Designed to examine the structural differences in the representation of medical problems in subjects with varying degrees of medical expertise, this study uses an online, thinking-aloud technique to investigate the validity of Feltovich and Barrows' model of expert medical knowledge and illness scripts. Study methodology involved asking one…

A study examined the application and availability of clinical and biomedical knowledge in the clinical reasoning of physicians as well as possible mechanisms responsible for changes in the organization of clinical and biomedical knowledge in the development from novice to expert. Subjects were 28 students (10 second year, 8 fourth year, and 10…

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…

A study investigated the known phenomenon of "intermediate effect" in which medical students with an intermediate amount of knowledge and experience demonstrate higher amounts of recall of the text of a medical case than either experienced clinicians or novices. In this study the amount of activation of prior knowledge was controlled by…

In two studies, the role of biomedical knowledge in the diagnosis of clinical cases by physicians and medical students was explored. Experiment 1 demonstrated a decrease in the use of biomedical knowledge with increasing expertise. This result appeared to be at variance with some findings reported in some but not all of the literature. In…