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The Counseling Psychologist
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Article

The Meta-Analysis of Clinical Judgment Project: Effects of Experience on Judgment Accuracy

Paul M. Spengler Ph.D.*, Michael J. White Ph.D., Stefania Aegisdottir Ph.D., Alan S. Maugherman Ph.D., Linda A. Anderson Ph.D., Robert S. Cook Ph.D., Cassandra N. Nichols Ph.D., Georgios K. Lampropoulos Ph.D., Blain S. Walker Ph.D., Genna R. Cohen Ph.D., and Jeffrey D. Rush Ph.D.

* To whom correspondence should be addressed. E-mail: pspengle{at}bsu.edu.


  Abstract
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.

First published on October 4, 2007, doi:10.1177/0011000006295149

The Counseling Psychologist 2009;37:350.

A more recent version of this article appeared on April 1, 2009

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This article has been cited by other articles:


Home page
 The Counseling PsychologistHome page
C. R. Ridley and M. Shaw-Ridley
Clinical Judgment Accuracy: From Meta-Analysis to Metatheory
The Counseling Psychologist, April 1, 2009; 37(3): 400 - 409.
[Abstract] [PDF]

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 The Counseling PsychologistHome page
P. M. Spengler, M. J. White, S. Aegisdottir, and A. S. Maugherman
Time Keeps on Ticking: The Experience of Clinical Judgment
The Counseling Psychologist, April 1, 2009; 37(3): 416 - 423.
[Abstract] [PDF]

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 The Counseling PsychologistHome page
J. W. Lichtenberg
Comment: Effects of Experience on Judgment Accuracy
The Counseling Psychologist, April 1, 2009; 37(3): 410 - 415.
[PDF]