Why This White Paper Exists

Healthcare stakeholders across the clinical education ecosystem invest over $10 billion annually in clinical education. We assume this investment drives meaningful practice change, but when we look more closely, the reality aligns with what the science has long told us: we achieve only 11% sustained behavior change. We've been measuring this gap for decades. It's time to engineer the bridge.

This white paper emerged not to critique what exists, but to complete it. To move from documenting failure to designing success. Written by professionals deeply experienced in continuing professional development and the broader clinical education ecosystem, it addresses what we've all witnessed firsthand: the persistent gap between knowledge delivery and practice change.

The ALET framework represents a shift in thinking: from asking "how do we transfer knowledge better?" to "how do we enable confident action?" Because what clinicians need and patients deserve is not another framework to measure their struggles, but the tools to overcome them.