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Biomedical subjects

Paul A Kirschner

Publications and source records attributed to Paul A Kirschner.

7 recordsLinked to original sources

Feedback for general practitioners in training: quality, styles, and preferences.

A General Practitioner (GP) is no longer a loner, but a team player in either a group practice or a care centre. This change has led to a concomitant growth in curricular interest in skills essential for successful collaboration and for enhancing critical reflection towards colleagues' performance. Giving and receiving constructive feedback are examples of these skills. The aim of this study was to gain insight in the style and quality of feedback reports on consultation skills written by GPs-in-Training (GPiTs) and by their GP-trainers. Furthermore, the preferences of the GPiTs concerning feedback style were examined. Results show significant differences between GP-trainers and GPiTs in feedback style and quality. A ranking task indicated that GPiTs have a preference for reports characterised by a large number of reflective remarks. Questionnaire results indicate the added value of the use of peer feedback. Implications for the integration of peer feedback activities in the curriculum of GPiTs are discussed.

Clinical Competence↗

The management of cognitive load during complex cognitive skill acquisition by means of computer-simulated problem solving.

This study compared the effects of two information presentation formats on learning to solve problems in electrical circuits. In one condition, the split-source format, information relating to procedural aspects of the functioning of an electrical circuit was not integrated in a circuit diagram, while information in the integrated format condition was integrated in the circuit diagram. It was hypothesized that learners in the integrated format would achieve better test results than the learners in the split-source format. Equivalent-test problem and transfer-test problem performance were studied. Transfertest scores confirmed the hypothesis, though no differences were found on the equivalent-test scores.

Adolescent↗

Optimizing the number of steps in learning tasks for complex skills.

BACKGROUND: Carrying out whole tasks is often too difficult for novice learners attempting to acquire complex skills. The common solution is to split up the tasks into a number of smaller steps. The number of steps must be optimized for efficient and effective learning. AIM: The aim of the study is to investigate the relation between the number of steps provided to learners and the quality of their learning of complex skills. It is hypothesized that students receiving an optimized number of steps will learn better than those receiving either the whole task in only one step or those receiving a large number of steps. SAMPLE: Participants were 35 sophomore law students studying at Dutch universities, mean age=22.8 years (SD=3.5), 63% were female. METHOD: Participants were randomly assigned to 1 of 3 computer-delivered versions of a multimedia programme on how to prepare and carry out a law plea. The versions differed only in the number of learning steps provided. Videotaped plea-performance results were determined, various related learning measures were acquired and all computer actions were logged and analyzed. RESULTS: Participants exposed to an intermediate (i.e. optimized) number of steps outperformed all others on the compulsory learning task. No differences in performance on a transfer task were found. A high number of steps proved to be less efficient for carrying out the learning task. CONCLUSIONS: An intermediate number of steps is the most effective, proving that the number of steps can be optimized for improving learning.

Adult↗

Learning and understanding in virtual teams.

There are sufficient reasons to conclude that virtual education is not just hype. There are, among others, economic motivations such as bringing one learning module to a larger audience of learners, and pragmatic reasons such as achieving flexibility in time and space for learning, which is especially important for adult learners. However, from a pedagogic point of view there are some doubts. Current technologies meant for learning and working in teams are often designed for functional collaboration (e.g., sharing documents, communicating), but fail to support learning, understanding and team forming (e.g., carrying out pedagogically adequate tasks, understanding each other's work and group dynamic processes) in virtual teams. In order to understand virtual teams, we need to know how we can study learning and understanding in virtual teams. Interesting research questions are: Which concepts are important in understanding virtual teams? How can we measure those concepts, and in what type of setting (e.g., experimental study, case study)? The aim of this special issue is to provide and discuss concepts and pragmatic insights in research on learning and understanding in virtual teams. The aim of this article is to set the stage for those articles.

Adult↗

Determining sociability, social space, and social presence in (a)synchronous collaborative groups.

The effectiveness of group learning in asynchronous distributed learning groups depends on the social interaction that takes place. This social interaction affects both cognitive and socioemotional processes that take place during learning, group forming, establishment of group structures, and group dynamics. Though now known to be important, this aspect is often ignored, denied or forgotten by educators and researchers who tend to concentrate on cognitive processes and on-task contexts. This "one-sided" educational focus largely determines the set of requirements in the design of computer-supported collaborative learning (CSCL) environments resulting in functional CSCL environments. In contrast, our research is aimed at the design and implementation of sociable CSCL environments which may increase the likelihood that a sound social space will emerge. We use a theoretical framework that is based upon an ecological approach to social interaction, centering on the concept of social affordances, the concept of the sociability of CSCL environments, and social presence theory. The hypothesis is that the higher the sociability, the more likely that social interaction will take place or will increase, and the more likely that this will result in an emerging sound social space. In the present research, the variables of interest are sociability, social space, and social presence. This study deals with the construction and validation of three instruments to determine sociability, social space, and social presence in (a)synchronous collaborating groups. The findings suggest that the instruments have potential to be useful as measures for the respective variables. However, it must be realized that these measures are "first steps."

Adult↗

The history of thoracic surgery at Mount Sinai.

The birth, development and maturation of thoracic surgery at The Mount Sinai Hospital, and its pioneering contributions are presented. These achievements were accomplished not only by the individual surgeons who had an abiding interest in the surgery of the chest, but also with the fruitful collaboration of pathologists, radiologists, cardiologists, pulmonologists, endoscopists, neurologists, immunologists, and others. Continuing interactions of these specialists promise to yield new and important advances in the field of thoracic surgery at Mount Sinai.

History, 20th Century↗