Concept Mapping in 5 Easy Steps WHOLE STUDENT LEARNING SERIES ACADEMIC AND CAREER GUIDANCE MSUCOM INTENDED LEARNING OUTCOMES • After this presentation a medical student will • Appreciate the potential benefits of concept mapping to her or his medical education. • Be able to create a basic concept map to work through a course learning objective, question, or problem s/he is trying to learn, answer, or solve. 2 WHAT IS CONCEPT MAPPING? • “Concept maps are graphical tools for organizing and representing knowledge” (Cañas, 2009). • Concept mapping is an ideal technique for organizing and thinking about complex information and ill-structured medical problems. • Medical students can effectively use concept mapping as a study method while striving to assimilate vast amounts of medical knowledge for the ultimate purpose of being able to make an accurate diagnosis of a patient’s medical problem. • All types of learners can potentially benefit from concept mapping to help think through complex problems or as a method of creating review/ summary sheets for course exams or boards. 3 WHAT ARE THE BASIC STEPS TO CREATING A CONCEPT MAP? 1. 2. 3. 4. 5. Begin with a “focus question” or problem, such as “how to diagnose chest pain?” or “how do antibiotics work?” Brainstorm and create a “parking lot” of 15-30 key concepts that relate to the focus question. Try to list these in an approximate rank-order from most general to most specific. On a sheet of unlined paper*, write the main concept near the top or middle of the paper, and construct a preliminary map by moving the concepts from the parking lot into the map in a hierarchical fashion (from general to specific). Connect the concepts with arrows and identify the relationships between the concepts using “linking words” or “linking phrases.” Evaluate the map and revise as needed to flesh out the details: Do the pieces fit together and make sense? Have you included everything pertinent? Have you identified all the relationships and interconnections (cross links)? *Concept mapping software is available, but even PowerPoint works well because of the relative ease of creating and manipulating design elements, such as textboxes and 4 arrows. DON’T BE INTIMIDATED*… • There is no necessarily right or wrong way to create a concept map, the important thing is to include key concepts and attempt to identify as many relevant relationships as possible. • Generally speaking, the more branched and interconnected the map, the more the sophisticated the creator’s level of knowledge about the problem (West, 2000). *The author of this document went to the ER in a full-blown panic attack following her first introduction to concept-mapping, but it’s really not that difficult! ☺ 5 What follows is an example of a basic concept mapping exercise… 6 WHAT IS THE FOCUS QUESTION? • What is involved in a physician’s ability to provide an accurate diagnosis to explain a patient’s chief complaint? 7 WHAT ARE THE KEY CONCEPTS? “PARKING LOT” • Phases of diagnosis • Information gathering • History • PE • Ancillary tests • Integration of information • Confirmation of diagnosis • Cognitive processes • Pattern matching • Experts • Past experience • Illness scripts • Mental schema • Hypothesis testing • Cognitive errors • Causes • Inadequate information gathering • Inadequate knowledge • Cognitive biases • Types • • • • • Wrong synthesis Inadequate synthesis Premature closure Omission Anchoring • Misdiagnosis • Medical errors • Novice • Atypical presentations (Kuhn, 2002) 8 Move concepts from the “parking lot” into the map maintaining a hierarchical structure – feel free to play around with their arrangement / location 9 Inadequate information gathering Insufficient knowledge Wrong synthesis Cognitive biases Premature closure Inadequate synthesis Diagnostic errors Wrong / missed diagnoses Medical errors Omission “Illness scripts” Anchoring Volatility Limited capacity Diagnosis Pattern matching Mental schema Past experience Short-term memory Series of phases Hypothesis testing Novices Information gathering Integration of data Challenging cases / atypical presentations Experts Clusters of related information stored in long-term memory Confirmation History taking Physical exam Ancillary tests Diagnostic testing 10 Add arrows and linking words or phrases to describe the relationships between concepts 11 Inadequate information gathering Wrong synthesis Insufficient knowledge Limited by Cognitive biases Result from Premature closure Inadequate synthesis Diagnostic errors Such as Omission Volatility Due to Diagnosis Can contribute to Short-term memory Series of phases Can be limited by Involves History taking Integration of data And maybe Physical exam Hypothesis testing Novices Information gathering Based on Occurs by Pattern matching Lead to Medical errors “Illness scripts” A type of Depends heavily on Past experience Occurs by Involves Emphasized more by Including Wrong / missed diagnoses Is prone to Anchoring Limited capacity Lead to May emphasize Challenging cases / atypical presentations Acquired by Experts When confronted by Mental schema Which are Clusters of related information stored in long-term memory Confirmation By Ancillary tests If initial diagnosis not confirmed Diagnostic testing 12 It may take several iterations to get to an end product you like, but the whole process, including revision, really helps you think through the information, thereby building long-lasting memories and transferable knowledge! 13 ADDITIONAL RESOURCES • Constructing Your First Concept Map http://cmap.ihmc.us/docs/ ConstructingAConceptMap.html • Concept Maps: What the Heck Is This? https://www.msu.edu/~luckie/ctools/ 14 REFERENCES • Cañas A (2009). What are linking words…from a concept mapping perspective?” Retrieved from http://cmap.ihmc.us/docs/linkingwords.html. • Kuhn G (2002). Diagnostic errors, Academic Emergency Medicine, 9(7): 740-750. Accessed on 9/18/14 from http://onlinelibrary.wiley.com/store/10.1197/aemj.9.7.740/asset/aemj. 9.7.740.pdf;jsessionid=53C6AB1B3DF2E2E2B5902413FAB3B1B0.f04t03? v=1&t=i089tbp3&s=b4aefef2937c024577e1462a19e607ccc13c39ee. • West DC, Pomeroy JR, Park JK, Gerstenberger EA, and Sandoval J (2000). Critical thinking in graduate medical education: A role for concept mapping assessment, JAMA, 284(9): 1105-1110. Accessed on 9/18/14 from http://jama.jamanetwork.com/article.aspx?articleid=193038. 15
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