Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Med Educ. 2013 Feb;47(2):166-72. doi: 10.1111/medu.12084.
It is well known that precision skills are best learned when they are practised in the sensorimotor context that is present when performance is most important. However, a particular skill may vary with respect to the sensorimotor context in which it is performed. Certain sensorimotor variations can make a task more or less complex than others. Recent accounts of skill learning describe how task difficulty can be manipulated to provide optimised challenges to progress learners beyond their current level of expertise. This study tests the idea that simplified practise contexts lead novice learners to acquire skill proficiency that is more generalisable to new contexts.
We present a learning experiment in which the performances of novices who acquired a set level of proficiency in the endoscopic pots-and-beans task through performance-based practise using a gaze-up endoscopic monitor arrangement were compared against the performances of novices who acquired an equivalent level of proficiency using a simplified gaze-down arrangement. Participants returned after 1 week for retention and transfer testing.
Time and accuracy analyses revealed that participants in both training groups improved significantly over the practise protocol and maintained this performance after a period of retention. However, the comparisons of the visual display transfer performances (i.e. on the gaze-up arrangement) of the gaze-down trainees against the retention performances (i.e. also on the gaze-up arrangement) of their gaze-up counterparts and vice versa revealed that gaze-down trainees made fewer errors in both performance contexts (F(1,16) = 7.97, p = 0.01 and F(1,16) = 57.05, p = 0.04, respectively).
These findings highlight the benefits associated with using simplified sensorimotor practise contexts for novice learners. Beginners will learn best from simplified practise because it allows them to develop good movement strategies for dealing with potential error without being overwhelmed by task complexity.
众所周知,当某项精确技能在对其表现至关重要的感觉运动情境中进行练习时,该技能最容易被掌握。然而,某项技能可能会因其执行的感觉运动情境而有所不同。某些感觉运动的变化会使任务比其他任务更复杂或更简单。最近关于技能学习的描述说明了如何操纵任务难度,为学习者提供最佳挑战,使他们超越当前的专业水平。本研究检验了这样一种观点,即简化的实践情境可以使新手学习者获得更具普遍性的技能熟练程度,从而更好地适应新情境。
我们提出了一个学习实验,其中通过基于表现的练习,使用注视上内窥镜监测安排来获得内镜罐豆任务一定熟练程度的新手参与者的表现,与通过简化的注视下安排获得同等熟练程度的新手参与者的表现进行了比较。参与者在 1 周后进行保留和转移测试。
时间和准确性分析表明,两组培训参与者在练习方案中都有显著提高,并在保留期后保持了这种表现。然而,注视下培训参与者在注视上安排的视觉显示转移表现(即在注视上安排)与他们注视上对应者的保留表现(即也在注视上安排)之间的比较,以及反之亦然,揭示了注视下培训参与者在两种表现情境中都犯了较少的错误(F(1,16) = 7.97,p = 0.01 和 F(1,16) = 57.05,p = 0.04)。
这些发现强调了为新手学习者使用简化的感觉运动实践情境所带来的好处。初学者将从简化的实践中获得最佳学习效果,因为它使他们能够发展出良好的运动策略,以应对潜在的错误,而不会被任务复杂性所淹没。