a Department of Educational & Counselling Psychology , McGill University , Montreal , Canada.
Med Teach. 2018 Aug;40(8):842-844. doi: 10.1080/0142159X.2018.1484084. Epub 2018 Jun 27.
This paper explores the role that self-regulation and emotions play in establishing a clinical diagnosis in the context of solving a clinical case in BioWorld, a computer supported learning environment designed for medical students to practice clinical reasoning. Group differences between high and low performers were explored. The results revealed no group differences in overall measures of SRL but high performers spend more time than lows in a subcategory of the reflection phase (reflecting on prioritized evidence and results). A reciprocal role of emotions was demonstrated for clinical reasoning and predicted students' diagnostic performance. High performers showed less negative activating emotions than low performers.
本文探讨了自我调节和情绪在解决 BioWorld 中的临床病例时建立临床诊断中的作用，BioWorld 是一个专为医学生练习临床推理而设计的计算机支持学习环境。探讨了高绩效者和低绩效者之间的群体差异。结果显示，自我调节学习的总体措施没有群体差异，但高绩效者在反思阶段的一个子类别（反思优先证据和结果）上花费的时间多于低绩效者。情绪对临床推理具有相互作用，并预测了学生的诊断表现。高绩效者表现出的消极激活情绪低于低绩效者。
