If there are differences in the problem-solving approaches used by expert and novice physicians, it might be possible to identify these differences and capture the art of medicine. This study examined the differences between the problem-solving strategies of experienced and novice physicians. Three case scenarios were used to collect data, with each constructed to observe problem solving in a different context. The results indicate that the ability to incorporate contextual information into the formulation of a problem-solving strategy played the most important role in the effectiveness of the problem solving. Additionally, the approaches of experienced physicians tended to be more inclusive than those of novices; however, both groups demonstrated premature diagnostic bias, assuming a diagnosis that was less than justified by available data. By teaching problem-solving techniques, it may be possible to increase the efficiency of learning in both novice and experienced physicians and also improve patient care.
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Sarina J. Grosswald (2001) studied this question.
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