Evolving knowledge-sharing practices among clinical practitioners: A decade of trends (2015–2025) and experience from a tertiary-care teaching hospital in North India

Background: Teaching hospitals function as hubs of clinical learning, where structured and unstructured knowledge-sharing processes shape clinical competence, patient safety, and organizational performance. Over the past decade (2015–2025), knowledge-sharing modalities among clinical practitioners have evolved significantly due to technological advances, accreditation pressures, and growing emphasis on patient safety. Objectives: This study synthesizes global evidence on knowledge-sharing practices among clinicians in teaching hospitals and integrates institutional insights from a tertiary-care teaching hospital in North India. The aim is to map evolving trends, identify enablers and barriers, and propose actionable strategies for strengthening collaborative learning systems. Methods: A systematic review was conducted following PRISMA 2020 guidelines across PubMed, Scopus, and Google Scholar. Studies published between January 2015 and May 2025 were included. JBI Critical Appraisal Tools were used for quality assessment. Data from institutional learning activities (January–June 2025) were incorporated. Narrative synthesis was complemented with conceptual meta-analytic interpretation. Results: A total of 28 studies were included. Four major shifts were identified: (1) transition from traditional CME to hybrid and digital learning; (2) rise of inter-professional collaboration; (3) formation of virtual communities of practice; and (4) alignment of knowledge-sharing with accreditation and patient-safety programs. Institutional data showed high acceptance of case-based learning, safety rounds, and learning-from-error sessions. Conclusion: Knowledge-sharing practices in teaching hospitals have become increasingly collaborative, technology-enabled, and safety-oriented. Leadership, culture, structured evaluation, and digital infrastructure remain critical determinants of sustained improvement.