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Li S, Zheng J, Lajoie SP, Li H, Pu D, Wu H. The Relationship Between Self-Regulated Learning Competency and Clinical Reasoning Tendency in Medical Students. MEDICAL SCIENCE EDUCATOR 2023; 33:1335-1345. [PMID: 38188392 PMCID: PMC10767173 DOI: 10.1007/s40670-023-01909-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/28/2023] [Indexed: 01/09/2024]
Abstract
Self-regulated learning (SRL) is essential to professional learning and practice across disciplines. However, the literature provides limited insights into how medical educators could leverage the SRL framework to support trainees' strategic processes in clinical reasoning activities. In this study, we investigated the relationship between SRL competency and clinical reasoning tendency as 64 medical students diagnosed a virtual patient in a computer-simulated environment. We further examined whether students with different profiles of SRL competency and clinical reasoning tendency differed in their behavioral patterns and performance. The results suggested that SRL competency positively predicted clinical reasoning tendency. Enhancing medical students' SRL competency, especially their self-reflection skills, could increase the tendency toward relying on an analytic approach to clinical reasoning. Moreover, we identified two groups of students (i.e., analytic SRL learners, and non-analytic, low SRL learners) using K-means clustering analysis. The two groups of students differed in their behavioral patterns in clinical reasoning, as revealed by lag sequential analysis. Furthermore, analytic SRL learners ordered more relevant lab tests than non-analytic low SRL learners in clinical reasoning. This study has methodological and practical implications.
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Affiliation(s)
- Shan Li
- College of Health/College of Education, Lehigh University, Bethlehem, PA USA
| | - Juan Zheng
- College of Education, Lehigh University, Bethlehem, PA USA
| | - Susanne P. Lajoie
- Department of Educational and Counselling Psychology, McGill University, Montreal, QC Canada
| | - Haichao Li
- Department of Respiratory and Critical Medicine, Peking University First Hospital, Beijing, China
| | - Dan Pu
- Office of Education, Peking University School of Basic Medical Sciences, Beijing, China
| | - Hongbin Wu
- Institute of Medical Education/National Center for Health Professions Education Development, Peking University, Haidian District, 38 Xueyuan road, Beijing, 100191 China
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Azevedo R, Bouchet F, Duffy M, Harley J, Taub M, Trevors G, Cloude E, Dever D, Wiedbusch M, Wortha F, Cerezo R. Lessons Learned and Future Directions of MetaTutor: Leveraging Multichannel Data to Scaffold Self-Regulated Learning With an Intelligent Tutoring System. Front Psychol 2022; 13:813632. [PMID: 35774935 PMCID: PMC9239319 DOI: 10.3389/fpsyg.2022.813632] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 03/17/2022] [Indexed: 11/13/2022] Open
Abstract
Self-regulated learning (SRL) is critical for learning across tasks, domains, and contexts. Despite its importance, research shows that not all learners are equally skilled at accurately and dynamically monitoring and regulating their self-regulatory processes. Therefore, learning technologies, such as intelligent tutoring systems (ITSs), have been designed to measure and foster SRL. This paper presents an overview of over 10 years of research on SRL with MetaTutor, a hypermedia-based ITS designed to scaffold college students' SRL while they learn about the human circulatory system. MetaTutor's architecture and instructional features are designed based on models of SRL, empirical evidence on human and computerized tutoring principles of multimedia learning, Artificial Intelligence (AI) in educational systems for metacognition and SRL, and research on SRL from our team and that of other researchers. We present MetaTutor followed by a synthesis of key research findings on the effectiveness of various versions of the system (e.g., adaptive scaffolding vs. no scaffolding of self-regulatory behavior) on learning outcomes. First, we focus on findings from self-reports, learning outcomes, and multimodal data (e.g., log files, eye tracking, facial expressions of emotion, screen recordings) and their contributions to our understanding of SRL with an ITS. Second, we elaborate on the role of embedded pedagogical agents (PAs) as external regulators designed to scaffold learners' cognitive and metacognitive SRL strategy use. Third, we highlight and elaborate on the contributions of multimodal data in measuring and understanding the role of cognitive, affective, metacognitive, and motivational (CAMM) processes. Additionally, we unpack some of the challenges these data pose for designing real-time instructional interventions that scaffold SRL. Fourth, we present existing theoretical, methodological, and analytical challenges and briefly discuss lessons learned and open challenges.
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Affiliation(s)
- Roger Azevedo
- School of Modeling Simulation and Training, University of Central Florida, Orlando, FL, United States
| | - François Bouchet
- Laboratoire d’Informatique de Paris 6 (LIP6), Sorbonne Université, Paris, France
| | - Melissa Duffy
- Educational Studies, University of South Carolina, Columbia, SC, United States
| | - Jason Harley
- Faculty of Medicine, McGill University, Montreal, QC, Canada
- Research Institute of the McGill University Health Center, Montreal, QC, Canada
| | - Michelle Taub
- School of Modeling Simulation and Training, University of Central Florida, Orlando, FL, United States
| | - Gregory Trevors
- Educational Studies, University of South Carolina, Columbia, SC, United States
| | | | - Daryn Dever
- School of Modeling Simulation and Training, University of Central Florida, Orlando, FL, United States
| | - Megan Wiedbusch
- School of Modeling Simulation and Training, University of Central Florida, Orlando, FL, United States
| | - Franz Wortha
- Institute of Psychology, University of Greifswald, Greifswald, Germany
| | - Rebeca Cerezo
- Department of Psychology, University of Oviedo, Oviedo, Spain
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