Concept: Dreyfus model of skill acquisition
Those in 20th century philosophy, psychology, and neuroscience who have discussed the nature of skilled action have, for the most part, accepted the view that being skilled at an activity is independent of knowing facts about that activity, i.e., that skill is independent of knowledge of facts. In this paper we question this view of motor skill. We begin by situating the notion of skill in historical and philosophical context. We use the discussion to explain and motivate the view that motor skill depends upon knowledge of facts. This conclusion seemingly contradicts well-known results in cognitive science. It is natural, on the face of it, to take the case of H.M., the seminal case in cognitive neuroscience that led to the discovery of different memory systems, as providing powerful evidence for the independence of knowledge and skill acquisition. After all, H.M. seems to show that motor learning is retained even when previous knowledge about the activity has been lost. Improvements in skill generally require increased precision of selected actions, which we call motor acuity. Motor acuity may indeed not require propositional knowledge and has direct parallels with perceptual acuity. We argue, however, that reflection on the specifics of H.M.’s case, as well as other research on the nature of skill, indicates that learning to become skilled at a motor task, for example tennis, depends also on knowledge-based selection of the right actions. Thus skilled activity requires both acuity and knowledge, with both increasing with practice. The moral of our discussion ranges beyond debates about motor skill; we argue that it undermines any attempt to draw a distinction between practical and theoretical activities. While we will reject the independence of skill and knowledge, our discussion leaves open several different possible relations between knowledge and skill. Deciding between them is a task to be resolved by future research.
Indications for intra-osseous (IO) infusion are increasing in adults requiring administration of fluids and medications during initial resuscitation. However, this route is rarely used nowadays due to a lack of knowlegde and training. We reviewed the current evidence for its use in adults requiring resuscitative procedures, the contraindications of the technique, and modalities for catheter implementation and skill acquisition.
This article summarizes research from an ecological dynamics program of work on team sports exemplifying how small-sided and conditioned games (SSCGs) can enhance skill acquisition and decision-making processes during training. The data highlighted show how constraints of different SSCGs can facilitate emergence of continuous interpersonal coordination tendencies during practice to benefit team games players.
Abstract The purpose of this article was to examine the effect of equipment scaling, through the modification of tennis ball compression, on elite junior tennis players (aged 10 years) within a match-play context. The two types of ball compressions that were compared were the standard compression (the normal ball) and 75% compression (termed the modified ball). Ten boys and 10 girls participated in the study. Participants were stratified into pairs based on their Australian Age Ranking and gender. Each pair played two two-set matches: one match with standard compression balls and one match with modified balls. The characteristics of each match were analysed and compared. The results showed that the use of the modified ball increased rally speed, allowed players to strike the ball at a lower (more comfortable) height on their groundstrokes and increased the number of balls played at the net. Ball compression had no effect on the relative number of winners, forehands, backhands, first serves in and double faults. The results are discussed in relation to skill acquisition for skilled junior tennis players.
BACKGROUND: Clinical skills education must accommodate the different needs of nursing students, particularly in view of increasing numbers of graduate entrants. E-learning has been promoted for its ability to engage learners and customise the learning process and evidence supports its use for clinical skill acquisition. However, graduate nursing students have unique needs, and their perceptions and experiences of e-learning require exploration. AIM: The aim of the study was to explore graduate first year nursing students' perceptions and experiences of e-learning when used to supplement traditional methods to learn clinical skills. DESIGN/METHOD: Mixed methods, employing qualitative and quantitative approaches, were used. Eighty-three (46%) participants were recruited from a cohort of graduate students (n=180) enrolled in an accelerated pre-registration nursing programme. Participants completed e-learning educational materials prior to attendance at clinical skills sessions. Focus groups (n=2) explored participants' (n=15) experiences and perceptions of e-learning and identified common issues. Discussions were transcribed verbatim and analysed using a thematic approach. Findings informed the development of a questionnaire which sought to confirm perceptions of e-learning and the perceived value for clinical skills acquisition in the larger student group. Data from questionnaires (n=83) were analysed using descriptive statistics. RESULTS/DISCUSSION: Students found e-learning valuable for developing clinical skills and, although they viewed it positively, they did not want to relinquish conventional teaching methods, preferring both in combination. Video clips were perceived as the most useful feature while online readings were viewed as the least useful. An underestimate of time requirements, navigational issues and technical difficulties were reported frustrations. CONCLUSION: Although limited by potential volunteer bias, findings contribute to the ongoing discourse on how e-learning can support clinical skills education and provides insights from the perspective of graduate nursing students. E-learning does not suit the needs of all learners. This must be recognised to enhance the learning experience.
Learning complex skills is driven by reinforcement, which facilitates both online within-session gains and retention of the acquired skills. Yet, in ecologically relevant situations, skills are often acquired when mapping between actions and rewarding outcomes is unknown to the learning agent, resulting in reinforcement schedules of a stochastic nature. Here we trained subjects on a visuomotor learning task, comparing reinforcement schedules with higher, lower, or no stochasticity. Training under higher levels of stochastic reinforcement benefited skill acquisition, enhancing both online gains and long-term retention. These findings indicate that the enhancing effects of reinforcement on skill acquisition depend on reinforcement schedules.
It is often assumed that implicit learning of skills based on predictive relationships proceeds independently of awareness. To test this idea, four groups of subjects played a game in which a fast-moving “demon” made a brief appearance at the bottom of the computer screen, then disappeared behind a V-shaped occluder, and finally re-appeared briefly on either the upper-left or upper-right quadrant of the screen. Points were scored by clicking on the demon during the final reappearance phase. Demons differed in several visible characteristics including color, horn height and eye size. For some subjects, horn height perfectly predicted which side the demon would reappear on. For subjects not told the rule, the subset who demonstrated at the end of the experiment that they had spontaneously discovered the rule showed strong evidence of exploiting it by anticipating the demon’s arrival and laying in wait for it. Those who could not verbalize the rule performed no better than a control group for whom the demons moved unpredictably. The implications of this tight linkage between conscious awareness and implicit skill learning are discussed.
We study the economic assimilation of childhood immigrants to the United States. The linguistic distance between English and the predominant language in one’s country of birth interacted with age at arrival is shown to be closely connected to occupational sorting in adulthood. By applying big-data techniques to occupations' detailed skill requirements, we provide evidence that childhood immigrants from English-distant countries who arrived after the primary school years reveal comparative advantages in tasks distinct from those for which (close to) Anglophone immigrants are better suited. Meanwhile, those who arrive at younger ages specialize in a bundle of skills very similar to that supplied by observationally equivalent workers. These patterns emerge even after we net out the effects of formal education. Such findings are compatible with the existence of different degrees of complementarity between relative English-learning potential at arrival and the acquisition of multiple capabilities demanded in the U.S. labor market (math/logic, socioemotional, physical, and communication skills). Consistent with the investment-complementarity argument, we show that linguistic distance and age at arrival also play a significant role on the choice of college major within this population.
Sport sampling is recommended to promote fundamental movement skill acquisition and physical activity. In contrast, sport specialization is associated with musculoskeletal injury risk, burnout, and attrition from sport. There is limited evidence to support the influence of sport sampling on neuromuscular control, which is associated with injury risk, in youth athletes.
Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial
- JAMA : the journal of the American Medical Association
- Published over 5 years ago
Communication about end-of-life care is a core clinical skill. Simulation-based training improves skill acquisition, but effects on patient-reported outcomes are unknown.