learning climate or learning conditions) often have an impact (blue arrows) on competency development and resulting academic success. However, such underlying problems should not excuse competence issues but help to explain the educational diagnosis and plan remediation accordingly.