Garb H N
Psychol Bull. 1989 May;105(3):387-96. doi: 10.1037/0033-2909.105.3.387.
Reviews studies on training, experience, and clinical judgment. The results on the validity of judgments generally fail to support the value of on-the-job experience in mental health fields. The validity results do provide limited support for the value of training. Other results suggest that experienced clinicians are better than less experienced judges at knowing which of their judgments are likely to be correct and which are likely to be wrong. Reasons why clinicians have trouble learning from experience are given. Recommendations are made for improving training and clinical practice.
回顾关于培训、经验和临床判断的研究。关于判断有效性的结果通常无法支持心理健康领域在职经验的价值。有效性结果确实为培训的价值提供了有限的支持。其他结果表明,经验丰富的临床医生在知道自己的哪些判断可能正确、哪些可能错误方面比经验不足的判断者表现更好。文中给出了临床医生难以从经验中学习的原因。针对改进培训和临床实践提出了建议。