Paradigms and problem-solving: a literature review. 1984

E S Berner

Thomas Kuhn's conceptions of the influence of paradigms on the progress of science from the framework for analyzing how medical educators have approached research on medical problem-solving. Kuhn's ideas help to explain the often conflicting research results that have appeared over the last 20 years. Specifically, underlying assumptions about the problem-solving process are explored in light of data that demonstrate (a) low correlations between different measures of problem-solving, (b) inconsistent relationships between the amount of clinical experience and problem-solving ability, and (c) case specificity of performance. A new paradigm emphasizing multiple types of problems with varied solution strategies is proposed.

UI MeSH Term Description Entries
D011340 Problem Solving A learning situation involving more than one alternative from which a selection is made in order to attain a specific goal.
D012106 Research Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed) Research Priorities,Laboratory Research,Research Activities,Research and Development,Activities, Research,Activity, Research,Development and Research,Priorities, Research,Priority, Research,Research Activity,Research Priority,Research, Laboratory
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D003933 Diagnosis The determination of the nature of a disease or condition, or the distinguishing of one disease or condition from another. Assessment may be made through physical examination, laboratory tests, or the likes. Computerized programs may be used to enhance the decision-making process. Diagnose,Diagnoses and Examination,Antemortem Diagnosis,Diagnoses and Examinations,Examinations and Diagnoses,Postmortem Diagnosis,Antemortem Diagnoses,Diagnoses,Diagnoses, Antemortem,Diagnoses, Postmortem,Diagnosis, Antemortem,Diagnosis, Postmortem,Examination and Diagnoses,Postmortem Diagnoses
D004501 Education, Medical Use for general articles concerning medical education. Medical Education
D004521 Educational Measurement The assessing of academic or educational achievement. It includes all aspects of testing and test construction. Assessment, Educational,Graduate Records Examination,Educational Assessment,Examination, Graduate Records,Measurement, Educational,Assessments, Educational,Educational Assessments,Educational Measurements,Examinations, Graduate Records,Graduate Records Examinations,Measurements, Educational
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013663 Teaching A formal and organized process of transmitting knowledge to a person or group. Teaching Method,Training Activity,Training Technique,Academic Training,Educational Technics,Educational Techniques,Pedagogy,Teaching Methods,Technics, Educational,Techniques, Educational,Training Activities,Training Technics,Training Techniques,Activities, Training,Activity, Training,Educational Technic,Educational Technique,Method, Teaching,Methods, Teaching,Pedagogies,Technic, Educational,Technic, Training,Technics, Training,Technique, Educational,Technique, Training,Techniques, Training,Training Technic,Training, Academic

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