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医学生在临床环境中的自主学习——一项范围综述

The self-regulated learning of medical students in the clinical environment - a scoping review.

作者信息

Cho Kenneth K, Marjadi Brahm, Langendyk Vicki, Hu Wendy

机构信息

School of Medicine, Western Sydney University, Campbelltown, NSW, 2560, Australia.

出版信息

BMC Med Educ. 2017 Jul 10;17(1):112. doi: 10.1186/s12909-017-0956-6.

Abstract

BACKGROUND

Self-regulated learning is the individual's ability to effectively use various strategies to reach their learning goals. We conducted this scoping review to explore what has been found regarding self-regulated learning in the clinical environment and how this was measured.

METHODS

Using Arksey and O'Malley's five-stage framework, we searched three medical and educational databases as well as Google Scholar for literature on the self-regulated learning of medical students in the clinical environment published between 1966 and February 2017. After results were screened and relevant studies were identified, the data was summarised and discursively reported.

RESULTS

The search resulted in 911 articles, with 14 articles included in the scoping review after the inclusion criteria was applied. Self-regulated learning was explored in these studies in various ways including qualitative, quantitative and mixed methods. Three major findings were found: 1) levels of self-regulated learning change in the clinical environment, 2) self-regulated learning is associated with academic achievement, success in clinical skills and mental health and 3) various factors can support self-regulated learning levels in medical students.

CONCLUSIONS

Most of articles exploring the self-regulated learning of medical students during the clinical years have been published in the last 5 years, suggesting a growing interest in the area. Future research could explore the self-regulated learning levels of medical students during the clinical years using a longitudinal approach or through the use of novel qualitative approaches.

摘要

背景

自我调节学习是个体有效运用各种策略实现学习目标的能力。我们开展了这项范围综述,以探究在临床环境中关于自我调节学习的已有发现以及其测量方式。

方法

我们采用阿克斯和奥马利的五阶段框架,在三个医学和教育数据库以及谷歌学术中搜索1966年至2017年2月期间发表的有关临床环境中医学生自我调节学习的文献。在筛选结果并确定相关研究后,对数据进行了总结并进行了描述性报告。

结果

检索共得到911篇文章,应用纳入标准后,范围综述纳入了14篇文章。这些研究以多种方式探究了自我调节学习,包括定性、定量和混合方法。发现了三个主要结果:1)临床环境中自我调节学习水平会发生变化,2)自我调节学习与学业成绩、临床技能的成功以及心理健康相关,3)多种因素可支持医学生的自我调节学习水平。

结论

大多数探讨临床阶段医学生自我调节学习的文章是在过去5年发表的,这表明该领域的兴趣在不断增加。未来的研究可以采用纵向研究方法或通过新颖的定性方法来探究临床阶段医学生的自我调节学习水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02cf/5504849/e92d5ffff9c7/12909_2017_956_Fig1_HTML.jpg

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