ContextThe Dreyfus model describes how individuals progress through various levels in their acquisition of skills and subsumes ideas with regard to how individuals learn. Such a model is being accepted almost without debate from physicians to explain the ‘acquisition’ of clinical skills.ObjectivesThis paper reviews such a model, discusses several controversial points, clarifies what kind of knowledge the model is about, and examines its coherence in terms of problem-solving skills. Dreyfus' main idea that intuition is a major aspect of expertise is also discussed in some detail. Relevant scientific evidence from cognitive science, psychology, and neuroscience is reviewed to accomplish these aims.ConclusionsAlthough the Dreyfus model may partially explain the ‘acquisition’ of some skills, it is debatable if it can explain the acquisition of clinical skills. The complex nature of clinical problem-solving skills and the rich interplay between the implicit and explicit forms of knowledge must be taken into consideration when we want to explain ‘acquisition’ of clinical skills. The idea that experts work from intuition, not from reason, should be evaluated carefully.

Abandoned and flooded mine networks provide underground reservoirs of mine water that can be used as a renewable geothermal energy source. A complete hydrochemical characterization of mine water is required to optimally design the geothermal installation, understand the hydraulic behaviour of the water in the reservoir and prevent undesired effects such as pipe clogging via mineral precipitation. Water pumped from the Barredo-Figaredo mining reservoir (Asturias, NW Spain), which is currently exploited for geothermal use, has been studied and compared to water from a separate, nearby mountain mine and a river that receives mine water discharge and partially infiltrates into the mine workings. Although the hydrochemistry was altered during the flooding process, the deep mine waters are currently near neutral, net alkaline, high metal waters of Na-HCO3 type. Isotopic values suggest that mine waters are closely related to modern meteoric water, and likely correspond to rapid infiltration. Suspended and dissolved solids, and particularly iron content, of mine water results in some scaling and partial clogging of heat exchangers, but water temperature is stable (22ºC) and increases with depth, so, considering the available flow (>100 L s -1 ), the Barredo-Figaredo mining reservoir represents a sustainable, long-term resource for geothermal use.

Abstract. Gully erosion is an important erosive process in Mediterranean basins. However, the long-term dynamics of gully networks and the variations in sediment production in gullies are not well known. Available studies are often conducted only over a few years, while many gully networks form, grow, and change in response to environmental and land use or management changes over a long period. In order to clarify the effect of these changes, it is important to analyse the evolution of the gully network with a high temporal resolution. This study aims at analysing gully morphodynamics over a long timescale in a large Mediterranean area in order to quantify gully erosion processes and their contribution to overall sediment dynamics.A gully network of 20 km 2 located in southwestern Spain has been analysed using a sequence of 10 aerial photographs in the period 1956-2013. The extension of the gully network both increased and decreased in the study period. Gully drainage density varied between 1.93 km km −2 in 1956, a minimum of 1.37 km km −2 in 1980, and a maximum of 5.40 km km −2 in 2013. The main controlling factor of gully activity appeared to be rainfall. Land use changes were found to have only a secondary effect. A new Monte Carlo-based approach was proposed to reconstruct gully erosion rates from orthophotos. Gully erosion rates were found to be relatively stable between 1956 and 2009, with a mean value of 11.2 t ha −1 yr −1 . In the period 2009-2011, characterized by severe winter rainfalls, this value increased significantly to 591 t ha −1 yr −1 . These results show that gully erosion rates are highly variable and that a simple interpolation between the starting and ending dates greatly underestimates gully contribution during certain years, such as, for example, between 2009 and 2011. This illustrates the importance of the methodology applied using a high temporal resolution of orthophotos.