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Volumn 41, Issue 12, 2007, Pages 1133-1139

How expertise develops in medicine: Knowledge encapsulation and illness script formation

Author keywords

*clinical competence; *problem solving; Clinical clerkship *methods; Curriculum; Group processes; Peer group; Teaching *methods

Indexed keywords

BIOMEDICINE; CLINICAL DECISION MAKING; CURRICULUM DEVELOPMENT; HUMAN; KNOWLEDGE; MEDICAL EDUCATION; MEDICAL PROFESSION; MEDICAL SCHOOL; PATIENT CARE; PROFESSIONAL COMPETENCE; REVIEW;

EID: 36649014302     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/j.1365-2923.2007.02915.x     Document Type: Review
Times cited : (411)

References (45)
  • 2
    • 0002371558 scopus 로고
    • Knowledge-based solution strategies in medical reasoning
    • Patel VL, Groen GJ. Knowledge-based solution strategies in medical reasoning. Cogn Sci 1986 10 : 91 116.
    • (1986) Cogn Sci , vol.10 , pp. 91-116
    • Patel, V.L.1    Groen, G.J.2
  • 3
    • 0000501521 scopus 로고    scopus 로고
    • The benefit of diagnostic hypotheses in clinical reasoning: Experimental study of an instructional intervention for forward and backward reasoning
    • Norman GR, Brooks LR, Colle CL, Hatala RM. The benefit of diagnostic hypotheses in clinical reasoning: experimental study of an instructional intervention for forward and backward reasoning. Cognit Instr 1999 17 (4 433 48.
    • (1999) Cognit Instr , vol.17 , Issue.4 , pp. 433-48
    • Norman, G.R.1    Brooks, L.R.2    Colle, C.L.3    Hatala, R.M.4
  • 4
    • 0000888252 scopus 로고
    • Expertise in a complex skill: Diagnosing X-ray pictures
    • In: Chi, M.T.H., Glaser, R., Farr, M., eds. Hillsdale, NJ: Erlbaum
    • Lesgold A, Rubinson H, Feltovich PJ, Glaser R, Klopfer D, Wang Y. Expertise in a complex skill: diagnosing X-ray pictures. In : Chi MTH, Glaser R, Farr M, eds. The Nature of Expertise. Hillsdale, NJ : Erlbaum 1988 311 42.
    • (1988) The Nature of Expertise. , pp. 311-42
    • Lesgold, A.1    Rubinson, H.2    Feltovich, P.J.3    Glaser, R.4    Klopfer, D.5    Wang, Y.6
  • 7
    • 0025011741 scopus 로고
    • A cognitive perspective on medical expertise - Theory and implications
    • Schmidt HG, Norman GR, Boshuizen HPA. A cognitive perspective on medical expertise - theory and implications. Acad Med 1990 65 (10 611 21.
    • (1990) Acad Med , vol.65 , Issue.10 , pp. 611-21
    • Schmidt, H.G.1    Norman, G.R.2    Boshuizen, H.P.A.3
  • 8
    • 0024757309 scopus 로고
    • Recall by expert medical practitioners and novices as a record of processing attention
    • Norman GR, Brooks LR, Allen SW. Recall by expert medical practitioners and novices as a record of processing attention. J Exp Psychol Learn Mem Cogn 1989 15 : 1166 74.
    • (1989) J Exp Psychol Learn Mem Cogn , vol.15 , pp. 1166-74
    • Norman, G.R.1    Brooks, L.R.2    Allen, S.W.3
  • 9
    • 58149410841 scopus 로고
    • Categorisation and representation of physics problems by experts and novices
    • Chi MTH, Feltovich PJ, Glaser R. Categorisation and representation of physics problems by experts and novices. Cogn Sci 1981 5 : 121 52.
    • (1981) Cogn Sci , vol.5 , pp. 121-52
    • Chi, M.T.H.1    Feltovich, P.J.2    Glaser, R.3
  • 11
    • 0027159866 scopus 로고
    • On the origin of intermediate effects in clinical case recall
    • Schmidt HG, Boshuizen HPA. On the origin of intermediate effects in clinical case recall. Mem Cognit 1993 21 (3 338 51.
    • (1993) Mem Cognit , vol.21 , Issue.3 , pp. 338-51
    • Schmidt, H.G.1    Boshuizen, H.P.A.2
  • 12
    • 0000449314 scopus 로고
    • On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices
    • Boshuizen HPA, Schmidt HG. On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices. Cogn Sci 1992 16 (2 153 84.
    • (1992) Cogn Sci , vol.16 , Issue.2 , pp. 153-84
    • Boshuizen, H.P.A.1    Schmidt, H.G.2
  • 14
    • 0002548132 scopus 로고
    • Issues of generality in medical problem solving
    • In: Schmidt, H.G., De Volder, M.L., eds. Assen/Maastricht: Van Gorcum
    • Feltovich PJ, Barrows HS. Issues of generality in medical problem solving. In : Schmidt HG, De Volder ML, eds. Tutorials in Problem-Based Learning. Assen/Maastricht : Van Gorcum 1984 128 142.
    • (1984) Tutorials in Problem-Based Learning. , pp. 128-142
    • Feltovich, P.J.1    Barrows, H.S.2
  • 16
    • 0033432576 scopus 로고    scopus 로고
    • Influence of a single example on subsequent electrocardiogram interpretation
    • Hatala R, Norman GR, Brooks LR. Influence of a single example on subsequent electrocardiogram interpretation. Teach Learn Med 1999 11 (2 110 7.
    • (1999) Teach Learn Med , vol.11 , Issue.2 , pp. 110-7
    • Hatala, R.1    Norman, G.R.2    Brooks, L.R.3
  • 17
    • 0035293179 scopus 로고    scopus 로고
    • Co-ordination of analytic and similarity-based processing strategies and expertise in dermatological diagnosis
    • Kulatunga-Moruzi C, Brooks LR, Norman GR. Co-ordination of analytic and similarity-based processing strategies and expertise in dermatological diagnosis. Teach Learn Med 2001 13 (2 110 6.
    • (2001) Teach Learn Med , vol.13 , Issue.2 , pp. 110-6
    • Kulatunga-Moruzi, C.1    Brooks, L.R.2    Norman, G.R.3
  • 18
    • 6344261829 scopus 로고    scopus 로고
    • The role of encapsulated knowledge in clinical case representations of medical students and family doctors
    • Rikers RMJP, Loyens SMM, Schmidt HG. The role of encapsulated knowledge in clinical case representations of medical students and family doctors. Med Educ 2004 38 (10 1035 43.
    • (2004) Med Educ , vol.38 , Issue.10 , pp. 1035-43
    • Rikers, R.M.J.P.1    Loyens, S.M.M.2    Schmidt, H.G.3
  • 19
    • 0033817612 scopus 로고    scopus 로고
    • Knowledge restructuring in expertise development: Evidence from pathophysiological representations of clinical cases by students and physicians
    • Van de Wiel MWJ, Boshuizen HPA, Schmidt HG. Knowledge restructuring in expertise development: evidence from pathophysiological representations of clinical cases by students and physicians. Eur J Cognit Psychol 2000 12 (3 323 55.
    • (2000) Eur J Cognit Psychol , vol.12 , Issue.3 , pp. 323-55
    • Van De Wiel, M.W.J.1    Boshuizen, H.P.A.2    Schmidt, H.G.3
  • 20
    • 0038284990 scopus 로고    scopus 로고
    • On the constraints of encapsulated knowledge: Clinical case representations by medical experts and subexperts
    • Rikers RMJP, Schmidt HG, Boshuizen HPA. On the constraints of encapsulated knowledge: clinical case representations by medical experts and subexperts. Cognit Instr 2002 20 (1 27 45.
    • (2002) Cognit Instr , vol.20 , Issue.1 , pp. 27-45
    • Rikers, R.M.J.P.1    Schmidt, H.G.2    Boshuizen, H.P.A.3
  • 21
    • 22944464079 scopus 로고    scopus 로고
    • The role of basic science knowledge and clinical knowledge in diagnostic reasoning: A structural equation modelling approach
    • De Bruin ABH, Schmidt HG, Rikers RMJP. The role of basic science knowledge and clinical knowledge in diagnostic reasoning: a structural equation modelling approach. Acad Med 2005 80 (8 765 73.
    • (2005) Acad Med , vol.80 , Issue.8 , pp. 765-73
    • De Bruin, A.B.H.1    Schmidt, H.G.2    Rikers, R.M.J.P.3
  • 22
    • 12444322984 scopus 로고    scopus 로고
    • The value of basic science in clinical diagnosis: Creating coherence among signs and symptoms
    • Woods NN, Brooks LR, Norman GR. The value of basic science in clinical diagnosis: creating coherence among signs and symptoms. Med Educ 2005 39 (1 107 12.
    • (2005) Med Educ , vol.39 , Issue.1 , pp. 107-12
    • Woods, N.N.1    Brooks, L.R.2    Norman, G.R.3
  • 24
    • 33748946023 scopus 로고    scopus 로고
    • Speed kills? Speed, accuracy, encapsulations and causal understanding
    • Woods NN, Howey EHA, Brooks LR, Norman GR. Speed kills? Speed, accuracy, encapsulations and causal understanding. Med Educ 2006 40 (10 973 9.
    • (2006) Med Educ , vol.40 , Issue.10 , pp. 973-9
    • Woods, N.N.1    Howey, E.H.A.2    Brooks, L.R.3    Norman, G.R.4
  • 26
    • 0030915281 scopus 로고    scopus 로고
    • The influences of patient characteristics and physician experience on case recall
    • Durante R, McKinlay JB, Kasten L, Potter DA. The influences of patient characteristics and physician experience on case recall. Med Decis Making 1997 17 (2 199 207.
    • (1997) Med Decis Making , vol.17 , Issue.2 , pp. 199-207
    • Durante, R.1    McKinlay, J.B.2    Kasten, L.3    Potter, D.A.4
  • 27
  • 28
    • 0040090310 scopus 로고    scopus 로고
    • Text structures and prior knowledge
    • Caillies S, Tapiero I. Text structures and prior knowledge. Annee Psychol 1997 97 (4 611 39.
    • (1997) Annee Psychol , vol.97 , Issue.4 , pp. 611-39
    • Caillies, S.1    Tapiero, I.2
  • 29
    • 0026316717 scopus 로고
    • Developmental accounts of the transition from medical student to doctor: Some problems and suggestions
    • Patel VL, Groen GJ. Developmental accounts of the transition from medical student to doctor: some problems and suggestions. Med Educ 1991 25 : 527 35.
    • (1991) Med Educ , vol.25 , pp. 527-35
    • Patel, V.L.1    Groen, G.J.2
  • 32
    • 18644372839 scopus 로고    scopus 로고
    • Examining the stability of experts' clinical case processing: An experimental manipulation
    • De Bruin ABH, Van de Wiel MWJ, Rikers R, Schmidt HG. Examining the stability of experts' clinical case processing: an experimental manipulation. Instr Sci 2005 33 (3 251 70.
    • (2005) Instr Sci , vol.33 , Issue.3 , pp. 251-70
    • De Bruin, A.B.H.1    Van De Wiel, M.W.J.2    Rikers, R.3    Schmidt, H.G.4
  • 33
    • 3042572492 scopus 로고    scopus 로고
    • Case representation by medical experts, intermediates and novices for laboratory data presented with or without a clinical context
    • Verkoeijen PPJL, Rikers RMJP, Schmidt HG, Van de Wiel MWJ, Kooman JP. Case representation by medical experts, intermediates and novices for laboratory data presented with or without a clinical context. Med Educ 2004 38 (6 617 27.
    • (2004) Med Educ , vol.38 , Issue.6 , pp. 617-27
    • Verkoeijen, P.P.J.L.1    Rikers, R.M.J.P.2    Schmidt, H.G.3    Van De Wiel, M.W.J.4    Kooman, J.P.5
  • 35
    • 0031855320 scopus 로고    scopus 로고
    • A failure to reproduce the intermediate effect in clinical case recall
    • Van de Wiel MWJ, Schmidt HG, Boshuizen HPA. A failure to reproduce the intermediate effect in clinical case recall. Acad Med 1998 73 (8 894 900.
    • (1998) Acad Med , vol.73 , Issue.8 , pp. 894-900
    • Van De Wiel, M.W.J.1    Schmidt, H.G.2    Boshuizen, H.P.A.3
  • 36
    • 0033413883 scopus 로고    scopus 로고
    • The explanation of clinical concepts by expert physicians, clerks, and advanced students
    • Van de Wiel MWJ, Boshuizen HPA, Schmidt HG, Schaper NC. The explanation of clinical concepts by expert physicians, clerks, and advanced students. Teach Learn Med 1999 11 (3 153 63.
    • (1999) Teach Learn Med , vol.11 , Issue.3 , pp. 153-63
    • Van De Wiel, M.W.J.1    Boshuizen, H.P.A.2    Schmidt, H.G.3    Schaper, N.C.4
  • 37
    • 0025017992 scopus 로고
    • Medical expertise as a function of task-difficulty
    • Patel VL, Groen GJ, Arocha JF. Medical expertise as a function of task-difficulty. Mem Cognit 1990 18 (4 394 406.
    • (1990) Mem Cognit , vol.18 , Issue.4 , pp. 394-406
    • Patel, V.L.1    Groen, G.J.2    Arocha, J.F.3
  • 38
    • 25444438750 scopus 로고    scopus 로고
    • The role of biomedical knowledge in clinical reasoning: A lexical decision study
    • Rikers R, Loyens S, te Winkel W, Schmidt HG, Sins PHM. The role of biomedical knowledge in clinical reasoning: a lexical decision study. Acad Med 2005 80 (10 945 9.
    • (2005) Acad Med , vol.80 , Issue.10 , pp. 945-9
    • Rikers, R.1    Loyens, S.2    Te Winkel, W.3    Schmidt, H.G.4    Sins, P.H.M.5
  • 39
    • 15444379277 scopus 로고    scopus 로고
    • Biomedical knowledge: Encapsulated or two worlds apart?
    • Rikers R, Schmidt HG, Moulaert V. Biomedical knowledge: encapsulated or two worlds apart? Appl Cogn Psychol 2005 19 (2 223 31.
    • (2005) Appl Cogn Psychol , vol.19 , Issue.2 , pp. 223-31
    • Rikers, R.1    Schmidt, H.G.2    Moulaert, V.3
  • 40
    • 0038536581 scopus 로고    scopus 로고
    • The role of illness scripts in the development of medical diagnostic expertise: Results from an interview study
    • Custers E, Boshuizen HPA, Schmidt HG. The role of illness scripts in the development of medical diagnostic expertise: results from an interview study. Cognit Instr 1998 16 (4 367 98.
    • (1998) Cognit Instr , vol.16 , Issue.4 , pp. 367-98
    • Custers, E.1    Boshuizen, H.P.A.2    Schmidt, H.G.3
  • 41
    • 0029863588 scopus 로고    scopus 로고
    • The influence of medical expertise, case typicality, and illness script component on case processing and disease probability estimates
    • Custers E, Boshuizen HPA, Schmidt HG. The influence of medical expertise, case typicality, and illness script component on case processing and disease probability estimates. Mem Cognit 1996 24 (3 384 99.
    • (1996) Mem Cognit , vol.24 , Issue.3 , pp. 384-99
    • Custers, E.1    Boshuizen, H.P.A.2    Schmidt, H.G.3
  • 42
    • 27644558509 scopus 로고    scopus 로고
    • Influence of illness script components and medical practice on medical decision making
    • Van Schaik P, Flynn D, van Wersch A, Douglass A, Cann P. Influence of illness script components and medical practice on medical decision making. J Exp Psychol Appl 2005 11 (3 187 99.
    • (2005) J Exp Psychol Appl , vol.11 , Issue.3 , pp. 187-99
    • Van Schaik, P.1    Flynn, D.2    Van Wersch, A.3    Douglass, A.4    Cann, P.5
  • 43
    • 33645958612 scopus 로고    scopus 로고
    • Influence of clerkship experiences on clinical competence
    • Wimmers PF, Schmidt HG, Splinter TAW. Influence of clerkship experiences on clinical competence. Med Educ 2006 40 (5 450 8.
    • (2006) Med Educ , vol.40 , Issue.5 , pp. 450-8
    • Wimmers, P.F.1    Schmidt, H.G.2    Splinter, T.A.W.3
  • 45
    • 0033238835 scopus 로고    scopus 로고
    • Effects of small-group learning on undergraduates in science, mathematics, engineering, and technology: A meta-analysis
    • Springer L, Stanne ME, Donovan SS. Effects of small-group learning on undergraduates in science, mathematics, engineering, and technology: a meta-analysis. Rev Educ Res 1999 69 (1 21 51.
    • (1999) Rev Educ Res , vol.69 , Issue.1 , pp. 21-51
    • Springer, L.1    Stanne, M.E.2    Donovan, S.S.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.