Executive Summary

The Problem: Healthcare invests over $10 billion annually in clinical education yet achieves only 11% sustained behavior change. The issue isn't knowledge transfer - we've mastered that. The problem is the un-engineered space between understanding and action where confidence stalls and good intentions fail.

The Solution: The Applied Learning and Evidence Translation (ALET) Blueprint integrates four proven sciences - behavioral, decision, network and implementation - with existing educational frameworks to build the missing bridge from knowing to doing.

The Impact: When enablement is engineered correctly, small improvements multiply: improving each stage by just 10% could yield 4.7x improvement in overall adoption. Each enabled clinician could influence 4.3 peers, creating network effects that could accelerate transformation.

The Moment: Healthcare transformation windows are historically brief - 18-24 months before systems lock into new patterns. We're entering one now.