Department of Psychology, Erasmus University, P.O. Box 1738, 3000, DR, Rotterdam, the Netherlands.
Adv Health Sci Educ Theory Pract. 2020 Dec;25(5):1025-1043. doi: 10.1007/s10459-020-10011-0. Epub 2020 Nov 26.
In this article, the contributions of cognitive psychology to research and development of medical education are assessed. The cognitive psychology of learning consists of activation of prior knowledge while processing new information and elaboration on the resulting new knowledge to facilitate storing in long-term memory. This process is limited by the size of working memory. Six interventions based on cognitive theory that facilitate learning and expertise development are discussed: (1) Fostering self-explanation, (2) elaborative discussion, and (3) distributed practice; (4) help with decreasing cognitive load, (5) promoting retrieval practice, and (6) supporting interleaving practice. These interventions contribute in different measure to various instructional methods in use in medical education: problem-based learning, team-based learning, worked examples, mixed practice, serial-cue presentation, and deliberate reflection. The article concludes that systematic research into the applicability of these ideas to the practice of medical education presently is limited and should be intensified.
本文评估了认知心理学对医学教育研究和发展的贡献。学习的认知心理学包括在处理新信息时激活先前的知识,并对产生的新知识进行阐述,以促进将其存储在长期记忆中。这个过程受到工作记忆大小的限制。本文讨论了基于认知理论的六种促进学习和专业发展的干预措施:(1)促进自我解释,(2)阐述性讨论,和(3)分布式练习;(4)帮助降低认知负荷,(5)促进检索练习,和(6)支持穿插练习。这些干预措施以不同的方式促进了医学教育中使用的各种教学方法:基于问题的学习、基于团队的学习、实例演练、混合练习、序列线索呈现和刻意反思。文章的结论是,目前对这些理念在医学教育实践中适用性的系统研究还很有限,应该加强。