The Meta-Analysis of Clinical Judgment Project: Effects of Experience on Judgment Accuracy
Clinical and educational experience is one of the most commonly studied variables in clinical judgment research. Contrary to clinicians' perceptions, clinical judgment researchers have generally concluded that accuracy does not improve with increased education, training, or clinical experience....
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| Veröffentlicht in: | The Counseling psychologist 2009-04, Vol.37 (3), p.350-399 |
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| container_title | The Counseling psychologist |
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| creator | Spengler, Paul M. White, Michael J. Ægisdóttir, Stefanía Maugherman, Alan S. Anderson, Linda A. Cook, Robert S. Nichols, Cassandra N. Lampropoulos, Georgios K. Walker, Blain S. Cohen, Genna R. Rush, Jeffrey D. |
| description | Clinical and educational experience is one of the most commonly studied variables in clinical judgment research. Contrary to clinicians' perceptions, clinical judgment researchers have generally concluded that accuracy does not improve with increased education, training, or clinical experience. In this meta-analysis, the authors synthesized results from 75 clinical judgment studies where the experience of 4,607 clinicians was assessed in relation to the accuracy of their judgments about mental health (e.g., diagnosis, prognosis, treatment) and psychological issues (e.g., vocational, personality). The authors found a small but reliable effect, d = .12, showing that experience, whether educational or clinical, is positively associated with judgment accuracy. This small effect was robust across several tested moderator models, indicating experienced counselors and clinicians acquire, in general, almost a 13% increase in their decision-making accuracy, regardless of other factors. Results are discussed in light of their implications for clinical judgment research and for counseling psychology training and practice. |
| doi_str_mv | 10.1177/0011000006295149 |
| format | Article |
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Contrary to clinicians' perceptions, clinical judgment researchers have generally concluded that accuracy does not improve with increased education, training, or clinical experience. In this meta-analysis, the authors synthesized results from 75 clinical judgment studies where the experience of 4,607 clinicians was assessed in relation to the accuracy of their judgments about mental health (e.g., diagnosis, prognosis, treatment) and psychological issues (e.g., vocational, personality). The authors found a small but reliable effect, d = .12, showing that experience, whether educational or clinical, is positively associated with judgment accuracy. This small effect was robust across several tested moderator models, indicating experienced counselors and clinicians acquire, in general, almost a 13% increase in their decision-making accuracy, regardless of other factors. Results are discussed in light of their implications for clinical judgment research and for counseling psychology training and practice.</description><identifier>ISSN: 0011-0000</identifier><identifier>EISSN: 1552-3861</identifier><identifier>DOI: 10.1177/0011000006295149</identifier><identifier>CODEN: CPSYBK</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Accuracy ; Clinical decision making ; Clinical Experience ; Clinical judgments ; Clinical psychology ; Clinical research ; Clinical training ; Context Effect ; Counseling Psychology ; Counselling psychology ; Decision making ; Educational Experience ; Judgments ; Medical diagnosis ; Medical Evaluation ; Medical prognosis ; Medical Research ; Mental Health ; Meta Analysis ; Moderators ; Predictor Variables ; Psychologists ; Resistance (Psychology) ; Systematic review ; Training ; Validity</subject><ispartof>The Counseling psychologist, 2009-04, Vol.37 (3), p.350-399</ispartof><rights>Copyright SAGE PUBLICATIONS, INC. 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Contrary to clinicians' perceptions, clinical judgment researchers have generally concluded that accuracy does not improve with increased education, training, or clinical experience. In this meta-analysis, the authors synthesized results from 75 clinical judgment studies where the experience of 4,607 clinicians was assessed in relation to the accuracy of their judgments about mental health (e.g., diagnosis, prognosis, treatment) and psychological issues (e.g., vocational, personality). The authors found a small but reliable effect, d = .12, showing that experience, whether educational or clinical, is positively associated with judgment accuracy. This small effect was robust across several tested moderator models, indicating experienced counselors and clinicians acquire, in general, almost a 13% increase in their decision-making accuracy, regardless of other factors. Results are discussed in light of their implications for clinical judgment research and for counseling psychology training and practice.</description><subject>Accuracy</subject><subject>Clinical decision making</subject><subject>Clinical Experience</subject><subject>Clinical judgments</subject><subject>Clinical psychology</subject><subject>Clinical research</subject><subject>Clinical training</subject><subject>Context Effect</subject><subject>Counseling Psychology</subject><subject>Counselling psychology</subject><subject>Decision making</subject><subject>Educational Experience</subject><subject>Judgments</subject><subject>Medical diagnosis</subject><subject>Medical Evaluation</subject><subject>Medical prognosis</subject><subject>Medical Research</subject><subject>Mental Health</subject><subject>Meta Analysis</subject><subject>Moderators</subject><subject>Predictor Variables</subject><subject>Psychologists</subject><subject>Resistance (Psychology)</subject><subject>Systematic review</subject><subject>Training</subject><subject>Validity</subject><issn>0011-0000</issn><issn>1552-3861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kMFLwzAYxYMoOKd3Dx6KgrfOfEmTJscxNnVM9DDPJU2T2dG1M2kP--9NqYgMlssXeL_3ku8hdAt4ApCmTxgD4P5wIhkk8gyNgDESU8HhHI16Oe7lS3Tl_TZcgHA2QpP1l4neTKviaa2qgy991NhoVpV1qVUVLbtiszN1G324Zmt0e40urKq8ufmdY_S5mK9nL_Hq_fl1Nl3FmibQxqLghYKcUGtAEKWVxLkQ3DDDhFV5QhIpc0EEt6awqaI4TW34qLRAsc5zoGP0OOTuXfPdGd9mu9JrU1WqNk3nM5YSngRDAO-PwG3TubCKzwimhMvQSoAeTkEgiSCpECIJFB4o7RrvnbHZ3pU75Q4Z4KzvODvuOFjuBotxpf7D50tBScL6xHiQvdqYf2-eivsBrbCBCA</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Spengler, Paul M.</creator><creator>White, Michael J.</creator><creator>Ægisdóttir, Stefanía</creator><creator>Maugherman, Alan S.</creator><creator>Anderson, Linda A.</creator><creator>Cook, Robert S.</creator><creator>Nichols, Cassandra N.</creator><creator>Lampropoulos, Georgios K.</creator><creator>Walker, Blain S.</creator><creator>Cohen, Genna R.</creator><creator>Rush, Jeffrey D.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope></search><sort><creationdate>20090401</creationdate><title>The Meta-Analysis of Clinical Judgment Project</title><author>Spengler, Paul M. ; 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| subjects | Accuracy Clinical decision making Clinical Experience Clinical judgments Clinical psychology Clinical research Clinical training Context Effect Counseling Psychology Counselling psychology Decision making Educational Experience Judgments Medical diagnosis Medical Evaluation Medical prognosis Medical Research Mental Health Meta Analysis Moderators Predictor Variables Psychologists Resistance (Psychology) Systematic review Training Validity |
| title | The Meta-Analysis of Clinical Judgment Project: Effects of Experience on Judgment Accuracy |
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