Cohn Hunter, Sternberg Marley, Evans Madeline, Reddy Swetha, Vu Emily, Barkho Katiya, Hedges Ward, Khan Sabrina, DeWeert Daniel
Medical Education, Wayne State University School of Medicine, Detroit, USA.
Cureus. 2025 Jul 8;17(7):e87543. doi: 10.7759/cureus.87543. eCollection 2025 Jul.
Introduction Hands-on procedural training is a cornerstone of medical education, yet little is known about how individual learning styles influence students' perceived relevance of procedural training. We explored the impact of learning styles on pre-clerkship medical students' perceptions of hands-on procedural training. Materials and methods A total of 151 pre-clerkship medical students (72% response rate; 66 males, 85 females) participated in an optional procedural training day comprising three one-hour workshops covering 22 different procedures. Participants completed an exit survey assessing their learning style per Kolb's Experiential Learning Styles (Accommodating, Assimilating, Converging, and Diverging) and satisfaction with the training, including engagement, enjoyment, and effect on their career outlook. One-way analysis of variance (ANOVA) and Tukey's honestly significant difference post hoc test were used to compare satisfaction levels of students based on learning style. Results The 151 survey respondents comprised 34 Accommodating (23%), 25 Assimilating (17%), 66 Converging (44%), and 26 Diverging learners (17%). Across all learning styles, students averaged high scores for satisfaction, with the mean exceeding 6 on a 7-point Likert scale for engagement, enjoyment, and future career outlook. Between learning groups, Assimilating and Accommodating learners reported the highest enjoyment scores, while Diverging learners reported lower enjoyment compared to these groups (p<0.05). No statistically significant differences were observed between learning styles for engagement or future career outlook. Students who attended sessions aligned with their preferred specialty reported higher satisfaction, particularly among Accommodating, Converging, and Diverging learners (p<0.01). While Kolb's Experiential Learning Model provided a framework for exploring learner variation, its limitations are recognized, and unmeasured factors such as prior procedural experience or baseline interest may have influenced satisfaction. The absolute differences between groups, however, were small, suggesting limited practical or educational significance despite statistical significance. Conclusions Hands-on procedural training was well-received by pre-clerkship students across all Kolb learning styles, with consistently high satisfaction scores. While some statistically significant differences in enjoyment emerged between learner groups, these differences were small and unlikely to warrant substantial modification of current instructional approaches. This study contributes to the limited literature on how learning styles influence early procedural medical education, suggesting that hands-on procedural training can serve diverse learning styles effectively without extensive adaptation. Future research may explore whether incorporating minor reflective elements could further optimize engagement for certain learner groups.
引言 实践操作培训是医学教育的基石,但对于个体学习风格如何影响学生对实践操作培训的感知相关性,我们却知之甚少。我们探讨了学习风格对临床前医学生对实践操作培训认知的影响。
材料与方法 共有151名临床前医学生(回复率72%;男性66名,女性85名)参加了一个可选的实践操作培训日,该培训日包括三个一小时的工作坊,涵盖22种不同的操作。参与者完成了一项结业调查,评估他们按照科尔布体验式学习风格(顺应型、同化型、聚合型和发散型)的学习风格以及对培训的满意度,包括参与度、愉悦度以及对他们职业前景的影响。使用单因素方差分析(ANOVA)和图基事后多重比较检验来比较基于学习风格的学生满意度水平。
结果 151名调查受访者包括34名顺应型学习者(23%)、25名同化型学习者(17%)、66名聚合型学习者(44%)和26名发散型学习者(17%)。在所有学习风格中,学生的满意度平均得分较高,在7分制的李克特量表上,参与度、愉悦度和未来职业前景的平均分超过6分。在不同学习风格组之间,同化型和顺应型学习者的愉悦度得分最高,而发散型学习者的愉悦度得分低于这些组(p<0.05)。在参与度或未来职业前景方面,不同学习风格之间未观察到统计学上的显著差异。参加与他们首选专业相关课程的学生报告的满意度更高,尤其是在顺应型、聚合型和发散型学习者中(p<0.01)。虽然科尔布体验式学习模型为探索学习者差异提供了一个框架,但其局限性是公认的,未测量的因素如先前的操作经验或基线兴趣可能影响了满意度。然而,组间的绝对差异很小,这表明尽管具有统计学意义,但实际或教育意义有限。
结论 实践操作培训受到了所有科尔布学习风格的临床前学生的好评,满意度得分一直很高。虽然在不同学习者组之间出现了一些在愉悦度方面具有统计学意义的差异,但这些差异很小,不太可能需要对当前的教学方法进行重大修改。本研究为关于学习风格如何影响早期医学实践教育的有限文献做出了贡献,表明实践操作培训可以有效地服务于不同的学习风格,而无需进行广泛的调整。未来的研究可以探索纳入一些小的反思元素是否可以进一步优化某些学习者群体的参与度。