A03: Development of Domain-Specific Critical Online Reasoning (DOM-COR) Skills in Medical Students during Their Preclinical Studies

A03：医学生在临床前研究期间特定领域批判性在线推理 (DOM-COR) 技能的发展

• 批准号: 520638297
• 负责人: Professor Dr. Martin R. Fischer
• 金额: --
• 依托单位: Lehrstuhl für Didaktik der Physik
• 依托单位国家: 德国
• 项目类别: Research Units
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/520638297?language=en
• 关键词: A03; Development; Domain; Specific; Critical

Given the recent changes in the medical information landscape, such as the emergence of data-intensive precision medicine, medical education faces the challenge of equipping students with the necessary skills to navigate this information landscape and make well-reasoned decisions. Developing critical online reasoning (COR) skills as part of medical studies is therefore essential – such skills are critical when students use the Internet to retrieve information about patient cases and solve professional (e.g. diagnostical) problems. A lack of domain-specific (DOM-)COR skills may lead to acquisition of misconceptions or misapplication of knowledge, ultimately compromising patient safety. To foster medical students’ DOM-COR through training interventions, the appropriate skills must first be validly assessed. Building on previous research, A03 aims to develop valid assessments to (1) adequately describe DOM-COR in medical students, (2) predict DOM-COR development during academic studies, and (3) predict learning outcomes. Scenario-based tasks will be used to validly measure three DOM-COR cognitive skill facets: searching for online information; critical evaluation of the information; evidence-based reasoning and synthesizing of the information. A longitudinal study over the first three years of medical studies will examine the effects of the medical curriculum on the development of DOM-COR skills based on a random sample of n=300 medical students, with n=300 physics students serving as a comparison group. Using Internet-based tasks as well as Internet-like simulation-based tasks, we will investigate the impact of the medical curriculum by assessing which courses and research-related activities students specifically take during their studies. We will also consider other key influencing factors (e.g., individual learning prerequisites and interactions with specific properties of DOM-COR tasks or online materials used). A03 will generate evidence on how medical students’ DOM-COR skills develop longitudinally. We will clarify which role the curriculum and used learning opportunities play during studies, and which impact key personal and contextual factors have in this regard. We will further clarify to what extent DOM-COR skill profiles can be found in medical students. Finally, the question of how crucial DOM-COR skills are for medical study success will be answered. Results should substantiate a 2nd research phase in which targeted (and possibly adaptive) interventions will be developed to foster medical DOM-COR skills. The unique data set generated in A03 will allow for comprehensive cross-project interdisciplinary data analyses by providing (a) psychometric data on DOM-COR performance of medical (and physics) students, (b) data of online materials used by the students – analyzed as ‘information landscapes' in detail in B-projects, and (c) DOM-COR process data in the form of log files–analyzed in detail in C-projects.

鉴于最近医疗信息格局的变化，如数据密集型精确医学的出现，医学教育面临着挑战，即让学生掌握必要的技能，以驾驭这一信息格局，并做出合理的决定。因此，作为医学研究的一部分，培养关键在线推理(COR)技能是至关重要的--当学生使用互联网检索有关患者病例的信息并解决专业(例如诊断)问题时，这种技能至关重要。缺乏特定领域(DOM-)的COR技能可能会导致误解或知识的错误应用，最终危及患者的安全。为了通过培训干预培养医学生的DOM-COR，必须首先对适当的技能进行有效评估。在以往研究的基础上，A03旨在开发有效的评估来(1)充分描述医学生的DOM-COR，(2)预测学术研究期间的DOM-COR发展，以及(3)预测学习结果。基于情景的任务将被用来有效地测量DOM-COR认知技能的三个方面：搜索在线信息；对信息的批判性评估；基于证据的推理和信息合成。一项关于医学研究头三年的纵向研究将基于随机抽样的300名医学生和300名物理专业的学生作为对照组，来检验医学课程对DOM-COR技能发展的影响。使用基于互联网的任务以及基于互联网的类似模拟的任务，我们将通过评估学生在学习期间具体选择哪些课程和研究相关活动来调查医学课程的影响。我们还将考虑其他关键影响因素(例如，个人学习先决条件以及与DOM-COR任务或使用的在线材料的特定属性的互动)。A03将产生关于医学生DOM-COR技能如何纵向发展的证据。我们将澄清课程和利用的学习机会在学习中扮演的角色，以及哪些关键的个人和背景因素在这方面有影响。我们将进一步澄清在多大程度上可以在医科学生中找到DOM-COR技能档案。最后，DOM-COR技能对医学研究成功有多重要的问题将得到解答。结果应该证实第二个研究阶段，在这个阶段，将开发有针对性的(可能是适应性的)干预措施，以培养医学DOM-COR技能。在A03中生成的独特数据集将通过提供(A)医学(和物理)学生DOM-COR表现的心理测量数据，(B)学生使用的在线材料的数据--在B-项目中详细分析为“信息景观”，以及(C)DOM-COR过程数据以日志文件的形式--在C-项目中详细分析，从而实现全面的跨项目跨学科数据分析。