The Competent Mind: Beyond Cognition

Influences outside what is in the head of the practitioner

Data and environment

Leads to emphasis on teamwork and collaboration

The psychology

Attention

Bottom up vs top down

Bottom up based on raw input - involuntary attention

Top-down implement longer-term cognitive strategies

Automaticity and freeing up of cognitive resources with expertise - moving processes from system 2 (effortful, analytic, creative, deliberative) to system 1 (automatic, intuitive, effortless, nonanalytic)

Attention and competence

Competence as automatic

Competence as effortful

Competence as slowing down when you should (i.e. switching between the two)

Bereiter and Scardamalia use effortful attention as a differentiator between the experienced non-expert and the true expert

Situational awareness

Metacognition - the regulation of cognition. AKA "thinking about thinking". Reflective intelligence and self-monitoring

Interaction of metacognition and automaticity

Problem that automatic processes involve tacit knowledge

Tacit knowledge aka subsidiart awareness, gut feeling, intuition

Heuristics and shortcuts

Mindful practice

Key strategy for harnessing metacognition

Attempting to achieve "attentive automaticity"

The role of context - situational and cultural factors

Situtated competence

Social identity and medical culture

Inner feelings and emotions

Shared mind

Communities of practice and distributed cognition/collaborative cognition/ team situational awareness/ collective competence

Collaborative cognition - compensating for deficits in each others' ability