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Slowing down when you should: a new model of expert judgment
Carol-anne E Moulton1, Glenn Regehr, Maria Mylopoulos
1The Wilson Centre, 200 Elizabeth St., Eaton South 1-565, Toronto, ON, M5G2C4, Canada. Carol-anne.Moulton@uhn.on.ca
Expert medical judgment involves coordinating analytic and nonanalytic processes. This expertise model emphasizes strategically "slowing down" to engage effortful analysis when complex situations demand it.
Area of Science:
- Medical Education
- Cognitive Psychology
- Human Factors Engineering
Background:
- Traditional expertise models focus on acquired analytic or nonanalytic resources.
- Expert performance relies on judgment to coordinate these resources effectively.
- Understanding the transition between nonanalytic and analytic processing is crucial.
Purpose of the Study:
- To propose a new model of expert judgment in medical education.
- To explore the critical function of coordinating cognitive resources.
- To investigate the transition between automatic and deliberate processing.
Main Methods:
- Literature review across educational expertise, attention, situational awareness, and human factors.
- Examination of conceptual frameworks and research methodologies from related domains.
- Development of a novel model for expert judgment.
Main Results:
- Expertise is characterized by the judgment to switch processing modes.
- Nonanalytic processes are efficient but analytic processing is necessary for complex tasks.
- A new model conceptualizes expert judgment as 'slowing down when you should.'
Conclusions:
- Expert judgment is not just about resource acquisition but strategic coordination.
- The ability to consciously shift cognitive effort is a hallmark of expertise.
- This framework offers insights into training and evaluating medical expertise.
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