SEARCH · PubMed Health

Results for “learning”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 163 records · Page 9Linked to original sources

PubMedDate not supplied

Are residents ready for self-directed learning? A pilot program of individualized learning plans in continuity clinic.

UNLABELLED: Changes in training and certification requirements demand that trainees and practitioners take charge of planning and documenting their ongoing learning. Individualized learning plans (ILPs) have been proposed as a tool to guide this process. We report on a pilot program using ILPs as part of the pediatric continuity clinic experience. OBJECTIVE: The goal of the project was to explore residents' and faculty members' reactions to using ILPs when ILPs were offered as an optional tool. METHODS: A group of 42 residents and 13 faculty members volunteered to use ILPs in continuity clinic. Nine months into the intervention, residents and faculty completed questionnaires about their experiences using ILPs. We performed a content analysis of questionnaire responses to identify perceived benefits and barriers to using ILPs. RESULTS: ILP users reported that the program was helpful in providing a framework and focus for learning and in amplifying their awareness of the learning process. Barriers to using ILPs included lack of time and difficulty establishing and working with learning goals. CONCLUSIONS: Our results suggest that residents are unaccustomed to taking active roles in planning their own learning. To prepare trainees for lifelong learning and continuous professional development, residency programs need to provide explicit education in the process of self-directed learning.

Continuity of Patient Care↗

PubMed1995

What we have learned from the study of learning in the leech.

The use of invertebrate preparations has contributed greatly to our understanding of the neural basis of learning. The leech is especially useful for studying behavioral changes and their underlying neuronal mechanisms. Learning in the leech is essentially identical to that found in other animals, both vertebrate and invertebrate. Using anatomical and physiological techniques on leeches as they learn, we have begun to characterize the properties of individual neurons and neuronal networks that play a role in learning. We have been able to show two neuronal mechanisms that have not been previously associated with associative conditioning. The first has to do with the importance of contingency: one stimulus [the conditional stimulus (CS)] becomes associated with a second stimulus [the unconditional stimulus, (US)] in proportion to the ability of the CS to predict the US. We have found that important properties for encoding predictability, such as circuit reconfiguration, may lie in the US pathway. The firing of the serotonergic Retzius cells is taken as the US; consistent CS prediction of a US prevents "dropout" of a critical component of one US pathway. Throughout training, predicted USs continue to elicit a barrage of action potentials in these cells. Recurring unpredicted USs degrade both the learning and the response of the Retzius cell to the US. A second insight is that at least two US pathways contribute to learning, the Retzius cell pathway and the nociceptive (N) cell pathway. This second pathway persists after the elimination of the Retzius cell pathway. The observation of multiple US pathways raises a host of issues concerning CS-US convergence and the functional significance of distinct US pathways, and our results are discussed in terms of implications to current models of learning.

Animals↗

PubMed2003

Infants' learning, memory, and generalization of learning for bimodal events.

Study 1 investigated whether infants 3 and 7 months of age show differential learning of and memory for sight-sound pairs depending on whether or not temporal synchrony was present; memory was assessed after a 10-min and 1-week interval. Study 2 examined whether 7-month-olds show generalization of learning when they encounter novel bimodal events that are similar (changes in size, orientation, or color, and spectral sound properties) to the sight-sound pairs learned 1 week earlier based on temporal synchrony. For Study 1, infants received a familiarization phase followed by a paired-comparison preference procedure to assess for learning of the sight-sound pairs. One week later a memory test was given. Results confirmed that 7-month-olds had no difficulty learning auditory-visual pairings regardless of whether or not events were temporally synchronous, and they remembered these 10 min and 1 week later. In contrast, 3-month-olds showed poorer learning of sight-sound associations in the no-synchrony than synchrony conditions, and memory for sight-sound pairs 1 week later was shown only for the synchrony conditions. Results for Study 2 revealed generalization of learning of bimodal pairings under all stimulus conditions after a 1-week interval at 7 months of age. Implications of these findings for development of intersensory knowledge are discussed.

Discrimination Learning↗

PubMed1998

Perirhinal cortex ablation impairs configural learning and paired-associate learning equally.

Combined damage to the perirhinal and entorhinal cortex has been implicated in the formation of stimulus-stimulus associative memories. We show in this article that relative to three normal controls three cynomolgus monkeys with ablations restricted to the perirhinal cortex were impaired on a visual paired associate learning task in which subjects had to learn which of two visual stimuli were associated with a cue stimulus. The subjects with perirhinal cortex ablations also showed an impairment of a similar magnitude on a visual configural learning task in which they had to learn which of two configurations of visual stimuli were associated with food-reward. The stimuli in both tasks were comprised of alphanumeric characters presented upon a touch-screen. Both groups made fewer errors on the configural learning task than on the paired associate learning task. We suggest that performance on both tasks relies critically on the perirhinal cortex due to the specialization of the perirhinal cortex in processing knowledge about objects. We argue that the specializations of this system and of other memory systems such as the hippocampal-fornix spatial/episodic memory system, are conferred by the specialization of their anatomical connections to other structures. We reject the notion that there are specific memory processes such as the hippocampal based configural associative system that was proposed to be critical for configural associative learning.

Animals↗

PubMed2004

Role of the basal ganglia in category learning: how do patients with Parkinson's disease learn?

The purpose of the present study was to gain a deeper understanding of the role of the basal ganglia in learning and memory by examining learning strategies among patients with basal ganglia dysfunction. Using a probabilistic category learning task (the "weather prediction" task) previously shown to be sensitive to basal ganglia function, the authors examined patterns of performance during learning and used mathematical models to capture different learning strategies. Results showed that patients with Parkinson's disease exhibit different patterns of strategy use. Specifically, most controls initially used a simple, but suboptimal, strategy that focused on single-cue-outcome associations; eventually, however, most controls adopted a more complex, optimal learning strategy, integrating single-cue associations to predict outcomes for multiple-cue stimuli. In contrast, the majority of individuals with Parkinson's disease continued to rely on simple single-cue learning strategies throughout the experiment.

Aged↗

PubMed1995

Changes in student learning styles and adaptive learning competencies following a senior preceptorship experience.

The purpose of this pre-post comparison study was to examine the effect of the preceptorship experience on the learning styles (the manner in which individuals process information from the environment), adaptive competencies (the congruences between personal skills and task demands) and environmental press perceptions (the subjects' perceptions of the importance of each adaptive competency to effective functioning in a designated environment) of 37 fourth-year baccalaureate nursing students. Using Kolb's theory of experiential learning as the theoretical framework for the study, it was found that the students' learning styles were inconsistently categorized by two versions of Kolb's learning style inventory. The preceptorship experience was perceived by students to have significantly (P < 0.05) improved the development of their adaptive learning competencies. Students perceived the importance of divergent, accommodative and convergent learning competencies to be lower after the preceptorship experience, with the only significant difference (P < 0.05) being between pre- and post-convergent competencies. The preceptorship experience, however, was found to contribute significantly more (P < 0.001) to the students' development of most adaptive competencies than their weekly clinical experiences. The findings support the notion that a senior preceptorship programme is a valuable and worthwhile learning experience to include in baccalaureate nursing curricula.

Adult↗

PubMed2004

The learning curve for a colonoscopy simulator in the absence of any feedback: no feedback, no learning.

BACKGROUND: The hypothesis of this study is that working on the simulator without a structured feedback does not change performance; hence, any effects shown after structured feedback would amount to useful learning of the procedure. The aim was to investigate the learning curve for the HT Immersion Medical Colonoscopy Simulator without any structured feedback. This could then be potentially applied to validate the learning curve on the simulator when structured feedback is provided. There are no previous studies on this matter. METHODS: Candidates were asked to perform colonoscopy on the HT Immersion Medical Colonoscopy Simulator. Modules 3 and 4 were used at random. In total, each candidate was asked to perform five consecutive virtual colonoscopies on the same module. These five episodes were collectively referred to as one trial. A time result of 3,600 sec (1 h) was used to denote perforation. No guidance or feedback was given to candidates before, during, or after each procedure. A total of 26 postgraduate doctors were recruited, including nine research fellows, five preregistration house officers, six specialist registrars, and six consultants. Fourteen candidates recorded five attempts each (i.e., one trial each) on the same module of the colonoscopy simulator (14 trials over 70 episodes). Another 12 candidates recorded five attempts (i.e., one trial each) on two modules of the colonoscopy simulator (24 trials over 120 episodes). Hence, 190 episodes were recorded in total, representing 38 trials. RESULTS: There was no improvement in performance on the simulator from first attempt to the fifth in the absence of feedback. If there was any initial gain in any measurable outcome, this was lost in subsequent attempts indicating lack of learning. The outcomes measured included time taken to complete the test, percentage of the mucosa visualized, depth of the instrument inserted, and the path length used. The results were statistically significant for all outcomes. CONCLUSIONS: This study demonstrates that in the absence of feedback, it is not possible to improve performance on the HT Immersion Medical Colonoscopy Simulator. Thus, there is no learning curve for the machine. The information from this study is vital for using the simulators in training and assessment because any improvement in learning curves shown after training on simulators can be presumed to be due to learning the procedure and not the simulator.

Clinical Competence↗

PubMed1992

Learning from experience: nurse tutors' and student nurses' perceptions of experiential learning in nurse education: some initial findings.

Experiential learning and experiential learning methods have been widely described in the literature as aids to learning about nursing. This paper describes a descriptive study of nurse tutors' and student nurses' perceptions of experiential learning. Two research methods were used: in-depth semi-structured interviews of 12 nurse tutors and 12 student nurses, followed by a questionnaire survey of a total population of nurse tutors in Wales, U.K. (n = 184) and a 100% stratified sample of student nurses in Wales (n = 325). The questionnaire items were devised out of the interview data. This report offers a description of how the study was conducted and some of the findings. Notably, student nurses tended to perceive experiential learning in terms of learning in the clinical setting whilst tutors referred more to experiential learning as a classroom activity. Other findings are described and discussed.

Attitude↗

PubMed2006

Orthographic learning via self-teaching in children learning to read English: effects of exposure, durability, and context.

This experiment investigated orthographic learning via self-teaching in 8- and 9-year-olds learning to read English. Children were exposed to novel words, and following a 1- or 7-day delay interval, orthographic learning was assessed by asking children to select previously seen novel words from an array of visually and phonologically similar foils. Novel words were exposed either in meaningful text or in isolation, and number of exposures was manipulated with each novel word appearing once, twice, or four times. Learning increased as a function of number of exposures, although some evidence of durable one-trial learning was observed. Context played no role, suggesting that orthographic learning is not dependent on meaning-based information. In general, these findings offer support for the central aspects of Share's self-teaching hypothesis. However, although we observed a general relation between phonological decoding and orthographic learning, the relation did not hold at an item-by-item level of analysis, suggesting that a strong version of Share's item-based account is not correct.

Analysis of Variance↗

PubMed2004

On-line learning through simple perceptron learning with a margin.

We analyze a learning method that uses a margin kappa a la Gardner for simple perceptron learning. This method corresponds to the perceptron learning when kappa = 0 and to the Hebbian learning when kappa = infinity. Nevertheless, we found that the generalization ability of the method was superior to that of the perceptron and the Hebbian methods at an early stage of learning. We analyzed the asymptotic property of the learning curve of this method through computer simulation and found that it was the same as for perceptron learning. We also investigated an adaptive margin control method.

Learning↗

PubMed2005

Implicit associative learning engages the hippocampus and interacts with explicit associative learning.

The hippocampus is crucial for conscious, explicit memory, but whether it is also involved in nonconscious, implicit memory is uncertain. We investigated with functional magnetic resonance imaging whether implicit learning engages the hippocampus and interacts with subsequent explicit learning. The presentation of subliminal faces-written profession pairs for implicit learning was followed by the explicit learning of supraliminal pairs composed of the same faces combined with written professions semantically incongruous to those presented subliminally (experiment 1), semantically congruous professions (experiment 2), or identical professions (experiment 3). We found that implicit face-profession learning interacted with explicit face-profession learning in all experiments, impairing the explicit retrieval of the associations. Hippocampal activity increased during the subliminal presentation of face-profession pairs versus face-nonword pairs and correlated with the later impairment of explicit retrieval. These findings suggest that implicit semantic associative learning engages the hippocampus and influences explicit memory.

Association Learning↗

PubMed2006

Implicit learning and statistical learning: one phenomenon, two approaches.

The domain-general learning mechanisms elicited in incidental learning situations are of potential interest in many research fields, including language acquisition, object knowledge formation and motor learning. They have been the focus of studies on implicit learning for nearly 40 years. Stemming from a different research tradition, studies on statistical learning carried out in the past 10 years after the seminal studies by Saffran and collaborators, appear to be closely related, and the similarity between the two approaches is strengthened further by their recent evolution. However, implicit learning and statistical learning research favor different interpretations, focusing on the formation of chunks and statistical computations, respectively. We examine these differing approaches and suggest that this divergence opens up a major theoretical challenge for future studies.

Attention↗

PubMed2002

Is implicit learning spared in amnesia? Rule abstraction and item familiarity in artificial grammar learning.

We examined implicit learning of an artificial grammar in amnesic and control participants. The "biconditional" grammar used to generate study and test strings allows two potential sources of judgements in artificial grammar learning to be unconfounded: participants could either learn the abstract biconditional rules or could learn about the distributional statistics of the surface elements (e.g. bigrams) composing the study items. Test strings varied these two sources orthogonally. We found no evidence of abstract rule learning either in the control or amnesic groups. In contrast, both groups learned about the surface elements and tended to call test strings "grammatical" when they were composed of familiar bigrams. However, this sensitivity to bigram familiarity was significantly reduced in the amnesic compared to the control group. The results challenge the claim that implicit learning is intact in amnesia.

Amnesia↗

PubMed2003

Clinical environment as a learning environment: student nurses' perceptions concerning clinical learning experiences.

The aim of this study is to describe student nurses' perceptions of clinical learning experiences in the context of the clinical learning environment. We use the phenomenological approach by Colaizzi. The data was collected by unstructured interviews. Altogether 16 student nurses were asked to describe the significance of clinical learning experiences and good and bad learning experiences. Four elements sum up these clinical learning experiences: the appreciation and support the students received, the quality of mentoring and patient care, and students' self-directedness. Student nurses valued clinical practice and the possibilities it offered in the process of growing to become a nurse and a professional. A good clinical learning environment was established through good co-operation between the school and the clinical staff. It was concluded that the school should be able to provide a suitable clinical learning environment at the right time, so that theory and practice would complement each other. The teacher was the expert on nursing education, the aims set for each practice, as well as student nurses and their skills, but then again the nurse mentor knew the ward on which students were practicing. This was why collaboration between nurse mentors and nurse teachers was considered very necessary.

Education, Nursing, Baccalaureate↗

PubMed2005

Constructivism, the so-called semantic learning theories, and situated cognition versus the psychological learning theories.

In this paper, the perspective of situated cognition, which gave rise both to the pragmatic theories and the so-called semantic theories of learning and has probably become the most representative standpoint of constructivism, is examined. We consider the claim of situated cognition to provide alternative explanations of the learning phenomenon to those of psychology and, especially, to those of the symbolic perspective, currently predominant in cognitive psychology. The level of analysis of situated cognition (i.e., global interactive systems) is considered an inappropriate approach to the problem of learning. From our analysis, it is concluded that the pragmatic theories and the so-called semantic theories of learning which originated in situated cognition can hardly be considered alternatives to the psychological learning theories, and they are unlikely to add anything of interest to the learning theory or to contribute to the improvement of our knowledge about the learning phenomenon.

Cognition↗

PubMed2003

Adaptive learning in arthropods: spider mites learn to distinguish food quality.

Many herbivorous arthropods have been shown to possess learning capabilities, yet fitness effects of learning are largely unknown. In this paper, we test whether two-spotted spider mites (Tetranychus urticae) learn to distinguish food quality in choice tests, and whether this results in fitness benefits. Food consisted of cucumber plants with one of three degrees of feeding damage: undamaged (no mites), mildly damaged (infested by a mite strain adapted to tomato) and heavily damaged (infested by a mite strain adapted to cucumber). Mites were subjected to one choice test in a greenhouse and three sequential choice tests on leaf disks. Thereafter, individual mite performance was measured as oviposition rate over four days. In the course of the three small-scale choice tests, preference shifted towards less damaged food. The performance tests showed that learning was adaptive: mites learned to prefer the food type that yielded the higher oviposition rate. Interestingly, innate preferences in the greenhouse tests were close to those shown after learning in the small-scale tests. Given that both strains of mites had not experienced cucumber for several years, we hypothesize that the preference in the greenhouse was due to avoidance of mite odours rather than odours of damaged plants. Through its effect on foraging behaviour, adaptive learning may promote the evolution of host plant specialization in herbivorous arthropods.

Adaptation, Physiological↗

PubMed1991

Unaware learning versus preserved learning in pharmacologic amnesia: similarities and differences.

The differences between learning in lorazepam (LOR)--or scopolamine (SCOP)--induced amnesia and learning in unaware drug-free normal subjects were examined. The drugs produced impairment in free recall, but did not affect digit span or word retrieval. In a verbal version, but not a motor version, of the serial reaction time task, the subjects who received SCOP or higher dose LOR showed impairment of sequence-specific learning. Subjects who received placebo had no such impairment. In the stem completion paradigm, higher dose LOR, but not SCOP, impaired performance. In a tachistoscopic word identification task, neither drug interfered with repetition priming. Unaware learning and drug-induced amnesic learning were thus dissociable. These findings disconfirm the hypothesis that unaware learning and drug-induced amnesic learning are analogous.

Adolescent↗

PubMed2005

Hyperspecificity in visual implicit learning: learning of spatial layout is contingent on item identity.

Humans conduct visual search faster when the same display is presented for a 2nd time, showing implicit learning of repeated displays. This study examines whether learning of a spatial layout transfers to other layouts that are occupied by items of new shapes or colors. The authors show that spatial context learning is sometimes contingent on item identity. For example, when the training session included some trials with black items and other trials with white items, learning of the spatial layout became specific to the trained color--no transfer was seen when items were in a new color during testing. However, when the training session included only trials in black (or white), learning transferred to displays with a new color. Similar results held when items changed shapes after training. The authors conclude that implicit visual learning is sensitive to trial context and that spatial context learning can be identity contingent.

Adolescent↗