Adaptive Expertise: Teach for the Problem Students Haven't Met Yet
Twelve curriculum tips aim to build flexible experts who can tackle unfamiliar problems. It's guidance, not an accounting experiment.
Narrative review Guidance · 15 min prep per lecture to add the 'why' · Any year

About this evidence
- Evidence label
- Narrative review
- Source type
- Guidance
- Design
- Twelve Tips guidance paper · medical education · no new data
- What we read
- Full text
- Works for
- Any size
- Time to try
- 15 min prep per lecture to add the 'why'
- Level
- Any year
Your students can do the standard consolidation question in their sleep. Then the exam changes one unfamiliar detail, and the hall goes very, very quiet.
Maria Mylopoulos and three Toronto colleagues call the missing skill adaptive expertise. It is the ability to adapt to uncertain, complex or new situations while staying effective and efficient in routine ones.
Their central claim is reassuring. When teaching aims at conceptual knowledge, which is knowing why, students do well on tests of routine efficiency and of preparation for future learning, according to studies they cite. So you needn't choose between efficiency and future learning.
Try this first: since knowing why seems to pay off on both kinds of test, attach a "because" to every journal entry you show. Rather than just "debit expense, credit prepaid", say why the asset shrinks. That's our suggestion, adapted from the paper's examples.
What they found
The paper starts from two kinds of knowledge. Procedural knowledge is knowing what to do, and it pairs with the conceptual knowledge above. Adaptive expertise needs both, because the "why" is what lets people build new solutions when the known ones don't fit.
The aim, they argue, is preparation for future learning, which they describe as the ability to learn new information, use resources well and invent new procedures. Hence Tip 1, which says teachers prepare future experts rather than produce finished ones.
Tip 2 warns against judging teaching on short-term results alone. Teaching aimed at future learning may only show its benefit later, the authors explain, which can lead educators to doubt it.
Tip 3 says teaching can be designed for both short-term success and long-term learning.
The remaining tips cluster around three ideas. The first is linking kinds of knowledge, so Tip 4 contrasts "proximate instruction", where related facts merely sit side by side, with "integrated instruction", which spells out the link.
Tips 5 and 6 add that almost any knowledge explaining clinical content can be integrated, including social and systems knowledge, and that regular "why" questions help even when answered wrongly.
The second idea is productive struggle, which Tips 7 and 8 cover and Article 04 explores in full. Tips 9 and 10 bring in varied cases and "what if" questions, which make students explain what each change means for the concept.
The third idea is assessment. Tip 11 recommends frequent, low-stakes assessment for learning, and Tip 12 asks for assessment that matches the teaching. Otherwise, the authors warn, standard tests can make careful integrated teaching look like wasted time.
What they did
This is a Twelve Tips guidance paper. Mylopoulos, Naomi Steenhof, Amit Kaushal and Nicole Woods report no new data, so each tip leans on studies they cite.
Article 04's paper comes from the same group, Mylopoulos and colleagues at the University of Toronto's Wilson Centre, so read the two as one school of thought.
Before you rebuild a module around twelve tips, though, it helps to weigh what sits behind them.
The reality check: this is guidance for medical curricula, not an experiment. Its supporting studies are cited rather than presented, and none involved accounting students.
Recall, too, the practical catch the authors concede in Tip 2. Teaching aimed at future learning may not lift short-term scores, so a standard exam may not show the benefit.
Try this in class next week
- Add the because: for each entry or rule on a slide, add one sentence that explains why it works.
- Ask one "what if" per example: change a single detail, such as the payment date, and ask what happens to the answer and why.
- Set an invent-it task: give three short cases that differ in one feature and ask students to write one rule that explains all three.
- Put one new problem on the test: include a question that needs something students haven't practised, and give them the resources to work it out.
These are our suggestions for accounting classes, adapted from the paper's tips; none was tested in accounting.
These suggestions are ours, not the authors'.
Try it: the Script Sprint, a printable ten-minute starter with four "what if" twists →
After you try it, ask yourself…
- Which 'what if' question got students explaining the principle rather than repeating the procedure?
- Did students cope differently with the one new problem on the test than with the practised ones?
- Where in your module do two related ideas sit side by side without the link being spelled out?
Source card
Mylopoulos, M., Steenhof, N., Kaushal, A., & Woods, N. N. (2018). Twelve tips for designing curricula that support the development of adaptive expertise. Medical Teacher, 40(8), 850–854. Read the paper (doi.org) · What we read: full text (published online 15 July 2018).
Practical anchor: IFAC, IES 3, Initial Professional Development – Professional Skills (2026; effective 1 July 2026). Read the standard (education.ifac.org) · What we read: full text.
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