Research on the extent and nature of commonly misunderstood fundamental biomedical concepts across a medical curriculum is scarce. These misunderstandings could point toward robust misconceptions. We examined first whether common misunderstandings persist throughout a medical curriculum, followed by a fine-grained analysis to identify their…

In this article, the contributions of cognitive psychology to research and development of medical education are assessed. The cognitive psychology of learning consists of activation of prior knowledge while processing new information and elaboration on the resulting new knowledge to facilitate storing in long-term memory. This process is limited…

The present study explored the nature and frequency of physiology naïve beliefs by investigating novices' understanding of the respiratory system. Previous studies have shown considerable misconceptions related to physiology but focused mostly on specific physiological processes of normal respiration. Little is known about novices' broader…

The objective of the paper is to report findings of two studies that attempted to find answers to the following questions: (1) What are the levels of cognitive engagement in TBL?; (2) Are there differences between students who were more exposed to TBL than students who were less exposed to TBL?; (3) To which extent does cognitive engagement…

Educational strategies that promote the development of clinical reasoning in students remain scarce. Generating self-explanations (SE) engages students in active learning and has shown to be an effective technique to improve clinical reasoning in clerks. Example-based learning has been shown to support the development of accurate knowledge…

Introduction: Illness script theory offers explanations for expert-novice differences in clinical reasoning. However, it has mainly focused on diagnostic (Dx) performance, while patient management (Mx) has been largely ignored. The aim of the present study was to show the role of Mx knowledge in illness script development and how it relates to…

This study aimed to identify salient problem characteristics perceived by students in problem-based curricula. To this end, reflective essays from biomedical students (N = 34) on characteristics of good problems were text-analyzed. Students identified eleven characteristics, of which they found the extent to which the problem leads to desired…

In this article, an alternative for Tinto's integration theory of student persistence is proposed and tested. In the proposed theory, time available for individual study is considered a major determinant of both study duration and graduation rate of students in a particular curriculum. In this view, other activities in the curriculum, in…

Clinical rotations play an important role in the medical curriculum and are considered crucial for student learning. However, competencies that should be learned can differ from those that are assessed. In order to explore which competencies are considered important for daily performance of student on the wards and to what extent clinical teachers…

Effects of problem-based learning as reported in curricular comparison studies have been shown to be inconsistent over different medical schools. Therefore, we decided to summarize effects of a single well-established problem-based curriculum rather than to add up sometimes-conflicting findings from different problem-based curricula. Effect sizes…

Diagnosing begins by generating an initial diagnostic hypothesis by automatic information processing. Information processing may stop here if the hypothesis is accepted, or analytical processing may be used to refine the hypothesis. This description portrays analytic processing as an optional extra in information processing, leading us to…

Presents a general approach to curriculum design in the context of Problem-Based Learning (PBL) and proposes ten general steps for the process. Considers prior knowledge, skills, misconceptions, educational organization, curriculum management, and evaluation procedures. (Contains 24 references.) (Author/YDS)

The effects of experience with a series of similar cases on the knowledge restructuring and learning from text were studied in a longitudinal design. Two groups of fourth-year medical students were confronted with a series of cases, part of them having the same underlying disease. The cases were interspersed with fillers, and each set of cases had…

Presents a classification of community-based medical education. Distinguishes between programs developed primarily to provide services to underserved communities; programs with a research focus; and programs that have student clinical training as their primary goal. The taxonomy is intended to contribute to development of a theory of…

A University of Limburg (Netherlands) study investigated influence of health sciences tutors' subject-matter expertise on the achievement of 1,800 students participating in tutorial groups with leaders having varying levels of subject expertise. Results indicated a positive influence of tutor subject expertise, particularly in interaction with…