The central problem in the teaching of academic writing is that important tacit knowledge, silent and procedural in nature, has generally been left untaught. Boice (1993) presented the estimation, for instance, that of graduate students in the U.S. who qualify to write dissertations but never finish them is as high as 50 percent. Why is not more done to help these students?According to Boice, part of the problem is that university professors prefer demonstrations of brilliance far to its acquisition, and this preference denies many students the chance to become successful writers. One reason for this is that tacit knowledge is, by definition, hard to teach and difficult to find in written and substantive form.Another problem is that writing is not seen as a form of learning, but rather, it merely serves as a tool of assessment (Björk & Räisänen, 1996;Hounsell, 1984). Students seldom have the chance truly to learn about the process of writing because the academic world prefers to concentrate on assessing their written products. There is an obvious need to let the students go through the whole process of writing without thinking only about its outcome.The context of the present chapter is a competitive and high-achieving environment, namely, a medical school. The intention is to describe how process writing, previously applied at the Department of Psychology, is applied with Ph.D. candidates in medicine, psychology, and dentistry. In Finland, previous experience shows that process writing is a promising approach in the training of psychology students (Lonka & Ahola, 1995). But how would this technique work in medical school?The aim is to reveal and then revise practices and ideas of writing that usually remain tacit. For this purpose, theoretical insights are presented by Bereiter and Scardamalia (1987), Scardamalia and Bereiter (1991);Olson (1994); Björk & Räisänen (1996); Boice (1993); 2 Tynjälä, Lonka &Ahola (1995). A writing course for doctoral students is described where different techniques are applied. The exercises are based on those introduced by Björk (1997), Boice (1990), Healy (1986, as well as Lonka and Ahola (1995).
Theoretical backgroundA tradition of studies from Vygotsky to Olson argues that the acquisition and use of writing are powerful factors in the development of thinking (Tynjälä, Mason, & Lonka, 2001). David R. Olson (1994) language into an object of reflection, analysis, and design (Olson, 1994, p. 258). Without written language it would be impossible to deal with such concepts as "assumption", "inference", or "conclusion".Once a written expression has influenced our common thought (and spoken expressions) it is extremely difficult to unthink that model and see how someone not enculturated into the same way of thinking would perceive language and the world it describes. Writing forces us to think about our own thinking in terms of what is actually claimed and what is the evidence -the basic distinction in scientific thinking (Kuhn, 1989). Literacy is not only functionally oriented but, al...