文章基本信息

标题：Trajectories of learning approaches during a full medical curriculum: impact on clinical learning outcomes
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作者：Giovanni Piumatti ; Sissel Guttormsen ; Barbara Zurbuchen 等
期刊名称：BMC Medical Education
印刷版ISSN：1472-6920
出版年度：2021
卷号：21
期号：1
页码：1-9
DOI：10.1186/s12909-021-02809-2
出版社：BioMed Central
摘要：No consensus exists on whether medical students develop towards more deep (DA) or surface learning approaches (SA) during medical training and how this impacts learning outcomes. We investigated whether subgroups with different trajectories of learning approaches in a medical students’ population show different long-term learning outcomes. Person-oriented growth curve analyses on a prospective cohort of 269 medical students (Mage=21years, 59 % females) traced subgroups according to their longitudinal DA/SA profile across academic years 1, 2, 3 and 5. Post-hoc analyses tested differences in academic performance between subgroups throughout the 6-year curriculum until the national high-stakes licensing exam certifying the undergraduate medical training. Two longitudinal trajectories emerged: surface-oriented (n = 157; 58 %), with higher and increasing levels of SA and lower and decreasing levels of DA; and deep-oriented (n = 112; 42 %), with lower and stable levels of SA and higher but slightly decreasing levels of DA. Post hoc analyses showed that from the beginning of clinical training, deep-oriented students diverged towards better learning outcomes in comparison with surface-oriented students. Medical students follow different trajectories of learning approaches during a 6-year medical curriculum. Deep-oriented students are likely to achieve better clinical learning outcomes than surface-oriented students.
关键词：Approaches to learning ; Student performance ; Learning outcome ; Growth curve modeling