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Tracks to a Medical Diagnosis: Expertise Differences in Visual Problem Solving
Authors:Thomas Jaarsma  Henny P. A. Boshuizen  Halszka Jarodzka  Marius Nap  Peter Verboon  Jeroen J. G. van Merriënboer
Affiliation:1. Welten Institute, Open University of The Netherlands, Heerlen, The Netherlands;2. University of Turku, Turku, Finland;3. Humanities Laboratory, Lund University, Lund, Sweden;4. Pathology Department, Atrium Medical Center, Heerlen, The Netherlands;5. Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands;6. Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
Abstract:This study focuses on the visual problem‐solving process of clinical pathologists. Its aim is to find expertise‐related differences in the temporal arrangement of this process, with a special focus on the orientation phase. A theoretical model of the visual diagnostic process of medical specialists is extended with general problem‐solving theory. Participants were 13 experts, 12 intermediates, and 13 novices, who all diagnosed seven microscopic images. Their microscope movements and thinking aloud were recorded. To study temporal arrangement of the process, we applied a time‐grid to the data. The results reflected several aspects of general problem‐solving theory. Experts and intermediates showed a more extensive orientation phase and more refined schemata than novices. Intermediates also showed a control phase at the end of the diagnostic process. Novices showed a uniform process. These phases were reflected in microscope navigation and thinking aloud, which justifies the extension of the theoretical model.Copyright © 2016 John Wiley & Sons, Ltd.
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