Putting threshold concepts to work in health sciences: insights for curriculum design from a qualitative research synthesis

The idea of threshold concepts (TC) has been well received across the higher education community. However the concept’s framework is still evolving and the literature uses the framework in different ways. Just over a decade since the idea first captured interest, it is opportune to explore the nature of that discourse, and the kinds of enquiry undertaken to date. This article reports on a qualitative synthesis that analyses published research on TC in health sciences. It provides a fresh perspective on the literature to identify key themes. Inducting students into complex practices; beyond concepts and developing students’ agency, are the three themes to arise from our findings. These themes offer insights on the ways TC have been used to develop scholarly curriculum, teaching and learning practices. They not only reflect the concerns of the community, but represent a set of empirically based principles for curriculum and course design.