Role Of Deliberate Practice Research Articles

Training Generations of Clinician Educators: Applying the Novel Clinician Educator Milestones to Faculty Development

Training Generations of Clinician Educators: Applying the Novel Clinician Educator Milestones to Faculty Development

Towards a science of the acquisition of expert performance in sports: Clarifying the differences between deliberate practice and other types of practice

ABSTRACTEricsson, Krampe, and Tesch- Römer published their research on “The role of deliberate practice in the acquisition of expert performance” over 25 years ago. Since then, hundreds of new articles have been published with findings regarding the effects of practice on performance in sports. The original paper searched for conditions underpinning optimal acquisition of reproducibly superior (expert) performance in domains, where methods for producing such performance had been refined over centuries. At an elite music academy, superior music students were found to have engaged for longer periods in solitary practice guided by their music teachers – an explication of the conditions of this type of practice led to a definition of deliberate practice. When other researchers in sports started searching for optimal practice, they could not find any practice activities meeting all the criteria for “deliberate practice”, yet referred to somewhat similar activities using that same term. This paper shows that the effects of these different types of practice activities on attained performance differ from those of deliberate practice and should be given different distinct names. The paper concludes with recommendations for how future research on purposeful and deliberate practice can inform, not just athletes and their coaches, but all adults about how their achievements can be improved with individualized forms of effective practice.

Putting writing into perspective: Cultivating empathy through high-intensity writing practice

The present study examined whether and to what degree empathy increased in adolescents who participated in a high-intensity writing program over the course of a year. Data for this study came from writing samples of a randomly selected group of middle-grade students (n = 61) collected at three different time points to answer whether: 1) it was possible to reliably and systematically measure empathy as a complex construct that included both affective and cognitive elements, and 2) empathy increased over one year in an intensive writing practice program. The findings showed statistically significant increases in various aspects of empathy such as reasoning, including multiple perspectives, expressing emotion, and proposals for action, and statistically significant increases in empathy as a latent construct. The high-intensity writing program, an essential component of the school’s curriculum, served as an educational tool and provided a showcase for the role of deliberate practice in skill building.

The role of deliberate practice in expert performance: revisiting Ericsson, Krampe & Tesch-Römer (1993).

We sought to replicate Ericsson, Krampe & Tesch-Römer's (Ericsson, Krampe & Tesch-Römer 1993 Psychol. Rev. 100, 363–406) seminal study on deliberate practice. Ericsson et al. found that differences in retrospective estimates of accumulated amounts of deliberate practice corresponded to each skill level of student violinists. They concluded, ‘individual differences in ultimate performance can largely be accounted for by differential amounts of past and current levels of practice’ (p. 392). We reproduced the methodology with notable exceptions, namely (i) employing a double-blind procedure, (ii) conducting analyses better suited to the study design, and (iii) testing previously unanswered questions about teacher-designed practice—that is, we examined the way Ericsson et al. operationalized deliberate practice (practice alone), and their theoretical but previously unmeasured definition of deliberate practice (teacher-designed practice), and compared them. We did not replicate the core finding that accumulated amounts of deliberate practice corresponded to each skill level. Overall, the size of the effect was substantial, but considerably smaller than the original study's effect size. Teacher-designed practice was perceived as less relevant to improving performance on the violin than practice alone. Further, amount of teacher-designed practice did not account for more variance in performance than amount of practice alone. Implications for the deliberate practice theory are discussed.

Time on task matters most in video game expertise.

In this study, we investigated whether working memory capacity (WMC), personality characteristics (grit) and number of matches played (time on task) can predict performance score (matchmaking rating [MMR]) in experienced players of a popular video game called Dota 2. A questionnaire and four online-based cognitive tasks were used to gather the data, and structural equation modelling (SEM) was used to investigate the interrelationships between constructs. The results showed that time on task was the strongest predictor of MMR, and grit also significantly influenced performance. However, WMC did not play a substantial role in predicting performance while playing Dota 2. These results are discussed in relation to sample characteristics and the role of deliberate practice and skill acquisition within the domain of playing Dota 2. Further, we suggest that future research investigates the social aspects of attaining skill, the relationship between personality and performance, and the qualitative aspects of time spent on a task.

The role of deliberate practice in development of essential sonography skills

AbstractThe role of deliberate practice (DP) theory in the development of expert performance has been widely studied. This paper reviews the concept of DP and the various factors that could impact the development or refining of essential sonography skills for students and practitioners. In this article, the authors review the concept of DP for its potential benefits and limitations in Medical Sonography education and its potential impact on the future calibre of practitioners. The paper encourages both novice and experienced practitioners to rethink how DP could enhance the notion of grasping a skill. Evidence from various areas of practice including the health professions has been used to argue that sonographers can successfully incorporate DP. This review opens up the opportunity for further conversations on how various skills could be isolated and improved using DP theory, with the primary aim of improving the quality of patient care in sonography practice.

The Youth Olympic Games: a facilitator or barrier of the high-performance sport development pathway?

ABSTRACTResearch question: This paper examined the impact of participation in YOG on Norwegian team members with a particular emphasis on differences between those who continued in elite sport and those that dropped out.Research methods: We used a retrospective survey design to collect quantitative and qualitative data from former Norwegian YOG participants (from 2010, 2012, and 2014), with 58 of the 64 athletes responding to the survey in December 2015.Results and findings: Ericsson, Krampe, and Tesch-Roemer’s [(1993). The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100(3), 363–406] typology of constraints and their concept of deliberative practice provided the framework for the data analysis. Key findings include: (a) the dropout rate was lower than that reported for similar groups; (b) the main reasons for dropout were school pressures and poor relations with the coach; (c) there was little difference in the perceived level of support from schools, parents and coaches between those who dropped out and those who did not; (d) participation in the YOG was a significant motivating factor for staying in elite-level sport for some athletes; (e) medal winners were as likely to dropout as non-medal winners; and (f) the national context for elite youth development may play a larger role in deeper engagement in sport than YOG participation. We derive hypotheses/propositions based on our results, which should be tested in future studies.Implications: Our findings suggest the entourage’s support is critical for continued engagement in sport, but is not sufficient for preventing dropout. The national context, in terms of the sport and education systems, must align to ensure young athletes do not need to choose between elite-level sport and school. The national context may play a larger role in deeper engagement in sport than YOG participation/success.

The role of deliberate practice in the development of highly effective psychotherapists.

Little empirical research exists about highly effective psychotherapists, and none about the factors that mediate the acquisition and maintenance of superior performance skills (e.g., Ericsson, 1996, 2006; Ericsson, Krampe, & Tesch-Romer, 1993). In the full sample, a 3-level multilevel modeling (Level 1: clients; Level 2: therapists; Level 3: organization types) of practitioner outcomes was used to examine the contribution of the therapist to treatment effectiveness. Consistent with prior research, in the full sample (n = 69 therapists; n = 4,580 clients) it was found that therapist effects explained 5.1% of the variance in outcome, after adjusting for initial severity. Therapist gender, caseload, and age were not found to be significant predictors. In a subsample of therapists, the relationship between outcome and therapist demographic variables, professional development activities, and work practices was analyzed (n = 17 therapists, n = 1,632 clients). Therapist characteristics (e.g., years of experience, gender, age, profession, highest qualification, caseload, degree of theoretical integration) did not significantly predict client-reported outcomes. Consistent with the literature on expertise and expert performance, the amount of time spent targeted at improving therapeutic skills was a significant predictor of client outcomes. Further, highly effective therapists indicated requiring more effort in reviewing therapy recordings alone than did the rest of the cohort. Caveats and implications for clinical practice, continuing professional development, and training are discussed.

An integrative review: instructional strategies to improve nurses' retention of cardiopulmonary resuscitation priorities.

Recognizing and responding to a cardiac arrest in the hospital setting is a high stress, high anxiety event for all healthcare providers. It requires the performance of several basic, but extremely important cardiopulmonary resuscitation (CPR) skills and response priorities. If not executed correctly and in a timely manner, a bad outcome may result. Poor retention of cardiopulmonary resuscitation skills and priorities is well documented in the literature. An integrative review of the evidence was conducted to answer the question, "Is there a more effective training method to improve nurses' retention of CPR priorities during an in hospital cardiac arrest as compared to traditional American Heart Association training? "This review evaluated high fidelity and low fidelity simulation training, online or computer-based training and video instruction as potential teaching strategies focusing on CPR priorities. The role of deliberate practice is discussed. The strongest evidence suggests that a teaching plan employing brief, frequent, repetitive or deliberate practice used in collaboration with low fidelity or high fidelity simulation may be a potential strategy to improve nurses' retention of CPR priorities over time.

Supplemental Material for The Role of Deliberate Practice in the Development of Highly Effective Psychotherapists

Supplemental Material for The Role of Deliberate Practice in the Development of Highly Effective Psychotherapists

The influence of deliberate practice on musical achievement: a meta-analysis.

Deliberate practice (DP) is a task-specific structured training activity that plays a key role in understanding skill acquisition and explaining individual differences in expert performance. Relevant activities that qualify as DP have to be identified in every domain. For example, for training in classical music, solitary practice is a typical training activity during skill acquisition. To date, no meta-analysis on the quantifiable effect size of deliberate practice on attained performance in music has been conducted. Yet the identification of a quantifiable effect size could be relevant for the current discussion on the role of various factors on individual difference in musical achievement. Furthermore, a research synthesis might enable new computational approaches to musical development. Here we present the first meta-analysis on the role of deliberate practice in the domain of musical performance. A final sample size of 13 studies (total N = 788) was carefully extracted to satisfy the following criteria: reported durations of task-specific accumulated practice as predictor variables and objectively assessed musical achievement as the target variable. We identified an aggregated effect size of rc = 0.61; 95% CI [0.54, 0.67] for the relationship between task-relevant practice (which by definition includes DP) and musical achievement. Our results corroborate the central role of long-term (deliberate) practice for explaining expert performance in music.

9.6.1 Developing Expertise in Systems Engineering: Lessons from Other Disciplines

AbstractMuch has been written about what systems engineering is, what systems engineers do, what defines competency, and how to teach systems engineering. There has been significant research in other fields about how expertise is developed. This paper reviews key elements of that research and looks at its applicability to systems engineering and how it could be applied to improve the development of expertise in systems engineering. In particular, the role of deliberate practice is investigated and compared to the reliance on experience for development of systems engineers.

Teaching and Learning of Surgery

Significant insights into how we teach and learn have been made over the past 50 years. Cognitive load theory and the acquisition of expert performance through the role of deliberate practice are just 2 of those insights important to surgical education.

The role of deliberate practice in the acquisition of clinical skills

BackgroundThe role of deliberate practice in medical students' development from novice to expert was examined for preclinical skill training.MethodsStudents in years 1-3 completed 34 Likert type items, adapted from a questionnaire about the use of deliberate practice in cognitive learning. Exploratory factor analysis and reliability analysis were used to validate the questionnaire. Analysis of variance examined differences between years and regression analysis the relationship between deliberate practice and skill test results.Results875 students participated (90%). Factor analysis yielded four factors: planning, concentration/dedication, repetition/revision, study style/self reflection. Student scores on 'Planning' increased over time, score on sub-scale 'repetition/revision' decreased. Student results on the clinical skill test correlated positively with scores on subscales 'planning' and 'concentration/dedication' in years 1 and 3, and with scores on subscale 'repetition/revision' in year 1.ConclusionsThe positive effects on test results suggest that the role of deliberate practice in medical education merits further study. The cross-sectional design is a limitation, the large representative sample a strength of the study. The vanishing effect of repetition/revision may be attributable to inadequate feedback. Deliberate practice advocates sustained practice to address weaknesses, identified by (self-)assessment and stimulated by feedback. Further studies should use a longitudinal prospective design and extend the scope to expertise development during residency and beyond.

A randomized evaluation of simulation training on performance of vascular anastomosis on a high-fidelity in vivo model: The role of deliberate practice

There is mounting evidence supporting the benefit of surgical skills practice in a simulated environment. However, the use of simulation in cardiac surgical training has been limited. The purpose of the current trial was to examine the effect of independent and deliberate simulator practice, during nonclinical time, on the performance of an end-to-side microvascular anastomosis in an in vivo model. This single-blinded, randomized controlled trial received institutional review board approval. Thirty-nine first- and second-year surgical trainees were randomized to an expert-guided tutorial on a procedural trainer or to the expert-guided tutorial combined with self-directed practice on the same procedural trainer. Self-directed practice consisted of 10 anastomoses performed on the procedural trainer: a low-fidelity, commercially available bench model using 4-mm polytetrafluoroethylene graft as simulated blood vessel. Two weeks after the tutorial, subjects performed an end-to-side anastomosis in a live porcine model, under realistic operating room conditions. Assessment of outcomes was performed by 2 blinded, expert observers, uings validated measurements of technical skill. The primary outcome was the score on the Objective Structured Assessment of Technical Skill (OSATS) scale. Secondary outcomes included an anastomosis-specific end-product evaluation and time to completion. Statistical analysis was conducted using nonparametric, univariate techniques. Compared with residents who received expert-guided simulator training alone, those who in addition practiced on a simulator independently after hours scored significantly higher on the OSATS scale (23.7 ± 4.7 vs 18.5 ± 3.9, P = .003). Residents who practiced independently also scored significantly higher on the end-product evaluation (11.4 ± 3.2 vs 8.9 ± 2.1, P = .02) and performed the anastomosis significantly faster (777 seconds vs 977 seconds, P = .04). Interrater reliability was high between the expert observers (intraclass correlation coefficient = 0.8). Residents who had the opportunity for self-directed simulator practice performed an end-to-side anastomosis more adeptly, more quickly, and with a higher quality end product. The results of this randomized trial suggest that independent training on a procedural trainer did transfer to improved performance in an operating room environment. Simulator training should be incorporated into cardiovascular surgical curricula and residents should have access to this modality for independent after-hours practice to improve operating room performance.

Training Advanced Writing Skills: The Case for Deliberate Practice

The development of advanced writing skills has been neglected in schools of the United States, with even some college graduates lacking the level of ability required in the workplace (National Commission on Writing, 2003, 2004). The core problem, we argue, is an insufficient degree of appropriate task practice distributed throughout the secondary and higher education curriculum. We draw on the power law of skill acquisition, the role of deliberate practice in expert performance, and the uniquely intensive demands that advanced written composition place on working memory to make this case. A major impediment to assigning enough writing tasks is the time and effort involved in grading papers to provide feedback. We close by considering possible solutions to the grading problem.

The role of deliberate practice and play in career progression in sport: the early engagement hypothesis

Experts acquire domain‐specific skills as a result of the activities in which they participate throughout their development. We examine the domain‐specific activities in which two groups of elite youth soccer players participated between six and 12 years of age. Our goal was to examine early participation differences between those who progressed to professional status at 16 years of age and those who did not. Data were contrasted to a control group of recreational‐level players and examined in the context of the Developmental Model of Sport Participation, which supports the importance of late specialization and early diversity between six and 12 years of age. The elite players who went on to attain professional status accumulated more hours per year in soccer play activities, but not in soccer practice, competition or other sports, between six and 12 years of age, compared with those who did not progress. The two elite groups averaged more hours per year in soccer practice compared with recreational‐level players, but not soccer play, competition or other sports. We propose the “early engagement hypothesis” to explain our results. Accordingly, practice and play in the primary sport between six and 12 years of age contributes to the development of expert performance in English soccer.

Adaptation to physically and emotionally demanding conditions: the role of deliberate practice

The current study elucidated the reasons for athletic performance differences between individuals who (1) engage in similar workloads, and (2) develop in similar environments. 8 elite and 11 sub‐elite swimmers, with confirming data provided by 17 of their parents and 6 of their coaches, participated in this investigation. Findings revealed that (1) a variety of different practice regimens can result in attaining expertise, and (2) highly analogous developmental experiences may not differentiate between elite and sub‐elite performers. Results provide support for a 4‐factor model of expert athletic development: high effort, supportive environment, facilitative coping strategies, and physical and psychological predispositions. Each is likely required to achieve elite athletic performance, and all must be present in such a manner that they are systematically and idiosyncratically functional.

The role of deliberate practice in chess expertise

AbstractTwo large, diverse samples of tournament‐rated chess players were asked to estimate the frequency and duration of their engagement in a variety of chess‐related activities. Variables representing accumulated time spent on serious study alone, tournament play, and formal instruction were all significant bivariate correlates of chess skill as measured by tournament performance ratings. Multivariate regression analyses revealed that among the activities measured, serious study alone was the strongest predictor of chess skill in both samples, and that a combination of various chess‐related activities accounted for about 40% of the variance in chess skill ratings. However, the relevance of tournament play and formal instruction to skill varied as a function of skill measurement time (peak vs. current) and age group (above vs. below 40 years). Chess players at the highest skill level (i.e. grandmasters) expended about 5000 hours on serious study alone during their first decade of serious chess play—nearly five times the average amount reported by intermediate‐level players. These results provide further evidence to support the argument that deliberate practice plays a critical role in the acquisition of chess expertise, and may be useful in addressing pedagogical issues concerning the optimal allocation of time to different chess learning activities. Copyright © 2005 John Wiley & Sons, Ltd.

Biological and psychological correlates of exceptional performance in development.

The issue of exceptional performance is discussed from four perspectives: genetic distribution of high giftedness, gene-environment interaction, neurobiological findings, and the role of deliberate practice as well as environment in general. The genetic perspective is illustrated mainly by the emergenic and epigenetic model of Simonton, followed by the three types of gene-environment interaction (Scarr and McCartney). The neurological perspective focuses on the role of early practice for neurological representation and on hormonal changes during development. The perspective of deliberate practice summarizes the present state of affairs within this field of research. Finally, a distinction between different levels of excellent performance is proposed, arguing against the neglect of genius as a specific phenomenon among excellent performance.