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Biomedical subjects

Sofie Loyens

Publications and source records attributed to Sofie Loyens.

3 recordsLinked to original sources

Influence of learning resources on study time and achievement scores in a problem-based curriculum.

Many aspects of the problem-based learning cycle aim at stimulating students to elaborate on their knowledge. This elaborative process is considered to be one of the most effective study aids for learning and applying information. One of the opportunities to stimulate this elaboration process is by offering students more, and more diverse, learning resources. Under laboratory conditions, increasing the richness and diversity of the learning materials has often been shown to support students in learning, remembering and applying information. In this study, a curricular perspective was adopted on the question whether students would benefit from more learning resources. Mean study times and achievement scores for 28 problem-based courses were calculated and included in the analyses. Independent variables in both analyses were the number of primary learning resources (i.e., resources students were recommended to study) and the number of supplementary resources (i.e., related, but non-essential resources). Results showed a significant increase in achievement scores for courses with more primary learning resources, but the effect of supplementary resources was limited.

Educational Measurement↗

The role of biomedical knowledge in clinical reasoning: a lexical decision study.

PURPOSE: To investigate the role of biomedical and diagnostic inferences in clinical reasoning of advanced medical students and experienced family physicians using a lexical decision task. METHOD: In 2002, 15 family physicians and 20 fourth-year medical students at Maastricht University medical school in The Netherlands were instructed to carefully study 60 short clinical texts consisting of signs and symptoms associated with a particular disease. Participants read the texts on a computer screen and responded using a computer keyboard. Each text was followed by a target item (i.e., biomedical item, diagnostic item, or a nonword). Participants had to decide as quickly and accurately as possible whether the presented target item was a word or a nonword. For both groups, mean response time and mean error rate for all levels of item type were analyzed. RESULTS: Findings indicate that both physicians and medical students judged diagnostic target items faster and more accurately than biomedical target items. However, physicians were considerably faster than were students on judging biomedical and diagnostic target items. CONCLUSIONS: These findings are largely in line with knowledge encapsulation in that biomedical knowledge still plays a prominent role in the physician's clinical reasoning.

Adult↗

Clinical case processing by medical experts and subexperts.

Medical specialists, diagnosing cases within their domain of expertise, do not rely on intentional causal reasoning, in which they use explicit principles or rules of their domain. Rather, their reasoning has become an automatic process using schema-based knowledge. However, the difference between diagnoses made by medical specialists and diagnoses made by nonspecialists (i.e., subexperts) is unclear. In the present study, cardiologists (the experts), pulmonologists (the subexperts), and advanced medical students evaluated two clinical cases within the domain of cardiology. The cases were divided into four components (i.e., patient's history, physical examination, laboratory data, and additional findings) that were sequentially presented. The task was to study, diagnose, and recall the segmented clinical case description. It was expected that the subexperts and students, as a result of their lack of specific expertise, would focus on different case components than the experts would. However, results indicated that the main difference between experts and subexperts (and to a lesser extent, students) was not a difference in emphasis on case components, but the speed and accuracy of processing these case components.

Attitude↗