A conceptual framework linking formal and informal learning was develo
ped with a number of clinicians within a family medicine clinic in Mon
treal (Quebec, Canada). Every day, family medicine practitioners and p
atients construct the process of care with different tools and accordi
ng to their respective skills, knowledge and goals. A <<therapeutic sp
ace>> is gradually defined by way of these constructions. In certain c
ases, the knowledge is formally obtained through university schooling.
In other cases, know-how is gained informally and elaborated through
practice and professional socialization. Results from this initial res
earch project suggests that empowerment of the patient requires a <<mu
tual construction>> of care. This article discusses the ambiguities an
d limits of this kind of collaboration and suggests further research q
uestions.