Download PDF by Associate Professor Richard B. Gunderman MD, PhD, MPH: Achieving Excellence in Medical Education

By Associate Professor Richard B. Gunderman MD, PhD, MPH (auth.)

ISBN-10: 1846283175

ISBN-13: 9781846283178

ISBN-10: 1846288134

ISBN-13: 9781846288135

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For example, experts do not always make good teachers. An expert may understand a subject so well that it is difficult to appreciate what it looks like to novices. The expert may know where the learners should be headed, but find it very difficult to discern where they are, and thus experience difficulty moving them from point A to point B. In some cases, merely competent individuals may make better educators, because they can better understand and relate to the people they are teaching. In some cases, residents may make better teachers than faculty members, and medical students may make better teachers than residents.

The model of cognitive information processing offers a systematic approach to this problem. One problem can be the failure to encode information effectively. If information never makes it into long-term memory in the first place, then it will not be available for use later. To avoid this, learners need to be actively engaged in learning, being asked or asking themselves questions and examining what they are learning from multiple points of view. Another problem is the failure to access encoded information.

In order to discern what is wrong with a patient, we must discover what portion of their structure is out of shape. To know whether someone is ill, we seek a structural abnormality. If the appendix has a normal appearance, with no trace of inflammation, then we dismiss the diagnosis of appendicitis. If a patient with cough and fever has a normal chest radiograph, we know that they do not have pneumonia, although they could have a raging case of bronchitis. If a febrile patient has a normal white blood cell count and blood smear, we know that bacterial infection is not the culprit.

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Achieving Excellence in Medical Education by Associate Professor Richard B. Gunderman MD, PhD, MPH (auth.)


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