Cover Image
QR Code

Case representation by medical experts, intermediates and novices for laboratory data presented with or without a clinical context.

Based on cognitive psychological research, a number of theoretical frameworks have been put forward to describe the structure of experts' medical knowledge and to explain experts' case-processing. To provide evidence for the theory of knowledge encapsulation, which states that medical knowledge cons...

Full description

Published in:Medical Education Vol. 38; no. 6; pp. 617 - 628
Main Authors: Verkoeijen PP, Rikers RM, Schmidt HG, Van De Wiel MW, Kooman JP
Format: Journal Article
Published: Wiley-Blackwell Jun2004
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106081960&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 106081960
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        03080110
        ESF
      jtl: Medical Education
      issn: 03080110
      maglogo: Y
    pubinfo:
      dt: Jun2004
      vid: 38
      iid: 6
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        106081960
        2009396154
        NLM15189258
        106081960
      ppf: 617
      ppct: 11
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Case representation by medical experts, intermediates and novices for laboratory data presented with or without a clinical context.
      aug:
        au:
          Verkoeijen PP
          Rikers RM
          Schmidt HG
          Van De Wiel MW
          Kooman JP
      sug:
        subj:
          Diagnosis Standards
          Patient History Taking Standards
          Physicians, Family Standards
          Problem Solving
          Clinical Competence Standards
          Education, Medical
          Memory
          Mental Processes
          Netherlands
          Students, Medical
      ab: Based on cognitive psychological research, a number of theoretical frameworks have been put forward to describe the structure of experts' medical knowledge and to explain experts' case-processing. To provide evidence for the theory of knowledge encapsulation, which states that medical knowledge constitutes of interlinked biomedical and clinical knowledge. Fourth-year medical students, clerks and medical experts evaluated six case descriptions, consisting of laboratory data either with or without a clinical context. For each case description, the participants were required to study the case, to formulate a diagnosis, and to write down everything they could remember of the case. When the laboratory data were not embedded within a clinical context, medical experts' case-processing increased and their diagnostic accuracy became worse. Furthermore, laboratory data recall of medical experts was more elaborate in cases where the laboratory data were presented without a clinical context. Similar results were obtained for students and clerks. The findings are only partially consistent with a prediction made by the theory of knowledge encapsulation. Further research, using a different paradigm than the traditionally used method of free recall, is required to unearth whether medical experts use qualitatively different knowledge structures than novices while solving cases.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N