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Knowledge Application and Transfer for Complex Tasks in Ill-Structured Domains: Implications for Instruction and Testing in Biomedicine

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Advanced Models of Cognition for Medical Training and Practice

Part of the book series: NATO ASI Series ((NATO ASI F,volume 97))

Abstract

Educational transfer occurs when knowledge, acquired in a specific context or for one purpose, is used in a different context or for a different purpose. There are the obvious cases of transfer, for example, the transfer of knowledge learned in a school classroom to the running of a business. However, many less obvious instances of transfer involve the productive utilization (applicatioĊ„) of knowledge in doing substantial cognitive tasks, since these tasks are not likely to duplicate exactly the conditions under which the pertinent knowledge was acquired (cf. Voss 1978). In complex professional domains such as medicine, two kinds of failures of transfer and knowledge application have often been identified. One involves the demonstration of erratic clinical competence from one instance of knowledge application to another. That is, practitioners may handle certain clinical cases quite well while performing poorly on others (e.g., Barrows et al. 1978; Elstein et al. 1978). The second is the difficulty that individuals appear to have in applying conceptual knowledge from pertinent basic sciences to clinical problem solving tasks (e.g., Lesgold et al. 1988; Myers et al. 1990; Patel et al. 1989; Patel et al. 1991 ).

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References

  1. Anderson J.R. and Reder L.M. (1979). An elaborative processing explanation of depth of processing. In Cermak L.S. and Craik F.I.M. (eds.),Levels of Processing in Human Memory. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  2. Anderson R.C. and Pichert J.W. (1978). Recall of previously unrecallable information following a shift in perspective. Journal of Verbal Learning and Verbal Behavior, 17, 1–12.

    Article  Google Scholar 

  3. Barclay J.R., Bransford J.D., Franks J.J., McCarrell N.S., and Nitsch K. (1974). Comprehension and cognitive flexibility. Journal of Verbal Learning and Verbal Behavior, 13, 471–481.

    Article  Google Scholar 

  4. Barrows H.S. (1983). Problem-based, self-directed learning. JAMA, 250, 3077–3080.

    Article  Google Scholar 

  5. Barrows H.S., Feightner J.W., Neufeld V.R., and Norman G.R. (1978). Analysis of the clinical methods of medical students and physicians. Final report, Ontario Department of Health grants (ODH-PR-273 and ODH-DM-226). Hamilton, Ontario, Canada: MacMaster University.

    Google Scholar 

  6. Barrows H.S. and Feltovich P.J. (1987). The clinical reasoning process. Medical Education,21(2),86–91.

    Google Scholar 

  7. Barrows H.S. and Tamblyn R.M. (1980). Problem-Based Learning: An Approach To Medical Education. New York, NY: Springer Verlag.

    Google Scholar 

  8. Bordage G. and Lemieux M. (1991). Semantic structures and diagnostic thinking of experts and novices. Academic Medicine, 66(9), S70 - S72.

    Google Scholar 

  9. Bordage G. and Zacks R. (1984). The structure of medical knowledge in the memories of medical students and general practitioners: Categories and prototypes. Medical Education, 18, 406–416.

    Article  Google Scholar 

  10. Bousfield W.A. (1953). The occurrence of clustering in the recall of randomly arranged associates. Journal of General Psychology, 49, 229–240.

    Article  Google Scholar 

  11. Bransford J.D., Stein B.S., Shelton T.S., and Owings R.A. (1982). Cognition and adaptation: The importance of learning to learn. In Harvey J. (ed.), Cognition, Social Behavior, and the Environment. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  12. Bransford J.D., Franks J.J., Vye N.J., and Sherwood R.D. (1989). New approaches to instruction: Because wisdom can’t be told. In Vosniadou S. and Ortony A. (eds.), Similarity and Analogical Reasoning. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  13. Brown A.L. (1989). Analogical learning and transfer: What develops? In Vosniadou S. and Ortony A. (eds.), Similarity and Analogical Reasoning. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  14. Chi M.T.H., Bassok M., Lewis R., Reimann P., and Glaser R. (1989). Self-explanation: How students study and use examples in learning to solve problems. Cognitive Science, 13, 145–182.

    Article  Google Scholar 

  15. Chi M.T.H., Feltovich P.J., and Glaser R. (1981). Categorization and representation of physics problems by experts and novices, Cognitive Science, 5, 121–152.

    Article  Google Scholar 

  16. Clancey W.J. (1983). The epistomolgy of a rule-based expert system: A framework for explanation. Artificial Intelligence,20(3),215–252.

    Article  Google Scholar 

  17. Collins A. and Burstein M. (1989). Afterword: A framework for a theory of comparison and structure mapping. In Vosniadou S. and Ortony A. (eds.), Similarity and Analogical Reasoning. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  18. Colliver J.A., Vu N.V., Markwell S.J., and Verhulst S.J. (1991). Reliability and efficiency of components of clinical competence assessed with five performance-based examinations using standardized patients. Medical Education, 25, 303–310.

    Article  Google Scholar 

  19. Coulson R.L., Feltovich P.J., and Spiro R.L. (1989). Foundations of a misunderstanding of the ultrastructural basis of myocardial failure: A reciprocation network of oversimplifications. The Journal of Medicine and Philosophy, 14, 109–146.

    Google Scholar 

  20. Dawson-Saunders B.K., Feltovich P.J., Steward D.E., Wingrove S., and Feltovich J. (1989). Patient management decision making in ambulatory care. Paper presented at the annual conference of the American Educational Research Association, San Francisco, CA.

    Google Scholar 

  21. Dawson-Saunders B.K., Feltovich P.J., Coulson R.L., and Steward D. (1990). A survey to identify basic biomedical concepts medical students should understand. Academic Medicine, 65(7), 448–454.

    Article  Google Scholar 

  22. Dember W.N. (1991). Cognition, motivation, and emotion: Ideology revisited. In Hoffman R.R. and Palermo D. (eds.), Cognition and the Symbolic Processes. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  23. Elstein A.S., Shulman L.S., and Sprafka S.A. (1978). Medical Problem Solving. Cambridge, MA: Harvard University Press.

    Google Scholar 

  24. Feltovich P.J. and Barrows H.S. (1984). Issues of generality in medical problem solving. In Schmidt H.G. and Devolder M.L. (eds.), Tutorials in Problem-Based Learning. Assen, The Netherlands: Van Gorcum.

    Google Scholar 

  25. Feltovich P.J., Johnson P.E., Moller J.H., and Swanson D.B. (1984). LCS: The role and development of medical knowledge in diagnostic expertise. In Clancey W.J. and Shortliffe E.H. (eds.) Readings in Medical Artificial Intelligence: The First Decade. Reading, MA: Addison Wesley.

    Google Scholar 

  26. Feltovich P.J., Spiro R.J., and Coulson R.L. (1989). The nature of conceptual understanding in biomedicine: The deep structure of complex ideas and the development of misconceptions. In Evans D.A. and Patel V.L. (eds.) Cognitive Science in Medicine: Biomedical Modeling. Cambridge, MA: MIT (Bradford) Press.

    Google Scholar 

  27. Feltovich P.J., Spiro R.J., and Coulson R.L. (In Press). Learning, teaching and testing for complex conceptual understanding. In Fredericksen N., Mislevy R., and Be-jar I. (eds.), Test Theory for a New Generation of Tests. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  28. Gates A.I. (1917). Recitation as a factor in memorizing. Archives of Psychology, 40.

    Google Scholar 

  29. Gick M.L. and Holyoak K.J. (1980). Analological problem solving. Cognitive Psychology, 12, 306–355.

    Article  Google Scholar 

  30. Hayes J.R. and Simon H.A. (1976). The understanding process: Problem isomorphs. Cognitive Psychology, 8, 165–190.

    Article  Google Scholar 

  31. Hyde T.S. and Jenkins J.J. (1969). Differential effects of incidental tasks on the organization of recall in a list of highly associated words. Journal of Experimental Psychology, 82472–481.

    Google Scholar 

  32. Jacobson M.J. and Spiro R.J. (1991). A Framework for the Contextual Analysis of Computer-Enhanced Learning Environments. Manuscript.

    Google Scholar 

  33. Jenkins J.J. (1969). Four points to remember: A tetrahedral model of memory experiments. In Cermak L.S. and Craik F.I.M. (eds.) Levels of Processing in Human Memory. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  34. Jenkins J.J. (1974). Remember that old theory of memory? Well, forget. it! American Psychologist, 29, 785–795.

    Article  Google Scholar 

  35. Lesgold A.M., Rubinson H., Feltovich P.J., Glaser R., Klopfer D., and Wang Y. (1988). Expertise in a complex skill: Diagnosing x-ray pictures. In Chi M.T.H., Glaser R., and Farr M.J. (eds.), The Nature of Expertise. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  36. Markman E.M. (1981). Comprehension monitoring. In Dickson W.P. (ed.), Childrens’ Oral Communication Skills. New York: Academic Press.

    Google Scholar 

  37. Minsky M. (1991). Logical versus analogical or symbolic versus connectionistic or neat versus scruffy. AI Magazine, 12(2), 34–51.

    Google Scholar 

  38. Myers A., Feltovich P.J., Coulson R.L., Adami J.F., and Spiro R.J. (1990). Reductive biases in the reasoning of medical students: An investigation in the domain of acid-base balance. In Bender B., Scherbier A.J.J.A., and Zwierstra R.P. (eds.), Teaching and Assessing Clinical Competence. Groningen, The Netherlands: BoekWerk Publications.

    Google Scholar 

  39. Norman G.R., Tugwell P., and Feightner J.W. (1982). A comparison of resident performance on real and simulated patients. Journal of Medical Education, 57, 708–715.

    Google Scholar 

  40. Norman D. A. (1977). Notes toward a theory of complex learning. In Les-gold A.M., Pellegrino J.W., Fokkema S.D., and Glaser R. (eds.), Cognitive Psychology and Instruction. New York, NY: Plenum Press (NATO Conference Series).

    Google Scholar 

  41. Patel V.L., Evans D.A., and Groen G.J. (1989). Biomedical knowledge and clinical reasoning. In Evans D.A. and Patel V.L. (eds.) Cognitive Science in Medicine: Biomedical Modeling. Cambridge, MA: MIT (Bradford) Press.

    Google Scholar 

  42. Patel V.L., Kaufman D.R., and Magder S. (1991). Causal explanation of complex physiological concepts by medical students. International Journal of Science Education, 13(2), 171–185.

    Google Scholar 

  43. Prietula M., Feltovich P.J., and Marchak F. (1989). A heuristic framework for assessing factors influencing knowledge acquisition. In Blanning B. and King D. (eds.) Proceedings of the 22nd Hawaii Conference on System Sciences, Vol. III: Decision Support and Knowledge-based Systems. IEEE Press.

    Google Scholar 

  44. Roach E. and Mervis C.B. (1975). Family resemblances: Studies in the the internal structure of categories. Cognitive Psychology,7, 573–605.

    Google Scholar 

  45. Schmidt H.G., Norman G.R., and Boshuizen H.P.A. (1990). A cognitive perspective on medical expertise: Theory and implications. Academic Medicine, 65(10), 611–621.

    Article  Google Scholar 

  46. Schoen D.A. (1983). The Reflective Practitioner. New York, NY: Basic Books.

    Google Scholar 

  47. Spiro R.J., Coulson R.L., Feltovich P.J., and Anderson D.K. (1988). Cognitive flexibility theory: Advanced knowledge acquisition in ill-structured domains. In Tenth Annual Conference of the Cognitive Science Society. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  48. Spiro R.J., Feltovich P.J., Coulson R.L., and Anderson D.K. (1989). Multiple analogies for complex concepts: Antidotes for analogy-based misconception in advanced knowledge acquisition. In Vosniadou A. and Ortony A. (eds.), Similarity and Analytical Reasoning. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  49. Spiro R.J., Feltovich P.J., Jacobson M. and Coulson R.L. (1991). Cognitive flexibility, constructivism, and hypertext: Advanced knowledge acqusition in ill-structured domains. Educational Technology, 31(9), 22–25.

    Google Scholar 

  50. Spiro R.J. and Jehng J.C. (1990). Random access instruction: Theory and technology for the nonlinear and multidimensional traversal of complex subject matter. In Nix D. and Spiro R.J. (eds.) Cognition, Educationand Multimedia: Exploring Ideas in High Technology. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  51. Spiro R.J., Vispoel W., Schmitz J., Samarapungavan A., and Boerger A. (1987). Knowledge acquisition for application: Cognitive flexibility and transfer in complex content domains. In Britton B.C. (ed.), Executive Control Processes. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  52. Thorndike E.L. (1913). Educational Psychology (Vol. 2): The Psychology of Learning. New York, NY: Teachers College, Columbia University.

    Google Scholar 

  53. Tulving.E. (1962). Subjective organization in the free recall of unrelated words. Psychological Review, 69, 344–354.

    Article  Google Scholar 

  54. van der Vleuten C.F.M. and Swanson D.B. (1990). Assessment of clinical skills with standardized patients. Teaching and Learning in Medicine, 2(2), 58–76.

    Google Scholar 

  55. Voss J.F. (1978). Cognition and instruction: Toward a cognitive theory of learning. In Lesgold A.M., Pellegrino J.W., Fokkema S.D. and Glaser R. (eds.) Cognitive Psychology and Instruction. New York, NY: Plenum Press (NATO Conference Series).

    Google Scholar 

  56. Vu N.V. (1989). Identification and diagnosis of clinical reasoning problems. Final grant report to the National Fund for Medical Education.

    Google Scholar 

  57. Vu N.V. and Lee P. (1987). Characterizing entering first-year medical students’ problem-solving performance and deficiencies: An attempt at diagnostic evaluation. In Hart I. and Herndon R.K. (eds.) Further Developments in Assessing Clinical Competence. Montreal, Quebec: Can-Heal Publications, Inc.

    Google Scholar 

  58. West D.M. and ‘Davis L.E. (1991). The computational metaphor and artificial intelligence: A reflective examination of a theoretical falsework. AI Magazine, 12(1), 64–78.

    Google Scholar 

  59. Wittgenstein L. (1953). Philosophical Investigations. New York, NY: Macmillan.

    Google Scholar 

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Âİ 1992 Springer-Verlag Berlin Heidelberg

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Feltovich, P.J., Coulson, R.L., Spiro, R.J., Dawson-Saunders, B.K. (1992). Knowledge Application and Transfer for Complex Tasks in Ill-Structured Domains: Implications for Instruction and Testing in Biomedicine. In: Evans, D.A., Patel, V.L. (eds) Advanced Models of Cognition for Medical Training and Practice. NATO ASI Series, vol 97. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-02833-9_12

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  • DOI: https://doi.org/10.1007/978-3-662-02833-9_12

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