Sandrone Stefano, Berthaud Jimmy V, Carlson Chad, Cios Jacquelyne, Dixit Neel, Farheen Amtul, Kraker Jessica, Owens James W M, Patino Gustavo, Sarva Harini, Weber Daniel, Schneider Logan D
A.B. Baker Section on Neurological Education, American Academy of Neurology, Minneapolis, MN, United States.
Department of Brain Sciences, Imperial College London, London, United Kingdom.
Front Psychiatry. 2020 Apr 23;11:211. doi: 10.3389/fpsyt.2020.00211. eCollection 2020.
Over the past few decades, medical education has seen increased interest in the use of active learning formats to engage learners and promote knowledge application over knowledge acquisition. The field of psychiatry, in particular, has pioneered a host of novel active learning paradigms. These have contributed to our understanding of the role of andragogy along the continuum of medical education, from undergraduate to continuing medical education. In an effort to frame the successes and failures of various attempts at integrating active learning into healthcare curricula, a group of educators from the A. B. Baker Section on Neurological Education from the American Academy of Neurology reviewed the state of the field in its partner field of medical neuroscience. Herein we provide a narrative review of the literature, outlining the basis for implementing active learning, the novel formats that have been used, and the lessons learned from qualitative and quantitative analysis of the research that has been done to date. While preparation time seems to present the greatest obstacle to acceptance from learners and educators, there is generally positive reception to the new educational formats. Additionally, most assessments of trainee performance have suggested non-inferiority (if not superiority). However, occasional mixed findings point to a need for better assessments of the type of learning that these new formats engender: knowledge application rather than acquisition. Moreover, this field is relatively nascent and, in order to ascertain how best to integrate active learning into psychiatry education, a framework for quantitative outcome assessments is needed going forward.
在过去几十年里,医学教育领域越来越关注采用主动学习形式来吸引学习者,并促进知识应用而非知识获取。尤其是精神病学领域开创了许多新颖的主动学习范式。这些范式有助于我们理解从本科医学教育到继续医学教育整个医学教育连续过程中成人教育学的作用。为了梳理将主动学习融入医疗保健课程的各种尝试的成败,美国神经病学学会A.B.贝克神经学教育分会的一群教育工作者回顾了其相关领域医学神经科学的发展状况。在此,我们对文献进行叙述性综述,概述实施主动学习的依据、所采用的新颖形式,以及从对迄今为止已开展研究的定性和定量分析中吸取的经验教训。虽然准备时间似乎是学习者和教育工作者接受主动学习的最大障碍,但新的教育形式总体上受到了积极的欢迎。此外,对学员表现的大多数评估表明,新形式的效果不逊色(甚至可能更优)。然而,偶尔出现的混合结果表明,需要对这些新形式所产生的学习类型进行更好的评估:即知识应用而非知识获取。此外,该领域相对较新,为了确定如何最好地将主动学习融入精神病学教育,未来需要一个定量结果评估框架。