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Author: Brian S McGowan, PhD

ABSTRACT: Flipped classroom improves student learning in health professions education: a meta-analysis

BACKGROUND:The use of flipped classroom approach has become increasingly popular in health professions education. However, no meta-analysis has been published that specifically examines the effect of flipped classroom versus traditional classroom on student learning. This study examined the findings of comparative articles through a meta-analysis in order to summarize the overall effects of teaching with the flipped classroom approach. We focused specifically on a set of flipped classroom studies in which pre-recorded videos were provided before face-to-face class meetings. These comparative articles focused on health care professionals including medical students, residents, doctors, nurses, or learners in other health care professions and disciplines (e.g., dental, pharmacy, environmental or occupational health).METHOD:Using predefined study eligibility criteria, seven electronic databases were searched in mid-April 2017 for relevant articles. Methodological quality was graded using the Medical Education Research Study Quality Instrument (MERSQI). Effect sizes, heterogeneity estimates, analysis of possible moderators, and publication bias were computed using the COMPREHENSIVE META-ANALYSIS software.RESULTS:A meta-analysis of 28 eligible comparative studies (between-subject design) showed an overall significant effect in favor of flipped classrooms over traditional classrooms for health professions education (standardized mean difference, SMD = 0.33, 95% confidence interval, CI = 0.21-0.46, p < 0.001), with no evidence of publication bias. In addition, the flipped classroom approach was more effective when instructors used quizzes at the start of each in-class session. More respondents reported they preferred flipped to traditional classrooms.CONCLUSIONS:Current evidence suggests that the flipped classroom approach in health professions education yields a significant improvement in student learning compared with traditional teaching methods.

via Flipped classroom improves student learning in health professions education: a meta-analysis. – PubMed – NCBI.

A Primer on Brain Science, Cognition, and Memory – TED Talks

Over the rainy weekend (here in Pennsylvania) I tracked down and collated several of my newer, favorite TED Talks related to what we do in education and professional development. I hope your perspective is uniquely transformed, as mine has been!

RESOURCE: How Reliable is Your Memory

Psychologist Elizabeth Loftus studies memories. More precisely, she studies false memories, when people either remember things that didn’t happen or remember them differently from the way they really were. It’s more common than you might think, and Loftus shares some startling stories and statistics — and raises some important ethical questions.

RESOURCE: How Your Working Memory Makes Sense of the World

“Life comes at us very quickly, and what we need to do is take that amorphous flow of experience and somehow extract meaning from it.” In this funny, enlightening talk, educational psychologist Peter Doolittle details the importance — and limitations — of your “working memory,” that part of the brain that allows us to make sense of what’s happening right now.

RESOURCE: Memory Feats Anyone Can Do

There are people who can quickly memorize lists of thousands of numbers, the order of all the cards in a deck (or ten!), and much more. Science writer Joshua Foer describes the technique — called the memory palace — and shows off its most remarkable feature: anyone can learn how to use it, including him.

RESOURCE: Visual Illusions That Show How We (Mis)Think

Al Seckel, a cognitive neuroscientist, explores the perceptual illusions that fool our brains. Loads of eye tricks help him prove that not only are we easily fooled, we kind of like it.

(Having explored the video above, you might take another peek at the title of this post and see if anything jumps out at you.)

RESOURCE: The Secret Structure of Great Talks

From the “I have a dream” speech to Steve Jobs’ iPhone launch, many great talks have a common structure that helps their message resonate with listeners. In this talk, presentation expert Nancy Duarte shares practical lessons on how to make a powerful call-to-action.

If you like these talks, you might also like a prior TED talks collation I shared last June, Five Essential TED talks for educators (not about education)

 

RESOURCE: How Your Working Memory Makes Sense of the World

“Life comes at us very quickly, and what we need to do is take that amorphous flow of experience and somehow extract meaning from it.” In this funny, enlightening talk, educational psychologist Peter Doolittle details the importance — and limitations — of your “working memory,” that part of the brain that allows us to make sense of what’s happening right now.

 

 

RESOURCE: How Reliable is Your Memory

Psychologist Elizabeth Loftus studies memories. More precisely, she studies false memories, when people either remember things that didn’t happen or remember them differently from the way they really were. It’s more common than you might think, and Loftus shares some startling stories and statistics — and raises some important ethical questions.

Space (and Time): The Final Frontier of Learning

One of the best analogies on learning that I ever learned came in a rather unlikely place.

I had just walked from my car to meet a golf instructor (John), he was going to help me work through some issues with my game. 15 minutes into the lessons John could tell that I was getting frustrated with my new backswing and he asked me to join him on a quick walk. I put down my clubs and we began walking back towards my car. About half-way there John stopped me – the scene was not much different than the picture to the right – we were standing in the woods on a path that had been worn by years and years of golfers walking back-and-forth from the parking lot to the driving range.

John said, “Imagine for a second what this path looked like the first day a golfer found this short cut to the range… now compare that to today…” [Perhaps you can picture it?]

John continued, “This time, imagine what it would have looked like had no one ever repeated the trek…or if it was only traveled once a year?”

That 5-minutes spent on the walking path through the woods has stuck with me for years. And for years I have used the imagery of the worn path to help others understand why learning is rarely, if ever, immediate – instead, it is the end-product of spacing, time, and retrieval.

The first time a learner is confronted with new information, it is like the first walker through the woods…some grass and twigs get trampled, but in a matter of days the grass is likely to regrow and there will be no visible path. If the walker returns the next day, the next week, the next month….over time, the path is worn in and becomes permanent. 

Neurobiologically, the first time new information is consumed it is like the first walk through the woods – and neural networks are weakly formed. If the new information is not revisited, the networks weaken and a learner’s ability to retrieve the information (to follow the path) is lost. However, if the learner is re-exposed to the information, if they revisit their notes, if they are presented with reminders or educational boosters; one-off learning experiences become worn neural networks, and strong, efficient retrieval is made possible (AKA, true learning; retention).

At the heart of the Learning Actions Model is the recognition that learning is often inefficient and unsuccessful if the learner does not take the right actions (learning actions) at the right time. And one of the most critical learning actions is setting reminders that ensure a learner will be re-exposed to new content/information over time; with each subsequent experience or new exposure, the neural networks strengthen and worn path is formed.

In practice we find that learners often need even more support. While we can drive learners to take actions, we can do even more to catalyze learning – we can (and should) structure and optimize the spacing and timing of continuous learning. This recognition, married to the emerging science of microlearning, lead to the design, creation, and recent release of ArcheMedX Rich Content Posts (or RCPs) – short, concise, and intentional interventions published and disseminated to learners over time to reinforce, enhance, and extend learning and retention.

Beginning this month our partners leveraging the ArcheHome and ArcheTeam curricular experiences can now augment their interventions with an unlimited number of RCPs thereby creating planned or ad hoc continuous learning experiences for their learners and/or teams.

If you are interested in learning more about the science of spacing and retrieval, let me know!

If you are interested in learning more about how your organization can leverage ArcheHome, ArcheTeam, and RCPs, contact [email protected]!

If you are interested in fixing your golf game, maybe we can meet up on that worn path and spend some time with John 😉

ABSTRACT: Evaluation by undergraduate medical students of a role-playing training program

OBJECTIVES:
Acute states of agitation (ASAs) are frequent in daily medical practice. However, training on real ASAs raises technical and ethical issues, whereas lecture-based teaching hardly addresses some educational objectives, e.g., improving relational skills and team-based coordination. Simulation-based medical education (SBME) is a promising medium to train students on managing ASAs. We have recently implemented a role-playing training module on ASAs. In this scenario, four to five students play the role of the staff, while a trained professional actor plays the agitated patient. A subsequent standardized debriefing is conducted by a senior psychiatrist. A first wave of 219 students participated in a one-session training of this ASA module in June 2015. They completed pre-session and post-session questionnaires aiming to collect “proof-of-concept” data.

METHODS:
The pre-session questionnaire investigated: previous experience of ASA among students during their clinical training; previous participation in a role-playing SBME; and perceived knowledge of the good practice rules for managing ASAs. The post-session questionnaire investigated among the students if: they thought having been able to appropriately manage the simulated ASA; they found the SBME medium more fitted for training than real situations; they found that the SBME session faithfully reproduced a real ASA; and the session was found useful for transmitting the skills on correct management of ASA. The average level of stress induced by the training was assessed using a numerical rating scale (0-10).

RESULTS:
Two hundred and six of the 219 students completed the pre-session questionnaire (63% females; response rate 96.7%). A hundred and thirty four students played the scenario and completed the post-session questionnaire (65.7% females; response rate 100%). 38.3% of the responders reported having previously experienced a situation of ASA in their practice, and 31.1% deemed to know the good practices rules for managing an ASA. In post-session, 29.9% of the participants considered that they appropriately managed the ASA, 79.9% deemed that the role-playing session faithfully reproduced a real ASA, and 97% deemed that this SBME was more fitted and useful than a real clinical situation to improve their medical skills. Bivariate analyses revealed that the post-session responses and level of stress were not influenced by previous experience on ASA, previous participation in a SBME role-playing session, or thinking to know the rules for managing ASAs.

CONCLUSION:
SBME role-playing training appears a promising, realistic, and well-accepted method for teaching the management of ASA.

via Evaluation by undergraduate medical students of a role-playing training program on the management of acute states of agitation. – PubMed – NCBI.