The role of encapsulated knowledge in clinical case representations of medical students and family doctors

Medical Education

Volumn 38, Issue 10, 2004, Pages 1035-1043

  Rikers, Remy M J P ^a   Loyens, Sofie M M ^a   Schmidt, Henk G ^a  

^a ERASMUS UNIVERSITY ROTTERDAM   (Netherlands)

Author keywords

Clinical competence standards; Diagnostic techniques and procedures *standards; Education, medical undergraduate *methods; Medical records standards; Physicians family; Students, medical

Indexed keywords

ARTICLE; DIAGNOSTIC ACCURACY; FAMILY MEDICINE; GENERAL PRACTITIONER; HUMAN; MEDICAL EDUCATION; MEDICAL ERROR; MEDICAL SPECIALIST; MEDICAL STUDENT;

CLINICAL COMPETENCE; DECISION MAKING, COMPUTER-ASSISTED; DIAGNOSTIC TECHNIQUES AND PROCEDURES; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; INTERNAL MEDICINE; MEDICAL HISTORY TAKING; MENTAL RECALL; NETHERLANDS; PHYSICIANS, FAMILY; STUDENTS, MEDICAL;

EID: 6344261829     PISSN: 03080110     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2929.2004.01955.x     Document Type: Article

References (22)

1. Schmidt HG, Boshuizen HPA, Hobus PPM. Transitory stages in the development of medical expertise: the 'intermediate effect' in clinical case representation studies. Proceedings of the Cognitive Science Society Meeting. Hillsdale, New Jersey: Lawrence Erlbaum Associates 1988;139-45.
2. Schmidt HG, Boshuizen HPA. On the origin of intermediate effects in clinical case recall. Mem Cognit 1993;21:338-51.
3. Schmidt HG, Boshuizen HPA. On acquiring expertise in medicine. Educ Psychol Rev 1993;5:205-21.
4. Schmidt HG, Boshuizen HPA. Encapsulation of biomedical knowledge. In: Evans DA, Patel VL, eds. Advanced Models of Cognition for Medical Training and Practice. New York: Springer Verlag 1992.
5. 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):27-46.
6. De Groot AD. Thought and Choice in Chess. The Hague: Mouton Publishers 1965.
7. McKeithen KB, Reitman JS, Rueter HH, Hirtle SC. Knowledge organisation and skill differences in computer programmers. Cognit Psychol 1981;13:307-25.
8. Cooper G, Sweller J. Effects of schema acquisition and rule automation on mathematical problem-solving transfer. J Educ Psychol 1987;79:347-62.
9. Starkes JL, Deakin J, Allard F, Hodges NJ, Hayes A. Deliberate practice in sports: what is it anyway?. In: Ericsson KA, ed. The Road to Excellence: the Acquisition of Expert Performance in the Arts and Sciences, Sports and Games. Mahwah, New Jersey: Lawrence Erlbaum Associates 1996;81-106.
10. Charness N. Components of skill in bridge. Can. J Psychol 1979;33:1-16.
11. Ericsson KA, Polson PG. An experimental analysis of the mechanisms of a memory skill. J Exp Psychol Learn Mem Cogn 1988;14 (2):305-16.
12. Vicente KJ, Wang JH. An ecological theory of expertise effects in memory recall. Psychol Rev 1998;105 (1):33-57.
13. Graesser AC, Singer M, Trabasso T. Constructing inferences during narrative text comprehension. Psychol Rev 1994;101 (3):371-95.
14. Magliano JP, Graesser AC. A three-pronged method for studying inference generation in literary texts. Poetics 1991;20:193-232.
15. Patel VL, Evans DA, Groen GJ. Biomedical knowledge in clinical reasoning. In: Evans DA, Patel VL, eds. Cognitive Science in Medicine: Biomedical Modelling. Cambridge, Massachusetts: MIT Press 1989;53-112.
16. Patel VL, Arocha JF, Kaufman DR. Expertise and tacit knowledge in medicine. In: Sternberg RJ, Horvath JA, eds. Tacit Knowledge in Professional Practice: Researcher and Practitioner Perspectives. Mahwah, New Jersey: Lawrence Erlbaum Associates 1999;75-99.
17. Patel VL, Groen GJ. Knowledge-based solution strategies in medical reasoning. Cognit Sci 1986;10: 91-116.
18. Van de Wiel MWJ, Schmidt HG, Boshuizen HPA. A failure to reproduce the intermediate effect in clinical case recall. Acad Med 1998;73:894-900.
19. Rikers RMJP, Boshuizen HPA, Schmidt HG. Knowledge encapsulation and the intermediate effect. Contemp Educ Psychol 2000;25:150-66.
20. Rikers RMJP, Schmidt HG, Boshuizen HPA, Linssen GCM, Wesseling G, Paas FGWC. The robustness of medical expertise: clinical case processing by medical experts and subexperts. Am J Psychol 2002;115:609-29.
21. Parsell G, Bligh J. Recent perspectives on clinical teaching. Med Educ 2001;35:409-14.
22. Dammers J, Spencer J, Thomas M. Using real patients in problem-based learning: students' comments on the value of using real, as opposed to paper, cases in a problem-based learning module in general practice. Med Educ 2001;35:27-35.