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expertise [2019/04/15 12:05]
218.186.146.102 created 		expertise [2020/03/24 02:34] (current)
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-==== Developing expertise in surgery ==== +see [[co:expertise]]
- +
-=== What is expertise in surgery? === +
-As a concept widely accepted but poorly defined +
- +
-Features: +
-"non-analytical reasoning plays a key role in decision making at expert levels of practice" +
- +
-Perspectives +
-- OED: expertise as authority vs expertise as experience +
- +
-Expertise as authority +
-  - vs lay +
-- Expertise as mindset rather than status (Bereiter & Scardamalia 1993) - a journey rather than a destination +
- +
-- True expert (Bereiter and Scardamalia 1993) +
-  - adaptive - can deal with unusual situations and manage uncertainty +
-  - "some practitioners are constantly pushing themselves to reinvest the cognitive space freed by automatisation and pattern learing: they have a desir e to focus on the 'growing edge'" +
-    - this impulse can be a problem also  +
- +
-Absolute vs Relative definitions of expertise +
- +
-Relative - Howell's model/matrix of cognisance and competence +
- +
-Dreyfus vs Schon - role of reflection +
- +
-Dreyfus (driving and flying) vs Hoffman's model (based on guilds) +
- +
-=== Limits of expertise === +
-- domain, time, and context expertise +
-- expertise === subspecialization +
-- maintain it by "awareness of 'disjuncture' between domains (Jarvis 2006). +
- +
-Types? +
-  - see definition +
- +
-How do we quantify it? +
- +
-How do we train for it? +
-"Trainees must develop both independent and interdependent expertise, and an appreciation of the essentially constructivist and uncertain nature of medical knowledge." +
- +
-Consider Lave and Wenger (1991) model of "legitimate peripheral participation" +
- +
-How much is internal and external? +
-"approach may be more important than innate talent" +
-"flow" +
-"deliberate practice" +
-"adaptive expertise" +
- +
-Practice Points: +
-  - Different models of expertise provide important insights into the education of surgeons. +
-  - Both independent and interdependent expertise should by developed. +
-  - Surgical educators should nurture expert approaches to learning. +
-  - The development of expertise is dependent on becom- ing part of a community of practice. +
- +
-Source: +
-Alderson, D. (2010). Developing expertise in surgery. Medical Teacher, 32(10), 830–836. https://doi.org/10.3109/01421591003695329+
expertise.1555329951.txt.gz · Last modified: 2020/03/24 02:34 (external edit)

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