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17 - Teaching for Expertise: Problem-Based Methods in Medicine and Other Professional Domains

Published online by Cambridge University Press:  04 August 2010

K. Anders Ericsson
Affiliation:
Florida State University
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Summary

The daily train trip between my small hometown and the university city where I used to work has always provided me with lots of unexpected opportunities to receive feedback about students' perceptions of their education. In all those years I have overheard them talking about their studies, teachers, lectures, peers, but also about parties and village gossip. One conversation among three students of a beauty course in one of the community colleges struck me because of the sensible things they were saying about their curriculum. One of the girls was trying to read a chapter in a book about health for their assignment of that week. The book was meant for care and wellness courses, which was their course, taught by a young physician who – as they grumbled – “was not even handsome.” Apart from the appearance of their teacher, which might have been some compensation, their main complaint was that they did not have a clue about the use of this kind of knowledge for their future practice as beauticians.

The girls' complaint is very similar to the situation students in discipline-organized and teacher-centered academic curricula find themselves in. These kinds of curricula have many problems; among them are lack of horizontal and vertical integration of the subjects taught, an absence of apparent practical relevance to the students' perception of their future profession, a constant overload with too many courses, and an emphasis on the principles and practices of the separate academic disciplines instead of the practices of their future profession.

Type
Chapter
Information
Development of Professional Expertise
Toward Measurement of Expert Performance and Design of Optimal Learning Environments
, pp. 379 - 404
Publisher: Cambridge University Press
Print publication year: 2009

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References

Albanese, M. A., & Mitchell, S. (1993). Problem-based learning: A review of literature on its outcomes and implementation issues. Academic Medicine, 68, 52–81.CrossRef
Albano, M. G., Cavallo, F., Hoogenboom, R., Magni, F., Majoor, G., Mananti, F., et al. (1996). An international comparison of knowledge levels of medical students: The Maastricht Progress Test. >Medical Education, 30, 239–245.
Arts, J. A. R., Gijselaers, W.H., & Segers, M. S. R. (2002). Cognitive effect of an authentic computer supported, problem-based learning environment. Instructional Science, 30, 465–495.CrossRef
Arts, J. A. R., Gijselaers, W.H., & Segers, M. S. R. (2004). Fostering managerial problem-solving: From cognitive research to instructional design to expertise. In Boshuizen, H. P. A., Bromme, R., & Gruber, H. (Eds.), Professional learning: Gaps and transitions on the way from novice to expert (pp. 97–119). Dordrecht, The Netherlands: Kluwer Academic.CrossRefGoogle Scholar
Arts, J. A. R., Gijselaers, W.H., & Segers, M. S. R. (2006). Enhancing problem solving expertise by means of an authentic, collaborative, computer supported and problem-based course: An effect outcome comparison of a traditional and a refined PBL course. European Journal for Psychology of Education, 21(1), 71–90.CrossRef
Barrows, H. S. (1968). Simulated patients in medical teaching. Canadian Medical Association Journal, 98(14), 674–676.
Barrows, H. S. (1971). Simulated patients (programmed patients): The development and use of a new technique in medical education. Springfield, IL: Thomas.Google Scholar
Barrows, H. S., & Tamblyn, R. M. (1980). Problem-based learning: An approach to medical education. New York: Springer.Google Scholar
Berkson, L. (1993). Problem-based learning: Have the expectations been met? Academic Medicine, 68(10), S79–S88.CrossRef
Boshuizen, H. P. A. (1989). De ontwikkeling van medische expertise; een cognitief psychologische benadering[The development of medical expertise; A cognitive psychological approach]. PhD thesis, Maastricht University, The Netherlands.Google Scholar
Boshuizen, H. P. A., Phythian-Sence, C., Wagner, R. K., Gravemeijer, K., Aalsvoort, G. M., Nievelstein, F., et al. (2008). Instructional models in domains and professions. In Spector, J. M., Merrill, M. D., Merriënboer, J., & Driscoll, M. P. (Eds.), Handbook of research on educational communications and technology (3rd ed., pp. 537–566). New York: Erlbaum/Routledge.Google Scholar
Boshuizen, H. P. A., & Schmidt, H. G. (1992). On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices. Cognitive Science, 16, 153–184.CrossRef
Boshuizen, H. P. A., & Schmidt, H. G. (2008). The development of clinical reasoning expertise. In Higgs, J., Jones, M., Loftus, S., & Christensen, N. (Eds.), Clinical reasoning in the health professions (3rd ed.). Amsterdam: Elsevier.
Bransford, J. D., Brown, A. L., & Cocking, R. R. (Eds.). (1999). How people learn: Brain, mind, experience, and school. Washington, DC: National Academy Press.
Colliver, J. A. (2000). Effectiveness of problem-based learning curricula: Research and theory. Academic Medicine, 75(3), 259–266.CrossRef
Colliver, J. A., Kucera, K., & Verhulst, S. J. (2008). Meta-analysis of quasi-experimental research: Are systematic narrative reviews indicated? Medical Education, 42(9), 858–865.CrossRef
Dochy, F., Segers, M., Bossche, P., & Gijbels, D. (2003). Effects of problem-based learning: A meta-analysis. Learning and Instruction, 13, 533–568.CrossRef
Crombag, H. F. M., Wijkersloot, J. L., & Cohen, M. M. J. (1977). Een theorie over rechterlijke beslissingen[A theory of judicial decision making]. Zwolle: Tjeenk Willink.Google Scholar
Groot, A. D. (1946). Het denken van den schaker: Een experimenteel-psychologische studie. Amsterdam: Noord-Hollandsche Uitg. Mij.Google Scholar
Groot, A. D. (1965). Thought and choice in chess. The Hague: Mouton.Google Scholar
Dornan, T., Hadfield, J., Brown, M., Boshuizen, H., & Scherpbier, A. (2005). How can medical students learn in a self-directed way in the clinical environment? Design-based research. Medical Education, 39, 356–364.CrossRef
Dornan, T., Scherpbier, A. J. J. A., & Spencer, J. (2008). Learning medicine. A continuum from theory to practice; In Spector, J. M., Merrill, M. D., Merriënboer, J. J. G., & Driscoll, M. P. (Eds.), Handbook of research on educational communications and technology (3rd ed., pp. 537–566). New York: Erlbaum/Routledge.Google Scholar
Elstein, A. S., Shulman, L. S., & Sprafka, S. A. (1978). Medical problem solving: An analysis of clinical reasoning. Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Eraut, M. (1994). Developing professional knowledge and competence. London: Routledge Falmer.Google Scholar
Frank, J. R. (Ed.). (2005). The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Ottawa, Canada: The Royal College of Physicians and Surgeons of Canada.
Frank, J. R. (Ed.). General Medical Council. (1993). Duties of a doctor. London: General Medical Council.
Frank, J. R. (Ed.).(2002). Tomorrow's doctors. London: General Medical Council.
Gijbels, D., Dochy, F., Bossche, P., & Segers, M. (2005). Effects of problem-based learning: A meta-analysis from the angle of assessment. Review of Educational Research, 75(1), 27–61.CrossRef
Gijselaers, W. H., Tempelaar, D., & Keizer, P. (Eds.). (1994). Educational innovation in economics and business administration: The case of problem-based learning. Dordrecht, The Netherlands: Kluwer Academic.
Harasym, P. H., Papa, F. J., & Schumacker, R.E. (1997). The structure of medical knowledge reflected in clinicians' estimates of the probabilities of signs/symptoms within diseases. In Scherpbier, A. J. J. A., Vleuten, C. P. M., Rethans, J. J., & Steeg, A. F. W. (Eds.), Advances in medical education (pp. 602–607). Dordrecht, The Netherlands: Kluwer Academic.Google Scholar
Harden, R. M., Sowden, S., & Dunn, W. R. (1984). Educational strategies in curriculum development: The SPICES model. Medical Education, 18(4), 284–97.CrossRef
Hmelo-Silver, C. E. (2004). Problem-based learing: What and how do students learn? Educational Psychology Review, 16(3), 235–266.CrossRef
Hmelo, C. E., Gotterer, G. S., & Bransford, J. D. (1997). A theory-driven approach to assessing the cognitive effect of PBL. Instructional Science, 25, 387–408.CrossRef
Kidd, M., & Modlin, I. M. (1999). The Luminati of Leiden: From Bontius to Boerhaave. World Journal of Surgery, 23, 1307–1314.CrossRef
Koens, F., Custers, E. J., & Ten Cate, O. T. (2006). Clinical and basic science teachers' opinions about the required depth of biomedical knowledge for medical students. Medical Teacher, 28(3), 234–238.CrossRef
Meng, C. (2006). Discipline-specific or academic? Acquisition, role and value of higher education competencies. PhD thesis, Maastricht University, The Netherlands.Google Scholar
Moust, J. (1993). De rol van tutoren in probleem-gestuurd onderwijs; Contrasten tussen student- en docent-tutoren [The role of tutors in problem-based learning: Contrasts between student and staff tutors]. PhD thesis. Maastricht University, The Netherlands.
Muijtjens, A. M. M., Schuwirth, L. W. T., Cohen-Schotanus, J., & Vleuten, C. P. M. (2008). Differences in knowledge development exposed by multi-curricular progress test data. Advances of Health Sciences; Education, Theory and Practice, 13(5), 593–605. DOI 10.1007/s10459–007–9066–2.CrossRef
Nievelstein, F., Gog, T., & Prins, F. J. (2008). Learning law. In Spector, J. M., Merrill, M. D., Merriënboer, J. J. G., & Driscoll, M. P. (Eds.), Handbook of research on educational communications and technology (3rd ed., pp. 537–566). Mahwah, NJ: Erlbaum/Routledge.Google Scholar
Norman, G., Neville, A. and the Task Force on the MD Program Curriculum (2004, November). A new curriculum for the information Age: A concept- and practice-based approach. McMaster University.Google Scholar
Neville, A. J., & Norman, G. R. (2007). PBL in the undergraduate MD program at McMaster University: Three iterations in three decades. Academic Medicine, 82(4), 370–374.
Patel, V. L., David, T. J., Boshuizen, H. P. A., & Wolfhagen, H. A. P. (1998). Implementation, students' perceptions and students' performance in problem-based and traditional paedriatic clerkships. Education for Health, 11, 215–223.
Rikers, R. M. J. P., Schmidt, H. G., & Boshuizen, H. P. A. (2001). Effects of clinical case priming on the activation of encapsulated knowledge: Differences between medical experts and subexperts. Advances in Psychology Research, 4, 1–31.
Saunders, N. A., Mcintosh, J., Mcpherson, J., & Engel, C. E. (1990). A comparison between University of Newcastle and University of Sydney final-year students: Knowledge and competence. InNooman, Z. H., Schmidt, H. G., & Ezzat, E. S. (Eds.), Innovation in medical education: An evaluation of its present status (pp. 50–54). New York: Springer.Google Scholar
Schmidt, H. G. (2006). Effecten van probleemgestuurd medisch onderwijs; 16 Nederlandse curriculum vergelijkingen [Effects of problem-based medical education; 16 Dutch curriculum comparisons]. Nederlands Tijdschrift voor de Geneeskunde, 150, 1085–1089.
Schmidt, H. G., & Boshuizen, H. P. A. (1993). On the origin of intermediate effects in clinical case recall. Memory and Cognition, 21, 338–351.CrossRef
Schmidt, H. G., Machiels-Bongaerts, M., Hermans, H., Ten Cate, T. J., Venekamp, R., & Boshuizen, H. P. A. (1996). The development of diagnostic competence: Comparison of a problem-based, an integrated, and a conventional curriculum. Academic Medicine, 71, 658–664.CrossRef
Schmidt, H. G., & Moust, J. H. C. (2000). Towards a taxonomy of problem used in problem-based learning curricula. Journal of Excellence in College Teaching, 11(2), 57–72.
Schuwirth, L. W. T., Verhoeven, B. H., Scherpbier, A. J. J. A., Mom, E. M. A., Cohen-Schotanus, J., Rossum, H. J. M., et al. (1996). An inter- and intra-university comparison with short-case testing. Advances in Health Science Education, 4, 233–244.CrossRef
Tamblyn, R., Abrahamowicz, M., Dauphinee, D., Girard, N., Bartlett, G., Grand'Maison, P., et al. (2005). Effect of a problem-based learning curriculum on quality of primary health care delivered by graduates: A historical cohort comparison study. British Medical Journal, 331(7523), 1002.CrossRef
Thijssen, J. G. L., & Heijden, B. I. J. M. (2003). Evaporated talent? Problems with talent development during the career. International Journal of Human Resources Development and Management, 3(2), 154–170.CrossRef
Thrush, C. R. (2008). Bridging our knowledge about errors across the professions. Panel discussion held at the Annual Meeting of the American Educational Research Association. New York, March 24–28.
Hessen, P. A. W., & Verwijnen, G. M. (1990). Does problem-based learning provide other knowledge. In Bender, W., Hiemstra, R. J., Scherpbier, A. J. J. A., &Zwierstra, R. P. (Eds.), Teaching and assessing clinical competence (pp. 446–451). Groningen: Boekwerk Publications.Google Scholar
Wiel, M. W. J. (1997). Knowledge encapsulation; Studies on the development of medical expertise. PhD thesis, Maastricht University, The Netherlands.Google Scholar
VanLehn, K. (1996). Cognitive skill acquisition. Annual Review of Psychology, 47, 513–539.CrossRef
Verhoeven, B. H., Verwijnen, G. M., Scherpbier, A. J. J. A., Holdrinet, R. S. G., Oeseburg, B., Bulte, J. A., et al. (1998). An analysis of progress test results of PBL and non-PBL students. Medical Teacher, 20(4), 310–316.
Vernon, D. T. A., & Blake, R. L. (1993). Does problem-based learning work? A meta-analysis of evaluative research. Academic Medicine, 68, 550–563.CrossRef
Vermunt, J. D. (2000). Studeren voor nieuwe geleerden; Over de kwaliteit van het leren[Learning for new scientists; About the quality of learning]. Inaugural address Maastricht University, The Netherlands.Google Scholar
Visschers-Pleijers, A. (2007). Tutorial group discussion in problem-based learning: Studies on the measurement and nature of learning-oriented student interactions. PhD thesis, Maastricht University, The Netherlands.Google Scholar
Williams, S. (1992). Putting case-based instruction into context: Examples from legal and medical education. The Journal of the Learning Sciences, 2(4), 387–427.CrossRef

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