Developing the reflective
professional:
medical students' use of
resources and patterns of learning
11th May 2010
CETL sem...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Initial project 200...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Publications – previo...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Introduced use of w...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Conclusions
5
 Stude...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Explain purpose of ...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Rationale for buildin...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 We interpret this h...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Can students’ PBL l...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Small scale study, ...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Small scale study.
...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Context
 Temporal
...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Support and resources...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: 1...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: 3...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: p...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: p...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: r...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: r...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Learning landscape: t...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Techniques
With other...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Specific to the ind...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
(First and third year...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Discussions – libra...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Emphasis / importan...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
One technique: intern...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
One technique: intern...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Browse others’
sear...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Browse others’
sear...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Previous project: s...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
Social bookmarking to...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Tool fulfils all pr...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Sharing is perceive...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
 Acknowledge support...
DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35
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Developing the reflective professional

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Developing the reflective professional: medical students' use of resources and patterns of learning

Project lead: Dr Peter Dangerfield
Researcher: Tünde Varga-Atkins

Participant student groups: 1st year

Abstract

This project builds on a previous CEDP Fellowship award (entitled 'Writing and reflecting: exploring the use of wikis and online peers assessment tools to promote the personal and professional development of undergraduate medical students') which explored how students interacted and shared their findings and resources between face-to-face PBL sessions. This presentation reports on project findings which focused on the process of how students research and evaluate their learning objectives. Through the introduction of online tools in the PBL process, the project examined the potential of a social bookmarking tool, Diigo, in supporting the development of students' reflective practice.

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Developing the reflective professional

  1. 1. Developing the reflective professional: medical students' use of resources and patterns of learning 11th May 2010 CETL seminar presentation Peter Dangerfield Tünde Varga-Atkins Ian Ellis Louis Vitone
  2. 2. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Initial project 2007-8  Current project 2009-10  Aims  Methods  Findings - Social bookmarking  Conclusion Session outline
  3. 3. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Publications – previous project •Developing professionalism through the use of wikis: a study with first-year undergraduate medical students. Medical Teacher 32(10), October. 2010 •HEA MEDEV subject centre newsletter. Spring 2010. (Issue 21) Using wikis to promote the personal and professional development of undergraduate medical students: a report for the CETL in Developing Professionalism
  4. 4. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Introduced use of wikis in PBL context – enhance learning?  Students welcomed sharing resources.  Interacting in (‘formal’) online spaces contributed to a development of professionalism. First project: using wikis in PBL
  5. 5. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Conclusions 5  Students were less familiar with the technology than expected.  Students were not confident posting in a large group wiki – importance of trust (expressed in sharing / privacy of technology used).  Importance of alerts and usability of the tool.
  6. 6. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Explain purpose of process – hands on session  On-line tool must use Web 2 type of alerts etc  Private / Group / Public areas  Environment must bring with it the concept of Trust  If students only tend to share web links: explore social bookmarking 6 Recommendations
  7. 7. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Rationale for building on first project People Techniques Resources Research PBL objectives Student Tools Lifelong learning
  8. 8. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  We interpret this here to be: - Independent learning skills - Information skills (search, retrieve, store, evaluate and synthesise information) - Building up for medical career Reflective professional
  9. 9. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Can students’ PBL learning be enhanced? - What tools (techniques, resources) do students use to research their PBL / develop their professionalism? - Introduce an online social bookmarking tool.  How do students engage with the social bookmarking tool?  How do they value such a tool for their PBL research? Aims
  10. 10. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Small scale study, pilot.  Focus groups & interviews. - Piloted ‘walkthrough interview’. - Also interviewed third years from first project to compare.  Online engagement and statistics.  Email feedback.  Used activity theory to help interpret and organise findings. Methods
  11. 11. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Small scale study.  Interpretative.  Focus group limitations. NB Preliminary results  Analysis is still being refined Limitations of process
  12. 12. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Context  Temporal  Conflict between direction and self- directed learning  Issue of ‘Depth’  BUT this tension is the source of learning Findings
  13. 13. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Support and resources for PBL People Techniques Resources Research PBL objectives Student Tools
  14. 14. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: 1st years and where resources come from People Techniques Resources
  15. 15. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: 3rd years People Techniques Resources
  16. 16. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: people First years Senior peers Friends, ex-school friends PBL group HARC staff Lecturers Family, relatives PBL facilitator
  17. 17. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: people Third years Clinical staff patients peers flat mates Year group faculty facilitators PBL group
  18. 18. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: resources First years books internet library search past exam papers VITAL resources HARC booklets lectures HARC hands-on
  19. 19. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: resources Third years Speciality booklets web search reference books journals Library databases PBL booklet
  20. 20. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Learning landscape: techniques First & third years mnemonics Note-taking diagrams drawings mind maps cue-cards quizzes copying reflecting
  21. 21. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Techniques With others Individual
  22. 22. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Specific to the individual (e.g. Note-taking etc.) eg diagramming creating powerpoint slides for PBL Individual techniques
  23. 23. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 (First and third years)  Reflection  Aware of own skills, limitations  Overcompensating  Interest (satisfying own interest) ‘indulge’  Aware of learning styles preference  (third year) – writing and reflecting Individual techniques
  24. 24. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Discussions – library, at home, on campus  Sharing – via email, Facebook, during PBL, texting and phone calls  Skill exchange  Role of sharing - First year: DEPTH, revision - Third year : checking understanding, sharing resources Techniques: collaboration with peers
  25. 25. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Emphasis / importance of people and resources changes over the years;  Techniques change from person to person;  Quality of techniques change (in certain cases);  Further questions: - Does the range of techniques change? - Do students learn expand their techniques over the years? - What influences their take-up (or no take-up) of a tool? Preliminary interpretation
  26. 26. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 One technique: internet search First years  VITAL, HARC, lectures help direct to sources;  Google search [or quick overview e.g. Wikipedia] - Senior peers - Recall lecturers – does site cover the points mentioned? - ‘Trusted sites’ e.g. NHS, Direct Gov, university sites etc - NOT using ‘social’ element of bookmarking  Links via email, face to face chats, Facebook
  27. 27. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 One technique: internet search Third years  Google search or quick overview (e.g. Wikipedia) - Range of trusted sites: wider - Author / web publisher’s trustworthiness - Medical community recommendations, doctors’ recommendations - NOT using ‘social’ element of bookmarking  Increasing use of specialised medical databases, journals etc  Links via email, face to face chats, Facebook
  28. 28. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Browse others’ searches  Snowballing  Common interests Social bookmarking  Portable ‘favourites’  Toolbar – saving weblinks quickly
  29. 29. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Browse others’ searches  Snowballing  Common interests Social bookmarking  Portable ‘favourites’  Toolbar – saving weblinks quickly Can it enhance PBL?
  30. 30. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Previous project: sharing weblinks useful;  Current project: - Physical sharing ie via face to face, FaceBook, email, text - First year- main source of information = books > internet links  Role of sharing: to help guide students about DEPTH rather than share a physical resource. Sharing web links
  31. 31. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 Social bookmarking tool not used/useful  Usability - Not downloaded toolbar - ‘Cumbersome’  Practice - Shared via face to face discussions instead or via email. - Store web links in favourites or in their PBL notebooks. How students shared weblinks
  32. 32. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Tool fulfils all previous demands  Useful in theory – but not used in practice: - Quantity - Utility vs effort - ‘social’ element not utilised, recognised  May be a good tool in the later years when there are more internet searches  May be taken up by an individual rather than whole groups. Social bookmarking
  33. 33. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Sharing is perceived to be useful – purpose is about DEPTH  Learning styles / different individual strategies are important  No ‘blanket tool’ but tool for specific individuals / purposes  Bookmarking has potential to enhance learning – but potential is not recognised by students (eg helping in searches etc.) Conclusions
  34. 34. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35  Acknowledge support from the CETL  Interesting area  Clearly more analysis  Further work needed  The Road to the future? Conclusions
  35. 35. DEVELOPING THE REFLECTIVE PROFESSIONAL: MEDICAL STUDENTS’ USE OF RESOURCES AND LEARNING PATTERNS /35 QUESTIONS

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