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On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices

Open access
Boshuizen, H·1992·Cognitive Science

Abstract

In two studies the role of biomedical knowledge in the diagnosis of clinical cases was explored. Experiment 1 demonstrated a decrease in the use of biomedical knowledge with increasing expertise. This result appeared to be at variance with some findings reported in the literature (e.g., Lesgold, 1984), but supported those of others (e.g., Patel, Evans, & Groen, 1989). In Experiment 2, three possible explanations for this phenomenon were investigated: (1) rudimentation of biomedical knowledge, (2) inertia, and (3) encapsulation of biomedical knowledge under higher order concepts. Using a combined think-aloud and post-hoc explanation methodology, it was shown that experts have more in-depth biomedical knowledge than novices and subjects at intermediate levels of expertise. The findings generally support a three-stage model of expertise development in medicine consisting of acquisition of biomedical knowledge, practical experience, and integration of theoretical and experiental knowledge resulting in knowledge encapsulation.

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Metadata

Authors
Boshuizen, H.
Venue
Cognitive Science
Publisher
Wiley
Published
1992-06
Volume
16
Issue
2
Pages
153-184
ISSN
0364-0213 (ISSN-L)
OpenAlex
W2165296995
Cited by
565
References
3
FWCI
11.95
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices. https://app.cochat.ai/papers/10.1016/0364-0213(92)90022-m
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Boshuizen, H. (1992). On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices. Cognitive Science. https://doi.org/10.1016/0364-0213(92)90022-m

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.