Online Assessment of Applied Anatomy Knowledge: The Effect of Images on Medical Students' Performance

Anatomical examinations have been designed to assess topographical and/or applied knowledge of anatomy with or without the inclusion of visual resources such as cadaveric specimens or images, radiological images, and/or clinical photographs. Multimedia learning theories have advanced the understanding of how words and images are processed during learning. However, the evidence of the impact of including anatomical and radiological images within written assessments is sparse. This study investigates the impact of including images within clinically oriented single‐best‐answer questions on students' scores in a tailored online tool. Second‐year medical students (n = 174) from six schools in the United Kingdom participated voluntarily in the examination, and 55 students provided free‐text comments which were thematically analyzed. All questions were categorized as to whether their stimulus format was purely textual or included an associated image. The type (anatomical and radiological image) and deep structure of images (question referring to a bone or soft tissue on the image) were taken into consideration. Students scored significantly better on questions with images compared to questions without images (P < 0.001), and on questions referring to bones than to soft tissue (P < 0.001), but no difference was found in their performance on anatomical and radiological image questions. The coding highlighted areas of “test applicability” and “challenges faced by the students.” In conclusion, images are critical in medical practice for investigating a patient's anatomy, and this study sets out a way to understand the effects of images on students' performance and their views in commonly employed written assessments

A Hybrid Learning Space for Physically-Active Mathematics: the case of Numberfit

This paper presents the case study of an intervention called Numberfit that aims at capturing primarily students’ interest in mathematics by combining team games and physical activity. We describe the hybrid learning space that is created through this approach that includes an online platform that allows the teachers and facilitators to design a lesson plan, input student scores and visualise a leaderboard. At the same time, various digital and tangible resources engage students in group (collaborative or competitive) activities while practising a range of topics in mathematics. We examine the changing role of the teacher and provide some methodological insights for conducting research in relation to student’s affect, motivation and behaviour in this context

Online patient simulation training to improve clinical reasoning: a feasibility randomised controlled trial

Online patient simulations (OPS) are a novel method for teaching clinical reasoning skills to students and could contribute to reducing diagnostic errors. However, little is known about how best to implement and evaluate OPS in medical curricula. The aim of this study was to assess the feasibility, acceptability and potential effects of eCREST — the electronic Clinical Reasoning Educational Simulation Tool

Online patient simulation training to improve clinical reasoning: a feasibility randomised controlled trial

Background Online patient simulations (OPS) are a novel method for teaching clinical reasoning skills to students and could contribute to reducing diagnostic errors. However, little is known about how best to implement and evaluate OPS in medical curricula. The aim of this study was to assess the feasibility, acceptability and potential effects of eCREST — the electronic Clinical Reasoning Educational Simulation Tool. Methods A feasibility randomised controlled trial was conducted with final year undergraduate students from three UK medical schools in academic year 2016/2017 (cohort one) and 2017/2018 (cohort two). Student volunteers were recruited in cohort one via email and on teaching days, and in cohort two eCREST was also integrated into a relevant module in the curriculum. The intervention group received three patient cases and the control group received teaching as usual; allocation ratio was 1:1. Researchers were blind to allocation. Clinical reasoning skills were measured using a survey after 1 week and a patient case after 1 month. Results Across schools, 264 students participated (18.2% of all eligible). Cohort two had greater uptake (183/833, 22%) than cohort one (81/621, 13%). After 1 week, 99/137 (72%) of the intervention and 86/127 (68%) of the control group remained in the study. eCREST improved students’ ability to gather essential information from patients over controls (OR = 1.4; 95% CI 1.1–1.7, n = 148). Of the intervention group, most (80/98, 82%) agreed eCREST helped them to learn clinical reasoning skills. Conclusions eCREST was highly acceptable and improved data gathering skills that could reduce diagnostic errors. Uptake was low but improved when integrated into course delivery. A summative trial is needed to estimate effectiveness

Dispelling the myth of the socio-emotionally dissatisfied gamer

The relationship between digital gaming and gamers’ psychological well-being has been an issue of concern in public and academic communities. Theorists advocate for the compensation hypothesis, arguing that real-life dissatisfaction such as social disintegration, reinforces motivation for gaming. Hence, the profile of the typical gamer has been one of emotionally and socially dissatisfied young individual. Considering for the fact that gaming is an increasingly social activity practised along with other individuals, this paper aims to evaluate the validity of these concerns by examining the Basic Psychological Needs (BPNs; Deci & Ryan, 1985) of 1298 World of Warcraft (WoW) gamers, viz gamers of a popular, massively multiplayer online game. Data collected from a large-scale online survey, revealed significant but weak associations between BPNs and gaming suggesting that gaming is less likely to be associated with gamers’ real-life socio-emotional status. The analysis of BPNs mean scores reinforced further this finding; the relatively high BPNs mean scores demonstrated that gamers’ Basic Psychological Needs are reasonably satisfied. Yet, in an attempt to identify the factors explaining game involvement, participants’ self-reported reasons for gaming were thematically analyzed. It was revealed that gamers are avidly social individuals. Their gaming practices are primarily reinforced by social interaction in the form of either competition or collaboration

Gender issues in the university research environment

Recruiting and retaining females within science, engineering and technology continues to challenge many European higher education institutions. This study looks at female self-perceptions relating to effective research work and career progression. Focus groups are used to examine the attitudes and experiences of females and a questionnaire is used to explore perceptions in four main skills areas: group work; communication; personal awareness; project planning and management. The study indicates consistent female concerns on issues pertaining to effective female role models, negative work-role stereotypes and the work-life balance of an academic career. For all four skills areas, the average confidence scores of the female participants fell below those of males, but these differences were only statistically significant for perceptions on group work and communication skills and prior to an intense skills development course. Based on these findings, a student workshop on gender issues has been developed, an outline of which is presented. © 2010 SEFI

Gender issues in the research environment

Recruiting and retaining females within science, engineering and technology continues to challenge many European Higher Education Institutions. This study looks at female self-perceptions relating to effective research work and career progression. Focus groups are used to examine the attitudes and experiences of females, and a questionnaire used to explore perceptions in four main skills areas: group work; communication; personal awareness; and project planning and management. The study indicates consistent female concerns on issues pertaining to effective female role models, negative work-role stereotypes and the work-life balance of an academic career. For all four skills areas, the average confidence scores of the female participants fell below that of males, but these differences were only statistically significant for perceptions on group work and communication skills, and prior to an intense skills development course. Based on these findings, a student workshop on gender issues has been developed, an outline of which is presented