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Active learning through discussion: ICAP framework for education in health professions

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Authors
Lim, Jaeseo; Ko, Hyunwoong; Yang, Ji Won; Kim, Songeui; Lee, Seunghee; Chun, Myung-Sun; Ihm, Jungjoon; Park, Jooyong
Issue Date
2019-12-30
Publisher
BMC
Citation
BMC Medical Education, 19(1):477
Keywords
Learning outcomesDiscussionQuestion generationSelf-studyMedical education
Abstract
Background
The ICAP framework based on cognitive science posits four modes of cognitive engagement: Interactive, Constructive, Active, and Passive. Focusing on the wide applicability of discussion as interactive engagement in medical education, we investigated the effect of discussion when it was preceded by self-study and further investigated the effect of generating questions before discussions.

Methods
This study was conducted in the second semester of 2018 and was participated in by 129 students majoring in health professions, including medicine, dentistry, veterinary medicine, and nursing. The students were assigned to four different trial groups and were asked to fill out a Subjective Mental Effort Questionnaire after completing each session. Their performance in posttest scores was analyzed using Bonferroni test, and mental effort was analyzed using mediation analysis.

Results
These results indicated that the self-study and question group had the highest performance and that the lecture and summary group had the lowest performance when comparing the total score. Using the analysis of mental effort, it was confirmed that the relationship between different study conditions and post-test performance was mediated by mental effort during test.

Conclusions
Our findings support the ICAP framework and provide practical implications for medical education, representing the fact that students learn more when they are involved in active learning activities, such as self-study and question generation, prior to discussions.
ISSN
1472-6920
Language
English
URI
https://doi.org/10.1186/s12909-019-1901-7

http://hdl.handle.net/10371/164892
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College of Medicine/School of Medicine (의과대학/대학원)Medical Education (의학교육학전공)Journal Papers (저널논문_의학교육학전공)
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