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Tussles with ambidexterity: The case of managers of health professional educationThis case study explores the lived experience of managers within an academic faculty concerned with the professional education of the health care workforce in the UK. Recent advances in the global trend towards the marketisation of Higher Education and the current era of public and quasi-public-sector austerity, sees these actors tasked with practising their craft amidst a powerful set of forces which are transforming their world of work and raising opportunities and challenges in equal measure. At the heart of these challenges lies the imperative to maintain and enhance current capabilities whilst simultaneously adopting a future orientation to develop new ones. The extant literature offers powerful evidence of the efficacy of the construct of ambidexterity as a lens through which to understand the way in which organisations and individuals pursue these dual aims and provides a fitting theoretical framework for the study. The case study integrates data elicited from interviews with managers with archival documentary data, relating to a four-year period, to facilitate analysis on both an individual and business-unit level. The findings offer a novel exploration of the construct of ambidexterity in the Higher Education arena and address the plethora of calls to advance our understanding regarding managers’ interpretation and responses to the tensions which arise from the pursuit of ambidexterity. The research makes a unique contribution to the existing body of knowledge revealing a conceptualisation of contextual ambidexterity in which the dual modes of operation (exploitation and exploration) are positioned along a continuum. Context-specific ambidextrous tensions emerge, including the dichotomous perception of other educational providers as both competitors and collaborators and the enduring deleterious impact of explorative activity on exploitative endeavours. Ambidextrous tactics are also in evidence with the imperative to develop social capital with external stakeholders, who are espoused with consumer sovereignty, taking precedence in this complex educational marketplace. Together the findings afford a unique insight into the way that managers of professional healthcare education perceive and manage the complexity and dynamism of ambidexterity in their everyday practice.