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Yields and Rabbit Holes: Medical Students' Typologies of Sufficient Knowledge.

Julia Knopes1

  • 1Department of Bioethics, Case Western Reserve University, Cleveland, Ohio, USA.

Medical Anthropology
|July 24, 2019
PubMed
Summary

Physicians develop "sufficient knowledge" by prioritizing essential medical information and ignoring less relevant details. This study identifies three student-devised typologies for managing vast medical knowledge during training.

Keywords:
Agnotologybiomedicineignorancemedical educationsocialization

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Area of Science:

  • Medical Education
  • Sociology of Knowledge

Background:

  • Bioscientific knowledge is vast and constantly evolving.
  • Clinicians must decide which information is essential and which can be ignored.

Purpose of the Study:

  • To identify the process by which clinicians prioritize and manage medical knowledge.
  • To describe typologies of knowledge management developed by medical students.

Main Methods:

  • Ethnographic fieldwork conducted over 14 months at an allopathic medical school.
  • Analysis of how medical students distinguish between essential and non-essential information.

Main Results:

  • A process termed 'sufficient knowledge' was identified, involving prioritizing key information.
  • Three typologies of sufficient knowledge were observed: high yield, low yield, and 'rabbit holes'.

Conclusions:

  • Medical students develop strategies to navigate and manage the overwhelming volume of medical information.
  • Understanding these knowledge management strategies offers a more nuanced view of physician training and practice.