ERIC Number: ED367723
Record Type: RIE
Publication Date: 1994-Apr
Reference Count: N/A
Cognitive Effects of the Clerkship Program in High and Low Achieving Medical Students.
Boshuizen, Henny P. A.; And Others
The cognitive processes that underlie a medical student's improved competence during the clerkship (clinical experience) portion of medical education were studied for high- and low-achieving medical students in the Netherlands. Nine low-achieving and 21 high-achieving fourth-year students and 10 low-achieving and 14 high-achieving fifth-year students diagnosed two clinical cases from written descriptions. Students were retested the following year. Analyses suggest that the increased expertise associated with advanced study that had been found in earlier studies are not so much induced by differences in factual knowledge, but rather by qualitative changes in the knowledge base, probably as a result of practical experience. Achievement level appears to have no effect on the structure measures investigated in this study. There is no indication that high and low achievers develop differently or at a different pace. Accuracy of diagnosis and explanations given by students tend to correlate with achievement level, but effects are less strong than those of experience. One table and two figures present study findings. (Contains 7 references.) (SLD)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Sponsor: Spencer Foundation, Chicago, IL.
Authoring Institution: N/A
Identifiers: Accuracy; Expertise; Knowledge Restructuring; Netherlands
Note: Paper presented at the Annual Meeting of the American Educational Research Association (New Orleans, LA, April 4-8, 1994).