Using cognitive theory to facilitate medical education

BMC Medical Education

Volumn 14, Issue 1, 2014, Pages

  Qiao, Yu Qi ^a   Shen, Jun ^a   Liang, Xiao ^a   Ding, Song ^a   Chen, Fang Yuan ^a   Shao, Li ^a   Zheng, Qing ^a   Ran, Zhi Hua ^a  

^a SHANGHAI JIAO TONG UNIVERSITY SCHOOL OF MEDICINE   (China)

Author keywords

Clinical presentation curriculum; Clinical reasoning; Cognitive load theory; Problem based learning; Schemata; Worked example; Working memory

Indexed keywords

COGNITION; HUMAN; LEARNING; MEDICAL EDUCATION; PROBLEM BASED LEARNING; PROCEDURES; PSYCHOLOGICAL THEORY; TEACHING;

COGNITION; EDUCATION, MEDICAL; HUMANS; LEARNING; PROBLEM-BASED LEARNING; PSYCHOLOGICAL THEORY; TEACHING;

EID: 84899490865     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-14-79     Document Type: Article

References (58)

1. Great Britain. Interdepartmental Committee on Medical S, Report of the Inter-Departmental Committee on Medical Schools London: H.M.S.O 1944
2. Sinclair DC, Basic medical education London: Oxford University Press 1972
3. Medical curriculum reform in North America, 1765 to the present: a cognitive science perspective. Papa FJ, Harasym PH, Acad Med 1999 74 2 154 164 10.1097/00001888-199902000-00015 10065057
4. Cognitive architecture and instructional design. Sweller J, Van Merrienboer JJ, Paas FG, Educ Psychol Rev 1998 10 3 251 296 10.1023/A: 1022193728205
5. Sweller J, Ayres P, Kalyuga S, Cognitive load theory New York: Springer 2011
6. Element interactivity and intrinsic, extraneous, and germane cognitive load. Sweller J, Educ Psychol Rev 2010 22 2 123 138 10.1007/s10648-010-9128-5
7. Cognitive load theory and complex learning: recent developments and future directions. Van Merrienboer JJ, Sweller J, Educ Psychol Rev 2005 17 2 147 177 10.1007/s10648-005-3951-0
8. Cognitive load theory in health professional education: design principles and strategies. Van Merriënboer JJ, Sweller J, Med Educ 2010 44 1 85 93 10.1111/j.1365-2923.2009.03498.x 20078759
9. Why minimal guidance during instruction does not work: an analysis of the failure of constructivist, discovery, problem-based, experiential, and inquiry-based teaching. Kirschner PA, Sweller J, Clark RE, Educ Psychol 2006 41 2 75 86 10.1207/s15326985ep4102-1
10. Cognitive load theory, learning difficulty, and instructional design. Sweller J, Learn Instruct 1994 4 4 295 312 10.1016/0959-4752(94)90003-5
11. Baddeley A, Working memory, thought, and action New York: Oxford University Press 2007
12. Working memory. Baddeley A, Sci (New York, NY) 1992 255 5044 556 559 10.1126/science.1736359
13. Long-term working memory. Ericsson KA, Kintsch W, Psychol Rev 1995 102 2 211 245 7740089
14. Working memory: theories, models, and controversies. Baddeley A, Annu Rev Psychol 2012 63 1 29 10.1146/annurev-psych-120710-100422 21961947
15. Procedural and conceptual knowledge: exploring the gap between knowledge type and knowledge quality. Star JR, Stylianides GJ, Can J Sci Math Technol Educ 2013 13 2 169 181 10.1080/14926156.2013.784828
16. Putting students on the path to learning: the case for fully guided instruction. Clark RE, Kirschner PA, Sweller J, Am Educat 2012 36 1 6 11
17. The magical number seven, plus or minus two: some limits on our capacity for processing information. 1956. Miller G, Psychol Rev 1994 101 2 343 8022966
18. Some strategies to improve performance in school chemistry, based on two cognitive factors. Danili E, Reid N, Res Sci Technol Educ 2004 22 2 203 226 10.1080/0263514042000290903
19. Capacities, demands and processes-a predictive model for science education. Johnstone A, El-Banna H, Educ Chem 1986 23 3 80 84
20. Academic performance in solving chemistry problems related to student working memory capacity. Opdenacker C, Fierens H, Brabant HV, Sevenants J, Spruyt J, Slootmaekers P, Johnstone A, Int J Sci Educ 1990 12 2 177 185 10.1080/0950069900120206
21. Cognitive load during problem solving: effects on learning. Sweller J, Cognit Sci 1988 12 2 257 285
22. Why some material is difficult to learn. Sweller J, Chandler P, Cognit Instruct 1994 12 3 185 233 10.1207/s1532690xci1203-1
23. Development of an instrument for measuring different types of cognitive load. Leppink J, Paas F, Van der Vleuten CP, Van Gog T, Van Merriënboer JJ, Behav Res Meth 2013 45 4 1058 1072 10.3758/s13428-013-0334-1
24. Effects of pairs of problems and examples on task performance and different types of cognitive load. Leppink J, Paas F, van Gog T, van der Vleuten CP, van Merriënboer JJ, Learn Instruct 2014 30 32 42
25. Cognitive load theory: how many types of load does it really need? Kalyuga S, Educ Psychol Rev 2011 23 1 1 19 10.1007/s10648-010-9150-7
26. Working memory, fluid intelligence, and science learning. Yuan K, Steedle J, Shavelson R, Alonzo A, Oppezzo M, Educ Res Rev 2006 1 2 83 98 10.1016/j.edurev.2006.08.005
27. Medical education based on interdepartmental cooperation. Caughey JL Jr, J Am Med Assoc 1956 161 8 697 699 10.1001/jama.1956.02970080027009 13318990
28. Effects of conventional and problem-based medical curricula on problem solving. Patel VL, Groen GJ, Norman GR, Acad Med 1991 66 7 380 389 10.1097/00001888-199107000-00002 2059263
29. Problem-based learning: a review of literature on its outcomes and implementation issues. Albanese MA, Mitchell S, Acad Med 1993 68 1 52 81 10.1097/00001888-199301000-00012 8447896
30. Problem-based learning: have the expectations been met? Berkson L, Acad Med 1993 68 10 79 S88 10.1097/00001888-199310000-00053
31. Effectiveness of problem-based learning curricula: research and theory. Colliver JA, Acad Med 2000 75 3 259 266 10.1097/00001888-200003000-00017 10724315
32. Problem-based learning: a dissemination success story? Sanson-Fisher RW, Lynagh MC, Med J Aust 2005 183 5 258 16138801
33. Why minimally guided teaching techniques do not work: a reply to commentaries. Sweller J, Kirschner PA, Clark RE, Educ Psychol 2007 42 2 115 121 10.1080/00461520701263426
34. Does discovery-based instruction enhance learning? Alfieri L, Brooks PJ, Aldrich NJ, Tenenbaum HR, J Educ Psychol 2011 103 1 1
35. What kind of curriculum can better address community needs? Problems arisen by hypothetical-deductive reasoning. Haeri A, Hemmati P, Yaman H, J Med Syst 2007 31 3 173 177 10.1007/s10916-007-9052-5 17622019
36. Recall by expert medical practitioners and novices as a record of processing attention. Norman GR, Brooks LR, Allen SW, J Exp Psychol Learn Mem Cognit 1989 15 6 1166
37. An evolutionary upgrade of cognitive load theory: using the human motor system and collaboration to support the learning of complex cognitive tasks. Paas F, Sweller J, Educ Psychol Rev 2012 24 1 27 45 10.1007/s10648-011-9179-2
38. What goes around comes around: return of the hypotheticodeductive strategy. Elstein AS, Teach Learn Med 1994 6 2 121 123 10.1080/10401339409539658
39. Skill in chess: experiments with chess-playing tasks and computer simulation of skilled performance throw light on some human perceptual and memory processes. Simon HA, Chase WG, Am Sci 1973 61 4 394 403
40. Role of high-level knowledge in memory for chess positions. Cooke NJ, Atlas RS, Lane DM, Am J Psychol 1993 106 3 321 351 10.2307/1423181
41. Knowledge elaboration: a cognitive load perspective. Kalyuga S, Learn Instruct 2009 19 5 402 410 10.1016/j.learninstruc.2009.02.003
42. On the origin of intermediate effects in clinical case recall. Schmidt HG, Boshuizen HP, Mem Cognit 1993 21 3 338 351 10.3758/BF03208266 8316096
43. Knowledge encapsulation and the intermediate effect. Rikers RM, Schmidt HG, Boshuizen H, Contemp Educ Psychol 2000 25 2 150 166 10.1006/ceps.1998.1000 10753544
44. Research in clinical reasoning: past history and current trends. Norman G, Med Educ 2005 39 4 418 427 10.1111/j.1365-2929.2005.02127.x 15813765
45. A cognitive perspective on medical expertise: theory and implication [published erratum appears in Acad Med 1992 Apr; 67 (4): 287]. Schmidt H, Norman G, Boshuizen H, Acad Med 1990 65 10 611 621 10.1097/00001888-199010000-00001 2261032
46. Reasoning ability is (little more than) working-memory capacity?! Kyllonen PC, Christal RE, Intell 1990 14 4 389 433 10.1016/S0160-2896(05)80012-1
47. Should we teach using schemas? Evidence from a randomised trial. Blissett S, Cavalcanti RB, Sibbald M, Med Educ 2012 46 8 815 822 10.1111/j.1365-2923. 2012.04311.x 22803759
48. The use of worked examples as a substitute for problem solving in learning algebra. Sweller J, Cooper GA, Cognit Instruct 1985 2 1 59 89 10.1207/s1532690xci0201-3
49. Effects of schema acquisition and rule automation on mathematical problem-solving transfer. Cooper G, Sweller J, J Educat Psychol 1987 79 4 347
50. Developing a" clinical presentation" curriculum at the University of Calgary. Mandin H, Harasym P, Eagle C, Watanabe M, Acad Med 1995 70 3 186 193 10.1097/00001888-199503000-00008 7873005
51. Implementing a clinical presentation curriculum: impact on student stress and workload. Woloschuk W, Harasym P, Mandin H, Teach Learn Med 1998 10 1 44 50 10.1207/S15328015TLM1001-8
52. An analysis of long-term outcomes of the impact of curriculum: a comparison of the three-and four-year medical school curricula. Lockyer JM, Violato C, Wright BJ, Fidler HM, Acad Med 2009 84 10 1342 1347 10.1097/ACM.0b013e3181b6c08e 19881418
53. The use of medical cognition in medical curriculum reform in Taiwan. Tsai T-C, Pediatr Neonatol 2008 49 3 53 57 10.1016/S1875-9572(08)60013-3 18946999
54. Do worked examples foster medical students' diagnostic knowledge of hyperthyroidism? Kopp V, Stark R, Kühne-Eversmann L, Fischer MR, Med Educ 2009 43 12 1210 1217 10.1111/j.1365-2923.2009.03531.x 19930513
55. Acquisition of visual perceptual skills from worked examples: learning to interpret electrocardiograms (ECGs). van den Berge K, van Gog T, Mamede S, Schmidt HG, van Saase JL, Rikers RM, Interact Learn Environ 2013 21 3 263 272 10.1080/10494820.2011.554422
56. Effects of modelling examples in complex procedural skills training: a randomised study. Bjerrum AS, Hilberg O, van Gog T, Charles P, Eika B, Med Educ 2013 47 9 888 898 10.1111/medu.12199 23931538
57. Cognitive Skills in Medicine. Jarodzka H, Boshuizen HP, Kirschner PA, Catheter-Based Cardiovascular Interventions Heidelberg: Springer 2013 69 86
58. Barrows HS, How to design a problem-based curriculum for the preclinical years New York: Springer 1985