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Extra info for Achieving Excellence in Medical Education: Second Edition
Just because people become experts at chess does not mean that they will be expert mathematicians, linguists, or psychologists. Similarly, a physician who is an expert in cardiology may not perform better than average in another discipline, such as gastroenterology. Likewise, expert physicians are not necessarily good leaders, managers, or businesspeople. 2 Robert James Fischer (1943–2008). One of the greatest chess players in history, Bobby Fischer first encountered chess at the age of 6. He became obsessed with the game, devoting most of his waking life to playing and reading about chess, and winning his first US championship as a 14 year old.
Learning activities should foster the self-awareness of learners. Educators should determine what separates novices from experts and help learners to make that transition as effectively and efficiently as possible. It is not only what experts know in the sense of facts, but how they do what they do. When showed a game in progress, a chess expert instantly recognizes where the strategic advantage lies. Similarly, expert physicians can often see the diagnosis very quickly, whereas novices may never arrive at it.
It is vital both prospectively and retrospectively to avoid allowing the way a clinical question is presented to preclude additional and potentially more momentous observations that a colleague may have discounted or failed to consider all together. The next type of memory error is bias. This involves the tendency for more recent knowledge and beliefs to distort our recollection of others situated in the more distant past. For example, physicians’ general assessment of the intensity and stress of after-hours on-call duties may be especially strongly influenced by their last few on-call shifts.