Research reveals that successful problem solvers must possess comprehensive knowledge, and more importantly, have appropriate knowledge organization and understanding. A new taxonomy of medical problems is recommended, and it is suggested that the traditional hypothetico-deductive strategy for problem-based learning be replaced by scheme-driven…

A course to introduce medical students to formal models of medical diagnostic reasoning at the University of Pittsburgh School of Medicine is described. The students are encouraged to integrate facts and concepts from the basic sciences into strategies of diagnostic reasoning. (MLW)

Analysis of medical residents' clinical performances in five teaching hospital anesthesiology departments revealed that noncognitive performance in some areas was a powerful predictor of overall clinical performance and was related to the occurrence of critical incidents. Noncognitive predictors included conscientiousness, management, confidence,…

The Computer-Assisted Medical Problem-Solving system, designed to teach problem solving and pattern recognition, has also been found useful for identifying medical students' problems with clinical reasoning. Analysis of individual test results allows development of a student problem-solving profile score that augments the initial test score. (MSE)

A study investigated reasoning processes of medical students in schools with different curricular formats, a conventional curriculum with basic science taught before clinical training and a problem-based curriculum with basic science taught in the context of clinical problems. Strengths and weaknesses of each curriculum type emerged. (Author/MSE)

The diagnostic discourse of medical students and physicians in thinking-aloud protocols on paper cases was analyzed for evidence of semantic structure. Results show that structural semantics can be used to distinguish various levels of mental processing among novices as well as between novices and professionals. (MSE)

Different ways student-generated learning issues are used to deal with disciplinary content were assessed at seven North American medical schools with problem-based curricula. Structured interviews with key faculty representing the schools being studied suggested that the seven programs are encouraging the development of self-directed learning…