Skip to main content
Top
Published in: Perspectives on Medical Education 5/2018

Open Access 01-10-2018 | Original Article

Fostering medical students’ lifelong learning skills with a dashboard, coaching and learning planning

Authors: Karen E. Hauer, Nicholas Iverson, Alekist Quach, Patrick Yuan, Stephanie Kaner, Christy Boscardin

Published in: Perspectives on Medical Education | Issue 5/2018

Login to get access

Abstract

Introduction

To develop lifelong learning skills, students need feedback, access to performance data, and coaching. A new medical curriculum incorporated infrastructural supports based on self-regulated learning theory and the Master Adaptive Learner framework to engage students in reflection and learning planning. This study examines students’ experience with a performance dashboard, longitudinal coaching, and structured time for goal-setting.

Methods

Focus groups with first-year medical students explored performance dashboard usage, coaching and learning planning. We analyzed findings using thematic analysis. Results informed development of a 29-item survey rated strongly disagree (1) to strongly agree (5) to investigate experience with the dashboard, coaching and learning goals program. The survey was distributed to one first-year medical student class. We performed descriptive statistics and factor analysis.

Results

In three focus groups with 21 participants, students endorsed using the dashboard to access performance information but had trouble interpreting and integrating information. They valued coaches as sources of advice but varied in their perceptions of the value of discussing learning planning. Of 152 students, 114 (75%) completed the survey. Exploratory factor analysis yielded 5 factors explaining 57% of the variance: learning goals development (α = 0.88; mean 3.25 (standard deviation 0.91)), dashboard usage (α = 0.82; 3.36 (0.64)), coaching (α = 0.71; 3.72 (0.64)), employment of learning strategies (α = 0.81; 3.67 (0.79)), and reflection (α = 0.63; 3.68 (0.64)).

Discussion

The student performance dashboard provides efficient feedback access, yet students’ use of this information to guide learning is variable. These results can inform other programs seeking to foster lifelong learning skills.
Appendix
Available only for authorised users
Literature
1.
go back to reference Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29:648–54.CrossRef Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29:648–54.CrossRef
3.
go back to reference Bokova I. UNESCO education strategy 2014–2021. Paris: United Nations Educational, Scientific, and Cultural Organization; 2014p. pp. 1–63. Bokova I. UNESCO education strategy 2014–2021. Paris: United Nations Educational, Scientific, and Cultural Organization; 2014p. pp. 1–63.
4.
go back to reference Murdoch-Eaton D, Whittle S. Generic skills in medical education: developing the tools for successful lifelong learning. Med Educ. 2012;46:120–8.CrossRef Murdoch-Eaton D, Whittle S. Generic skills in medical education: developing the tools for successful lifelong learning. Med Educ. 2012;46:120–8.CrossRef
5.
go back to reference Grant H, Dweck CS. Clarifying achievement goals and their impact. J Pers Soc Psychol. 2003;85:541–53.CrossRef Grant H, Dweck CS. Clarifying achievement goals and their impact. J Pers Soc Psychol. 2003;85:541–53.CrossRef
6.
go back to reference Teunissen PW. Experience, trajectories, and reifications: an emerging framework of practice-based learning in healthcare workplaces. Adv Health Sci Educ Theory Pract. 2015;20:843–56.CrossRef Teunissen PW. Experience, trajectories, and reifications: an emerging framework of practice-based learning in healthcare workplaces. Adv Health Sci Educ Theory Pract. 2015;20:843–56.CrossRef
7.
go back to reference Cutrer WB, Miller B, Pusic MV, et al. Fostering the development of master adaptive learners: a conceptual model to guide skill acquisition in medical education. Acad Med. 2017;92:70–5.CrossRef Cutrer WB, Miller B, Pusic MV, et al. Fostering the development of master adaptive learners: a conceptual model to guide skill acquisition in medical education. Acad Med. 2017;92:70–5.CrossRef
8.
go back to reference Zimmerman BJ. Self-regulated learning and academic achievement: an overview. Educ Psychol. 1990;25:3–17.CrossRef Zimmerman BJ. Self-regulated learning and academic achievement: an overview. Educ Psychol. 1990;25:3–17.CrossRef
9.
go back to reference Sargeant J, Armson H, Chesluk B, et al. The processes and dimensions of informed self-assessment: a conceptual model. Acad Med. 2010;85:1212–20.CrossRef Sargeant J, Armson H, Chesluk B, et al. The processes and dimensions of informed self-assessment: a conceptual model. Acad Med. 2010;85:1212–20.CrossRef
10.
go back to reference Srinivasan M, Hauer KE, Der-Martirosian C, Wilkes M, Gesundheit N. Does feedback matter? Practice-based learning for medical students after a multi-institutional clinical performance examination. Med Educ. 2007;41:857–65.CrossRef Srinivasan M, Hauer KE, Der-Martirosian C, Wilkes M, Gesundheit N. Does feedback matter? Practice-based learning for medical students after a multi-institutional clinical performance examination. Med Educ. 2007;41:857–65.CrossRef
11.
go back to reference Hawkins SC1, Osborne A, Schofield SJ, Pournaras DJ, Chester JF. Improving the accuracy of self assessment of practical clinical skills using video feedback – the importance of including benchmarks. Med Teach. 2012;34:279–84.CrossRef Hawkins SC1, Osborne A, Schofield SJ, Pournaras DJ, Chester JF. Improving the accuracy of self assessment of practical clinical skills using video feedback – the importance of including benchmarks. Med Teach. 2012;34:279–84.CrossRef
14.
go back to reference Sargeant J, Eva KW, Armson H, et al. Features of assessment learners use to make informed self-assessments of clinical performance. Med Educ. 2011;45:636–47.CrossRef Sargeant J, Eva KW, Armson H, et al. Features of assessment learners use to make informed self-assessments of clinical performance. Med Educ. 2011;45:636–47.CrossRef
15.
go back to reference Creswell J, Clark V. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks: SAGE; 2011. Creswell J, Clark V. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks: SAGE; 2011.
16.
go back to reference Schifferdecker KE, Reed VA. Using mixed methods research in medical education: basic guidelines for researchers. Med Educ. 2009;43:637–44.CrossRef Schifferdecker KE, Reed VA. Using mixed methods research in medical education: basic guidelines for researchers. Med Educ. 2009;43:637–44.CrossRef
18.
go back to reference Hauer KE, O’Sullivan PS, Fitzhenry K, Boscardin C. Translating theory into practice: implementing a program of assessment. Acad Med. 2018;93:444–50.CrossRef Hauer KE, O’Sullivan PS, Fitzhenry K, Boscardin C. Translating theory into practice: implementing a program of assessment. Acad Med. 2018;93:444–50.CrossRef
19.
go back to reference Spickard A III, Ahmed T, Lomis K, Johnson K, Miller B. Changing medical school IT to support medical education transformation. Teach Learn Med. 2016;28:80–7.CrossRef Spickard A III, Ahmed T, Lomis K, Johnson K, Miller B. Changing medical school IT to support medical education transformation. Teach Learn Med. 2016;28:80–7.CrossRef
21.
go back to reference Conzemius A, O’Neill J. The power of SMART goals: using goals to improve student learning. Bloomington: Solution Tree; 2009. Conzemius A, O’Neill J. The power of SMART goals: using goals to improve student learning. Bloomington: Solution Tree; 2009.
22.
go back to reference Dye JF, Schatz IM, Rosenberg BA, Coleman ST. Constant comparison method: a kaleidoscope of data. Qual Rep. 2000;4:1–9. Dye JF, Schatz IM, Rosenberg BA, Coleman ST. Constant comparison method: a kaleidoscope of data. Qual Rep. 2000;4:1–9.
23.
go back to reference Barry CA, Britten N, Barber N, Bradley C, Stevenson F. Using reflexivity to optimize teamwork in qualitative research. Qual Health Res. 1999;9:26–44.CrossRef Barry CA, Britten N, Barber N, Bradley C, Stevenson F. Using reflexivity to optimize teamwork in qualitative research. Qual Health Res. 1999;9:26–44.CrossRef
24.
go back to reference Artino AR, La Rochelle JS, Dezee KJ, Gehlbach H. Developing questionnaires for educational research: AMEE guide no. 87. Med Teach. 2014;36:463–74.CrossRef Artino AR, La Rochelle JS, Dezee KJ, Gehlbach H. Developing questionnaires for educational research: AMEE guide no. 87. Med Teach. 2014;36:463–74.CrossRef
25.
go back to reference Bartholomew DJ, Knott M, Moustaki I. Latent variable models and factor analysis: a unified approach. Hoboken: John Wiley & Sons; 2011.CrossRef Bartholomew DJ, Knott M, Moustaki I. Latent variable models and factor analysis: a unified approach. Hoboken: John Wiley & Sons; 2011.CrossRef
26.
go back to reference Stevens J. Applied multivariate statistics for the social sciences. 3rd ed. Mahwah: Erlbaum; 1996. Stevens J. Applied multivariate statistics for the social sciences. 3rd ed. Mahwah: Erlbaum; 1996.
27.
go back to reference Lockspeiser TM, Li S‑TT, Burke AE, et al. In pursuit of meaningful use of learning goals in residency: a qualitative study of pediatric residents. Acad Med. 2016;91:839–46.CrossRef Lockspeiser TM, Li S‑TT, Burke AE, et al. In pursuit of meaningful use of learning goals in residency: a qualitative study of pediatric residents. Acad Med. 2016;91:839–46.CrossRef
28.
go back to reference Murphy D, Aitchison P, Hernandez Santiago V, Davey P, Mires G, Nathwani D. Insightful practice: a robust measure of medical students’ professional response to feedback on their performance. BMC Med Educ. 2015;15:125.CrossRef Murphy D, Aitchison P, Hernandez Santiago V, Davey P, Mires G, Nathwani D. Insightful practice: a robust measure of medical students’ professional response to feedback on their performance. BMC Med Educ. 2015;15:125.CrossRef
30.
go back to reference Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094–102.CrossRef Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094–102.CrossRef
31.
go back to reference Lovell B. What do we know about coaching in medical education? A literature review. Med Educ. 2018;52:376–90.CrossRef Lovell B. What do we know about coaching in medical education? A literature review. Med Educ. 2018;52:376–90.CrossRef
32.
go back to reference Telio S, Ajjawi R, Regehr G. The “educational alliance” as a framework for reconceptualizing feedback in medical education. Acad Med. 2015;90:609–14.CrossRef Telio S, Ajjawi R, Regehr G. The “educational alliance” as a framework for reconceptualizing feedback in medical education. Acad Med. 2015;90:609–14.CrossRef
33.
go back to reference Dweck CS. Motivational processes affecting learning. Am Psychol. 1986;41(10):1040–8.CrossRef Dweck CS. Motivational processes affecting learning. Am Psychol. 1986;41(10):1040–8.CrossRef
34.
go back to reference Zimmerman BJ. Self-efficacy: an essential motive to learn. Contemp Educ Psychol. 2000;25:82–91.CrossRef Zimmerman BJ. Self-efficacy: an essential motive to learn. Contemp Educ Psychol. 2000;25:82–91.CrossRef
35.
go back to reference Durning SJ, Cleary TJ, Sandars J, Hemmer P, Kokotailo P, Artino AR. Perspective: viewing “strugglers” through a different lens: how a self-regulated learning perspective can help medical educators with assessment and remediation. Acad Med. 2011;86:488–95.CrossRef Durning SJ, Cleary TJ, Sandars J, Hemmer P, Kokotailo P, Artino AR. Perspective: viewing “strugglers” through a different lens: how a self-regulated learning perspective can help medical educators with assessment and remediation. Acad Med. 2011;86:488–95.CrossRef
Metadata
Title
Fostering medical students’ lifelong learning skills with a dashboard, coaching and learning planning
Authors
Karen E. Hauer
Nicholas Iverson
Alekist Quach
Patrick Yuan
Stephanie Kaner
Christy Boscardin
Publication date
01-10-2018
Publisher
Bohn Stafleu van Loghum
Published in
Perspectives on Medical Education / Issue 5/2018
Print ISSN: 2212-2761
Electronic ISSN: 2212-277X
DOI
https://doi.org/10.1007/s40037-018-0449-2

Other articles of this Issue 5/2018

Perspectives on Medical Education 5/2018 Go to the issue