Impact of case-based learning to critical thinking disposition in medical students with different learning styles

  • Lu Jiao ,
  • Wu Jiaying ,
  • Li Zhen ,
  • Hong Jianguo ,
  • Li Yachu
Expand
  • Department of Pediatric, The First People's Hospital, Shanghai Jiao Tong University, Shanghai 201620, China

Received date: 2018-02-12

  Online published: 2020-12-09

Abstract

Objective To investigate the impact of case-based learning (CBL) to the critical thinking disposition in medical students with different learning styles. Methods The medical students rotated in Department of Pediatrics in Shanghai General Hospital affiliated to Shanghai Jiao Tong University in 2016-2017 were randomly enrolled to the study. Their learning styles were assessed with Kolb learning style questionnaire before rotation. During the 6 weeks period of rotation, case-based learning was conducted. The critical thinking disposition was assessed with CTDI-CV questionnaire and compared before and after the rotation. The impact of CBL to the critical thinking disposition was compared in students with different learning styles. Results Accommodate style was the most common learning style, followed by convergent, while assimilate was the least common. There were no significant differences in critical thinking disposition, CBL assessment and academic performance between different learning styles. After CBL conducted, students with accommodate style had significant increased CTDI-CV score (238.82±26.04 vs 253.47±18.98, F=0.404, P=0.028); while students with divergent style has significant increased scores in critical thinking self-confidence and inquisitiveness (28.55±4.57 vs 32.00±5.71, t=2.680, P=0.023; 29.18±5.58 vs 31.55±6.23, t=2.729, P=0.021). Conclusions CBL could improve the critical thinking disposition in medical students with divergent and accommodate learning styles. Learning styles as an important individualized characteristic, should be considered when designing teaching strategy.

Cite this article

Lu Jiao , Wu Jiaying , Li Zhen , Hong Jianguo , Li Yachu . Impact of case-based learning to critical thinking disposition in medical students with different learning styles[J]. Chinese Journal of Medical Education, 2018 , 38(6) : 829 -833 . DOI: 10.3760/cma.j.issn.1673-677X.2018.06.007

References

[1] 许金红, 吴飒. 国内批判性思维的研究述评——兼及与国外相关研究的比较[J].语文学刊,2011(1):1-3, 150.
[2] 张懿, 尚云晓, 陈丹, 等. PBL结合CBL教学法在七年制儿科课间实习中的应用[J].卫生职业教育,2015,33(4):107-108.
[3] Willingham DT, Hughes EM, Dobolyi DG. The scientific status of learning styles theories[J]. Teaching of Psychology, 2015, 42(3):266-271.
[4] Woods HB. Know your RO from your AE? Learning styles in practice[J]. Health Info Libr J, 2012,29(2):172-176. DOI: 10.1111/j.1471-1842.2012.00983.x.
[5] Coker CA, Pedersen SJ. Context and test-retest reliability of Kolb's learning style inventory[J]. Psychol Rep, 2004,95(1):180-182. DOI: 10.2466/pr0.95.1.180-182.
[6] 彭美慈, 汪国成, 陈基乐, 等. 批判性思维能力测量表的信效度测试研究[J].中华护理杂志,2004,39(9):644-647.
Peng MC,Wang GC,Chen JL,et al.Validity and reliability of the Chinese critical thinking disposition inventory[J].Chinese Journal of Nursing,2004,39(9):644-647.
[7] 刘素珍, 李继平, 张玉芳, 等. 本科护生批判性思维能力的调查分析[J]. 实用护理杂志,2003,19(5):53-54.
[8] Schwarz MR, Wojtczak A. Global minimum essential requirements: A road towards competence-oriented medical education[J]. Med Teach, 2002,24(2):125-129. DOI: 10.1080/01421590220120740.
[9] Ip WY, Lee DT, Lee IF, et al. Disposition towards critical thinking: A study of Chinese undergraduate nursing students[J]. J Adv Nurs, 2000,32(1):84-90.
[10] Athari ZS, Sharif SM, Nasr AR, et al. Assessing critical thinking in medical sciences students in two sequential semesters: Does it improve[J] ? J Educ Health Promot, 2013,2:5. DOI: 10.4103/2277-9531.106644.
[11] 刘艳, 陈瑜, 罗小平. 儿科实习医生基本技能训练和临床思维能力培养途径探讨[J].医学与社会,2012,25(2):91-93. DOI: 10.3870/YXYSH.2012.02.030.
Liu Y,Chen Y,Luo XP.Exploration for the way of training on basic medical expertise and the mode of clinical thinking in pediatric interns[J].Medicine and Society,2012,25(2):91-93. DOI: 10.3870/YXYSH.2012.02.030.
[12] Philip CA, Robert MB, Eugene B. Strategies for teaching students to think critically: A meta-analysis[J]. Rev Educ Res, 2015,85(2):275-314.
[13] Lutsky K, Glickel SZ, Weiland A, et al. What every resident should know about wrist fractures: Case-based learning[J]. Instr Course Lect, 2013,62:181-197.
[14] 杨成城, 周春宇, 张少辉, 等. 中西医结合外科CBL教学对中医研究生批判性思维的影响与评价[J]. 中医教育, 2015, 34(1):45-49, 54.
Yang CC, Zhou CY, Zhang SH, et al. Impact of CBL teaching of surgery of integrated Chinese and western medicine on critical thinking of graduate students of Chinese medicine[J]. Education of Chinese Medicine, 2015, 34(1):45-49, 54.
[15] Ghazivakili Z, Norouzi NR, Panahi F, et al. The role of critical thinking skills and learning styles of university students in their academic performance[J]. J Adv Med Educ Prof, 2014,2(3):95-102.
[16] Nasrabadi HM, Mousavi S, Kave Farsan Z. The contribution of critical thinking attitude and cognitive learning styles in predicting academic achievement of medical university's students[J]. Iranian Journal of Medical Education,2012,12(4):285-96.
[17] 李蕾, 黄静, 冯新恒, 等. 学生学习风格对案例教学法实施效果的影响[J].中华医学教育杂志,2014,34(2):253-254,282. DOI: 10.3760/cma.j.issn.1673-677X.2014.02.030.
Li L,Huang J,Feng XH,at al.The influence of different learning styles on the effect of case-based learning[J].Chin J Med Edu,2014,34(2):253-254,282. DOI: 10.3760/cma.j.issn.1673-677X.2014.02.030.
Outlines

/