ERIC Number: ED394852
Record Type: RIE
Publication Date: 1996-Apr
Reference Count: N/A
The Shock of Practice: Effects on Clinical Reasoning.
Boshuizen, Henny P. A.
One of the processes supposed to take place during development toward medical expertise is knowledge encapsulation. In this process detailed biomedical concepts are gradually clustered together and reorganized under fewer, clinically relevant terms. A large-scale investigation was made of the process of biomedical knowledge application using subjects of expertise level not too far apart to enable a more detailed analysis of the developmental path. Data indicate that the process of encapsulation is not as smooth as hypothesized. In the first year of the 2-year clerkship period a sharp decrease in the application of biomedical knowledge was observed. Two hypotheses to explain this phenomenon were explored but neither of them could explain the results. However, the finding that the first clerkship year results in a dip in clinical reasoning is a consistent finding and some educational and practical differences that may contribute to this finding are discussed. Three tables and five figures of data are included. (Author/JRH)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A
Note: Paper presented at the Annual American Educational Research Association (New York, NY, April 8-14, 1996).