Exploring deliberate practice in medicine: how do physicians learn in the workplace?

Margaretha W. J. van de Wiel1, Piet Van den Bossche2, Sandra Janßen3, Helen Jossberger4
1Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands
2Department of Educational Research and Development, Maastricht University, Maastricht, The Netherlands
3Ruud de Moor Centre, Open University of The Netherlands, Heerlen, The Netherlands
4Centre for Learning Sciences and Technologies, Open University of the Netherlands, Heerlen, The Netherlands

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American Medical Association. (2009). Code of medical ethics: Current opinions with annotations, 2008–2009. Summary retrieved February 14, 2010, from the AMA website: http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-medical-ethics.shtml.

Bleakley, A. (2006). Broadening conceptions of learning in medical education: the message from teamworking. Medical Education, 40(2), 150–157.

Davis, D. (2009). How to help professionals maintain and improve their knowledge and skills: Triangulating best practices in medicine. In K. A. Ericsson (Ed.), Development of professional expertise: Toward measurement of expert performance and design of optimal learning environments (pp. 180–202). New York, NY: Cambridge University Press.

Deketelaere, A., Kelchtermans, G., Struyf, E., & De Leyn, P. (2006). Disentangling clinical learning experiences: an exploratory study on the dynamic tensions in internship. Medical Education, 40(9), 908–915.

Dornan, T., Boshuizen, H., King, N., & Scherpbier, A. (2007). Experience-based learning: a model linking the processes and outcomes of medical students’ workplace learning. Medical Education, 41(1), 84–91.

Duffy, F. D. (2008). Commentary: training internists for practice focused on meeting patient needs. Academic Medicine, 83(10), 893–896.

Dunn, T. G., & Shriner, C. (1999). Deliberate practice in teaching: What teachers do for self-improvement. Teaching and Teacher Education, 15(6), 631–651.

Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383.

Emans, B. (2004). Interviewing: Theory, techniques and training. Groningen, The Netherlands: Wolters-Noordhoff.

Epstein, R. M., Siegel, D. J., & Silberman, J. (2008). Self-monitoring in clinical practice: A challenge for medical educators. Journal of Continuing Education in the Health Professions, 28(1), 5–13.

Eraut, M. (2000). Non-formal learning and tacit knowledge in professional work. British Journal of Educational Psychology, 70, 113–136.

Eraut, M. (2004). Informal learning in the workplace. Studies in Continuing Education, 26(2), 247–273.

Eraut, M. (2007). Learning from other people in the workplace. Oxford Review of Education, 33(4), 403–422.

Ericsson, K. A. (2004). Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Academic Medicine, 79(10 Suppl), S70–S81.

Ericsson, K. A. (2006). The Influence of experience and deliberate practice on the development of superior expert performance. In K. A. Ericsson, N. Charness, P. J. Feltovich, & R. R. Hoffman (Eds.), The Cambridge handbook of expertise and expert performance (pp. 683–704). New York, NY: Cambridge University Press.

Ericsson, K. A., Krampe, R. T., & Tesch-Römer, C. (1993). The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100(3), 363–406.

Eva, K. W., & Regehr, G. (2005). Self-assessment in the health professions: A reformulation and research agenda. Academic Medicine, 80(10), S46–S54.

Eva, K. W., & Regehr, G. (2008). I’ll never play professional football and other fallacies of self-assessment. Journal of Continuing Education in the Health Professions, 28(1), 14–19.

Frank, J. R. (2005). The CanMEDS 2005 physician competency framework. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada.

General Medical Council UK. (2009). Good medical practice. Retrieved February 14, 2010, from the GMC UK website: http://www.gmc-uk.org/guidance/good_medical_practice/duties_of_a_doctor.asp.

Guest, C. B., Regehr, G., & Tiberius, R. G. (2001). The life long challenge of expertise. Medical Education, 35(1), 78–81.

Hoffman, K. G., & Donaldson, J. F. (2004). Contextual tensions of the clinical environment and their influence on teaching and learning. Medical Education, 38(4), 448–454.

Holmboe, E. S., Bowen, J. L., Green, M., Gregg, J., DiFrancesco, L., Reynolds, E., et al. (2005). Reforming internal medicine residency training. A report from the society of general internal medicine’s task force for residency reform. Journal of General Internal Medicine, 20(12), 1165–1172.

Kisiel, J. B., Bundrick, J. B., & Beckman, T. J. (2010). Resident physicians’ perspectives on effective outpatient teaching: A qualitative study. Advances in Health Sciences Education (in press). doi: 10.1007/s10459-009-9202-2 .

Mamede, S., & Schmidt, H. G. (2004). The structure of reflective practice in medicine. Medical Education, 38(12), 1302–1308.

Mann, K., Gordon, J., & MacLeod, A. (2009). Reflection and reflective practice in health professions education: a systematic review. Advances in Health Sciences Education, 14, 595–621. doi: 10.1007/s10459-007-9090-2 .

Mylopoulos, M., & Regehr, G. (2007). Cognitive metaphors of expertise and knowledge: Prospects and limitations for medical education. Medical Education, 41(12), 1159–1165.

Neuendorf, K. A. (2002). The content analysis guidebook. Thousand Oaks, CA: Sage.

Norman, G. R., Eva, K., Brooks, L., & Hamstra, S. (2006). Expertise in medicine and surgery. In K. A. Ericsson, N. Charness, P. J. Feltovich, & R. R. Hoffman (Eds.), The cambridge handbook of expertise and expert performance (pp. 339–354). New York, NY: Cambridge University Press.

Pintrich, P. R. (2000). The role of goal orientation in self-regulated learning. In M. Boekaerts & P. R. Pintrich (Eds.), Handbook of self regulation (pp. 451–502). San Diego, CA, US: Academic Press.

Royal Dutch Medical Association (KNMG). (2003). Gedragsregels en richtlijnen [Rules of conduct and guidelines]. Retrieved March 16, 2010, from the KNMG website: http://knmg.artsennet.nl/dossiers/Dossiers-op-thema/arts-en-recht-1/Gedragsregels-en-richtlijnen.htm.

Sargeant, J., Mann, K., Sinclair, D., Ferrier, S., Muirhead, P., van der Vleuten, C., et al. (2006). Learning in practice: Experiences and perceptions of high-scoring physicians. Academic Medicine, 81(7), 655–660.

Sheehan, D., Wilkinson, T. J., & Billett, S. (2005). Interns’ participation and learning in clinical environments in a New Zealand hospital. Academic Medicine, 80(3), 302–308.

Slotnick, H. B. (1996). How doctors learn: The role of clinical problems across the medical school-to-practice continuum. Academic Medicine, 71(1), 28–34.

Slotnick, H. B. (1999). How doctors learn: Physicians’ self-directed learning episodes. Academic Medicine, 74(10), 1106–1117.

Sonnentag, S., & Kleine, B. M. (2000). Deliberate practice at work: A study with insurance agents. Journal of Occupational and Organizational Psychology, 73(1), 87–102.

Stok-Koch, L., Bolhuis, S., & Koopmans, R. (2007). Identifying factors that influence workplace learning in postgraduate medical education. Education for Health, 20(1), 1–8.

Sutkin, G., Wagner, E., Harris, I., & Schiffer, R. (2008). What makes a good clinical teacher in medicine? A review of the literature. Academic Medicine, 83(5), 452–466.

Teunissen, P. W., Scheele, F., Scherpbier, A. J. J. A., van der Vleuten, C. P. M., Boor, K., van Luijk, S. J., et al. (2007). How residents learn: Qualitative evidence for the pivotal role of clinical activities. Medical Education, 41(8), 763–770.

Van de Wiel, M. W. J., Szegedi, K. H. P., & Weggeman, M. C. D. P. (2004). Professional learning: Deliberate attempts at developing expertise. In H. P. A. Boshuizen, R. Bromme, & H. Gruber (Eds.), Professional learning: Gaps and transitions on the way from novice to expert (pp. 181–206). Dordrecht: Kluwer.

Van den Bossche, P., Gijselaers, W. H., Segers, M., & Kirschner, P. A. (2006). Social and cognitive factors driving teamwork in collaborative learning environments: Team learning beliefs and behaviors. Small Group Research, 37(5), 490–521.

Wyatt, J. C., & Sullivan, F. (2005). Keeping up: Learning in the workplace. British Medical Journal, 331(7525), 1129–1132.

Zimmerman, B. J. (2000). Attaining self-regulation: A social cognitive perspective. In M. Boekaerts & P. R. Pintrich (Eds.), Handbook of self regulation (pp. 13–39). San Diego, CA, US: Academic Press.

Zimmerman, B. J. (2006). Development and adaptation of expertise: The role of self-regulatory processes and beliefs. In K. A. Ericsson, N. Charness, P. J. Feltovich, & R. R. Hoffman (Eds.), The Cambridge handbook of expertise and expert performance (pp. 705–722). New York, NY, US: Cambridge University Press.