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Titlebook: How Doctors Think and Learn; Derek Burke Book 2020 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Na

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SkillThis chapter discusses the Dreyfus and Dreyfus model of skill acquisition. It considers the five stages of the model, the characteristics of each stage and how a student or performer transitions from stage to stage.
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CompetenceThis chapter considers the concept of competence. It reviews the literature on competence and the various proposed definitions.
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Overview to SynthesisThis chapter considers concepts not previously covered which are necessary for the development of the conceptual framework for the acquisition, development and refining of professional skills.
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Theories of Action and Transforming Thought into Action RevisitedThis chapter brings together the material covered in Chap. . and extends it by incorporating Maslow’s Hierarchy of Needs and Herzberg’s Hygiene and Motivational Factors to develop a deeper understanding of the nature of theories of action. This will form the basis of a comprehensive model to be described in the next chapter.
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Assessment and Appraisalrent types of assessment: formative, summative and ipsative. The various tools available for assessment are considered. Miller’s framework for the assessment of clinical skills, competence and performance is reviewed and finally The General Medical Council enhanced appraisal system is discussed.
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