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基于认知学徒制模式研究临床暴露对医学生动机自我调节技能的影响。

Investigating the role of clinical exposure on motivational self-regulation skills in medical students based on cognitive apprenticeship model.

机构信息

Department of Medical Education, Medical Education Development Center, Kerman University of Medical Sciences, Kerman, Iran.

Education Development Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

BMC Med Educ. 2024 Mar 8;24(1):257. doi: 10.1186/s12909-024-05253-0.

Abstract

BACKGROUND

The importance of motivation regulation in medical students is highly significant due to their unique educational circumstances, such as clinical exposure. However, the role of clinical exposure in learning motivational self-regulation skills in students has not been explored thus far. This current study aims to investigate the role of clinical exposure on motivational self-regulation skills in medical students based on cognitive apprenticeship model.

METHOD

This study was descriptive-analytical research conducted in 2022 on medical students. Data collection involved two questionnaires including Meta motivational Strategies in Medical Students Questionnaire and Maastricht Clinical Teaching Questionnaire. The research comprised two stages including measuring motivational self-regulation strategies in students before entering the clinical exposure phase, and simultaneous measurement of clinical exposure based on the student's viewpoint and their motivational self-regulation strategies at the end of the first term of clinical exposure.

RESULTS

The results revealed a significant relationship between six dimensions of the cognitive apprenticeship model, including modeling, coaching, scaffolding, reflection, exploration, and learning environment, with motivational self-regulation strategies. However, there was no significant relationship between the articulation dimension of the cognitive apprenticeship model and motivational self-regulation strategies.

CONCLUSION

Clinical exposure indirectly enhances students' metacognitive skills. Observing the behavior of clinical faculty in the clinical exposure setting leads to the improvement of motivational self-regulation strategies in medical students.

摘要

背景

由于医学学生独特的教育环境,如临床实习,因此动机调节在医学学生中的重要性非常显著。然而,临床实习在学生学习动机自我调节技能方面的作用尚未得到探索。本研究旨在基于认知学徒模型探讨临床实习对医学学生动机自我调节技能的作用。

方法

这是一项 2022 年进行的描述性分析研究,对象为医学学生。数据收集包括两个问卷,即医学生元动机策略量表和马斯特里赫特临床教学问卷。研究包括两个阶段,包括在进入临床实习阶段之前测量学生的动机自我调节策略,以及在临床实习第一学期结束时同时测量学生的临床实习情况及其动机自我调节策略。

结果

结果表明,认知学徒模型的六个维度,包括建模、辅导、支架、反思、探索和学习环境,与动机自我调节策略之间存在显著关系。然而,认知学徒模型的表达维度与动机自我调节策略之间没有显著关系。

结论

临床实习间接地增强了学生的元认知技能。在临床实习环境中观察临床教师的行为,可提高医学学生的动机自我调节策略。

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