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Problem-Solving Before Instruction (PS-I): A Protocol for Assessment and Intervention in Students with Different Abilities
Published on: September 11, 2021
Open-ended assignments and student responsibility
Annelie Brauner1, Jannette Carey, Marie Henriksson
1From the Department of Clinical Microbiology, Microbiology and Tumorbiology Center, Karolinska University Hospital, Karolinska Institutet, Sweden.
This study describes a new approach to teaching a laboratory course in molecular medicine. Instead of following a strict, instructor-led format, the course was designed to give students more freedom to explore medical cases on their own. Students worked with real-life medical cases that included both scientific and clinical aspects. They performed lab experiments related to disease proteins and used basic biochemical techniques to test hypotheses. The course also included patient demonstrations to help students connect with the cases personally, lectures on biochemical principles, and seminars by experts in translational medicine. Students were encouraged to develop their own research proposals as part of the final exam. An inquiry matrix was used to assess how much responsibility students took in their learning. The results suggest that this open-ended approach helped students gain confidence in solving problems, formulating hypotheses, and collaborating with professionals from different fields.
Area of Science:
- Medical education
- Biochemistry instruction
- Clinical case-based learning
Background:
Traditional laboratory courses often limit student autonomy, which may hinder the development of independent learning and critical thinking skills. Prior research has shown that structured, instructor-led approaches can be effective in teaching basic techniques but may not fully engage students in problem-solving. That uncertainty drove the design of more open-ended educational models. No prior work had resolved how to balance structure with student agency in medical education settings. Existing studies have explored case-based learning but typically lack integration of clinical and scientific components. This gap motivated the development of a new approach combining clinical authenticity with scientific inquiry. The challenge lies in fostering responsibility without sacrificing educational outcomes. By personalizing learning experiences, educators aim to enhance student engagement and deeper understanding.
Purpose Of The Study:
The goal was to design a laboratory course that promotes student responsibility and enhances learning in molecular medicine. The specific problem addressed was the lack of open-ended, inquiry-based approaches in traditional lab settings. The motivation was to create a learning environment where students could explore authentic medical cases independently. This approach aimed to bridge the gap between scientific theory and clinical application. By integrating patient demonstrations and translational medicine seminars, the course sought to contextualize biochemical concepts. The focus was on developing skills in hypothesis formulation and experimental design. The researchers proposed that such a model could improve both scientific and clinical knowledge. The course structure was designed to foster collaboration and critical thinking.
Main Methods:
The course was project-based, using authentic medical cases with both scientific and clinical aspects. Students performed laboratory work focused on disease-related proteins using basic biochemical techniques. An inquiry matrix was used to assess student responsibility and learning outcomes. The course included patient demonstrations to personalize case presentations. Lectures on biochemical principles were provided alongside seminars by translational medicine experts. Students developed hypotheses and tested them using selected methods. Final assessments required students to propose future research directions. The open-ended nature of the course allowed for flexibility in method selection and interpretation.
Main Results:
Students demonstrated increased confidence in problem-solving and hypothesis testing. The inquiry matrix revealed higher levels of learning responsibility compared to traditional courses. Students successfully connected laboratory findings to clinical case outcomes. Patient demonstrations enhanced personal engagement with the material. Seminars provided insights into translational medicine applications. The open-ended approach allowed for diverse interpretations of unexpected results. Students collaborated effectively with both clinical and non-clinical professionals. Final proposals showed a clear understanding of future research possibilities.
Conclusions:
The authors suggest that the open-ended, inquiry-based approach improved student responsibility and learning outcomes. The integration of clinical and scientific components enhanced understanding of molecular medicine. Patient demonstrations and translational seminars were proposed as valuable tools for contextual learning. The inquiry matrix was suggested as an effective assessment method for tracking responsibility. Students were able to formulate and test hypotheses independently. Collaboration with professionals was proposed as a key factor in skill development. The course structure was suggested as a model for fostering critical thinking. The results may suggest broader applicability to other educational settings.
Frequently Asked Questions
The main outcome was increased student confidence in problem-solving and hypothesis testing, as measured by an inquiry matrix.
The course used authentic medical cases with both scientific and clinical components, including patient demonstrations and translational medicine seminars.
The inquiry matrix was used to evaluate the degree of learning responsibility taken by students during the course.
Patient demonstrations personalized case presentations and enhanced students' understanding of clinical contexts.
Students used basic biochemical techniques to develop and test hypotheses related to disease-related proteins.
The authors suggested that final proposals showed a clear understanding of future research possibilities in molecular medicine.
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