This paper gives great examples of enablers and barriers related to physician engagement, and makes links with the Spurgeon model. The horizontal axis of that model actually deals with individual CAPACITIES, which means SKILLS and WILLINGNESS. This paper only mentions "individual willingness" which indicates that the authors (and often administrators) make a fundamental attribution error, a term used in psychology to indicate an unwillingness by an individual to do something, while the individual actually doesn't have the skills to do so, and is then perceived to be unwilling to do something. Many thanks, again, for a good paper on applying theoretical models, based on good evidence. - John Van Aerde - Exec Medical Director - Canadian Society of Physician Leaders