How effective is self-guided learning of clinical technical skills? It’s all about process
- 1 June 2009
- journal article
- research article
- Published by Wiley in Medical Education
- Vol. 43 (6), 507-515
- https://doi.org/10.1111/j.1365-2923.2009.03329.x
Abstract
Mounting evidence suggests that trainees acquire psychomotor skills better when they are allowed self-guided access to instructional material and when they set goals that are related to performance processes rather than performance outcomes. The present study assessed whether self-guided access to instruction and the setting of process goals lead to better acquisition of clinical technical skills.To learn wound closure skills, 48 medical students were randomly assigned to one of four groups in a 2 x 2 study design. Self-guided participants were able to access the instructional video freely, whereas control participants were restricted to watching only those video segments accessed by their matched self-guided participant. Each group was further divided into two subgroups, comprising a process goal subgroup, where participants set goals focused on performance mechanisms, and an outcome goal subgroup, where participants set goals focused on performance products. Performance on pre-, post-, retention and transfer tests was assessed with hand motion measures and expert evaluations. Group differences were evaluated using one-way anovas.The self-guided group with process goals showed greater skill retention than its matched control group, whereas the self-guided group with outcome goals did not. Furthermore, the groups with process goals performed better on the transfer test than the outcome goal groups. Outcome goal participants accessed the instructional video most frequently.Our findings advance the study of independent learning in medical education. Trainees used interactive and structured instructional materials to effectively self-guide their learning of clinical technical skills. However, a self-guided benefit was demonstrated only when trainees set process goals.Keywords
This publication has 26 references indexed in Scilit:
- Taking the Patient to the Classroom: Applying Theoretical Frameworks to Simulation in Nursing EducationInternational Journal of Nursing Education Scholarship, 2007
- Self-assessment, Self-direction, and the Self-regulating ProfessionalClinical Orthopaedics and Related Research, 2006
- Smoothing Out Transitions: How Pedagogy Influences Medical Students’ Achievement of Self-regulated Learning GoalsAdvances in Health Sciences Education, 2006
- Performance vs. learning curves: what is motor learning and how is it measured?Surgical Endoscopy, 2005
- How can medical students learn in a self-directed way in the clinical environment? Design-based researchMedical Education, 2005
- Self-directed learning - the importance of concepts and contextsMedical Education, 2005
- Self-Controlled Observational Practice Enhances LearningResearch Quarterly for Exercise and Sport, 2005
- Self-Controlled Feedback Is Effective if It Is Based on the Learner's PerformanceResearch Quarterly for Exercise and Sport, 2005
- Self-Controlled Feedback: Does it Enhance Learning Because Performers Get Feedback When They Need It?Research Quarterly for Exercise and Sport, 2002
- Self-regulated learning of a motoric skill: The role of goal setting and self-monitoringJournal of Applied Sport Psychology, 1996