Moving from Novice to Expertise and Its Implications for Instruction

Objective: To address the stages of expertise development, what differentiates a novice from an expert, and how the development and differences impact how we teach our classes or design the curriculum. This paper will also address the downside of expertise and discuss the importance of teaching expertise relative to domain expertise. Summary: Experts develop through years of experience and by progressing from novice, advance beginner, proficient, competent, and finally expert. These stages are contingent on progressive problem solving, which means individuals must engage in increasingly complex problems, strategically aligned with the learner's stage of development. Thus, several characteristics differentiate experts from novices. Experts know more, their knowledge is better organized and integrated, they have better strategies for accessing knowledge and using it, and they are self-regulated and have different motivations.

[1]  H. Schmidt,et al.  A Cognitive Perspective on Medical Expertise: Theory and Implications , 1990 .

[2]  J. Sweller,et al.  Cognitive Load Theory and Complex Learning: Recent Developments and Future Directions , 2005 .

[3]  Michael J. Prietula,et al.  Expertise and Error in Diagnostic Reasoning , 1981, Cogn. Sci..

[4]  Bradley J Benson,et al.  From the educational bench to the clinical bedside: translating the Dreyfus developmental model to the learning of clinical skills. , 2008, Academic medicine : journal of the Association of American Medical Colleges.

[5]  Melissa S Medina,et al.  Strategies for Improving Learner Metacognition in Health Professional Education , 2017, American Journal of Pharmaceutical Education.

[6]  Adam Dubrowski,et al.  Measuring cognitive load during simulation-based psychomotor skills training: sensitivity of secondary-task performance and subjective ratings , 2015, Advances in Health Sciences Education.

[7]  G. King,et al.  The development of expertise in paediatric rehabilitation therapists: the roles of motivation, openness to experience, and types of caseload experience. , 2008, Australian occupational therapy journal.

[8]  Melanie Rylander,et al.  Heuristic errors in clinical reasoning , 2016, The clinical teacher.

[9]  Walter Schneider,et al.  Controlled and automatic human information processing: II. Perceptual learning, automatic attending and a general theory. , 1977 .

[10]  Jeffrey D. Karpicke,et al.  Test-Enhanced Learning , 2006, Psychological science.

[11]  H. Swanson,et al.  An Information Processing Analysis of Expert and Novice Teachers’ Problem Solving , 1990 .

[12]  Fredrik Ullén,et al.  Rethinking expertise: A multifactorial gene-environment interaction model of expert performance. , 2016, Psychological bulletin.

[13]  Adolfo Peña,et al.  The Dreyfus model of clinical problem-solving skills acquisition: a critical perspective , 2010, Medical education online.

[14]  John R. Anderson.  Acquisition of cognitive skill. , 1982 .

[15]  J. Bransford,et al.  Differences in judgments of learning difficulty. , 1982, Journal of experimental psychology. General.

[16]  S. Dreyfus,et al.  Peripheral Vision , 2005 .

[17]  Paul Batalden,et al.  General competencies and accreditation in graduate medical education. , 2002, Health affairs.

[18]  Matthew Fisher,et al.  The Curse of Expertise: When More Knowledge Leads to Miscalibrated Explanatory Insight , 2016, Cogn. Sci..

[19]  Alexandre Ardichvili,et al.  Becoming an Expert: Developing Expertise in an Applied Discipline. , 2015 .

[20]  Robert J. Crutcher,et al.  The role of deliberate practice in the acquisition of expert performance. , 1993 .

[21]  D. Norman,et al.  To Ask a Question, One Must Know Enough to Know What Is Not Known. Report No. 7802. , 1978 .

[22]  Jason W. Morphew,et al.  Judgments of physics problem difficulty among experts and novices , 2015 .

[23]  T. Judkins,et al.  Objective evaluation of expert and novice performance during robotic surgical training tasks , 2009, Surgical Endoscopy.

[24]  K. Feldman.  Research productivity and scholarly accomplishment of college teachers as related to their instructional effectiveness: A review and exploration , 1987 .

[25]  S. Kay.  On the Nature of Expertise. , 1992 .

[26]  D. Hambrick,et al.  On Behalf Of: Association for Psychological Science Onlinefirst Version of Record >> Deliberate Practice and Performance in Music, Games, Sports, Education, and Professions: a Meta-analysis the Current Meta-analysis Effect Sizes Meta-analytic Procedure , 2022 .

[27]  Jeannine M Conway,et al.  A Pharmacotherapy Capstone Course to Advance Pharmacy Students’ Clinical Documentation Skills , 2012, American Journal of Pharmaceutical Education.

[28]  J. Kruger,et al.  Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. , 1999, Journal of personality and social psychology.

[29]  Slava Kalyuga,et al.  The Expertise Reversal Effect , 2003 .

[30]  K. A. Ericsson,et al.  Deliberate practice and acquisition of expert performance: a general overview. , 2008, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[31]  H. Schmidt,et al.  A cognitive perspective on medical expertise: theory and implication [published erratum appears in Acad Med 1992 Apr;67(4):287] , 1990, Academic medicine : journal of the Association of American Medical Colleges.

[32]  Kieran Walsh,et al.  Oxford Textbook of Medical Education , 2013 .

[33]  D. Sanders,et al.  Strategies to Scaffold Student Learning: Applying Vygotsky's Zone of Proximal Development , 2005, Nurse educator.

[34]  F. Gobet,et al.  The Cambridge handbook of expertise and expert performance , 2006 .

[35]  K. Tanner.  Promoting student metacognition. , 2012 .

[36]  Günter Daniel Rey,et al.  The expertise reversal effect: cognitive load and motivational explanations. , 2011, Journal of experimental psychology. Applied.

[37]  Slava Kalyuga,et al.  Rethinking the Boundaries of Cognitive Load Theory in Complex Learning , 2016 .

[38]  Jeroen J. G. van Merriënboer,et al.  Tracks to a Medical Diagnosis: Expertise Differences in Visual Problem Solving , 2016 .

[39]  W. Schnotz.  Reanalyzing the expertise reversal effect , 2010 .

[40]  B. Daley,et al.  Concept maps in medical education: an analytical literature review , 2010, Medical education.

[41]  D. Kolb.  Experiential Learning: Experience as the Source of Learning and Development , 1983 .

[42]  R. E. Carter.  Faculty Scholarship Has a Profound Positive Association With Student Evaluations of Teaching—Except When It Doesn’t , 2016 .

[43]  D. M. Roesch,et al.  A Multi-Instructor, Team-Based, Active-Learning Exercise to Integrate Basic and Clinical Sciences Content , 2012, American Journal of Pharmaceutical Education.

[44]  Kenneth G. DeMarree,et al.  Unskilled and unaware in the classroom: College students’ desired grades predict their biased grade predictions , 2016, Memory & Cognition.

[45]  Claire E. Weinstein,et al.  Broadening our conception of general education: The self‐regulated learner , 1993 .