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Short and Sweet: Reducing Extrinsic Cognitive Load When Authoring Self-Study Materials for Medical Students.
Thomas McNamara1, Roey Ringel1, Luke S Scheuer1
1Boston University Chobanian and Avedisian School of Medicine, 72 E Concord St, Boston, MA 02218 USA.
Medical Science Educator
|April 6, 2026
Summary
Medical students prefer concise, summarized self-learning guides (SLGs) over detailed content. Faculty should align SLG creation with cognitive load theory for better engagement and learning outcomes.
Area of Science:
- Medical Education
- Cognitive Science
- Instructional Design
Background:
- Medical school preclinical curriculum redesign emphasized faculty-created self-learning guides (SLGs) over traditional lectures.
- SLGs utilize self-paced videos, text, and images for active classroom engagement.
- Extrinsic cognitive load theory is crucial for designing effective multimedia educational materials.
Purpose of the Study:
- To understand student engagement with faculty-created self-learning guides (SLGs).
- To identify student preferences for content presentation within SLGs.
- To compare faculty practices with student preferences in SLG development.
Main Methods:
- A 40-question Likert survey was administered to faculty creators and M2 students interacting with SLGs.
- Surveys included parallel questions on SLG format preferences and engagement strategies.
- Qualitative data were gathered from a student focus group and analyzed thematically.
Main Results:
- A significant disjunction was observed: 76% of students prefer summarized content (text, images, diagrams) versus 50% of faculty who utilize this.
- Student focus groups revealed reliance on succinct post-video summaries with bullet points and bolded key terms for self-assessment.
- Students use these summaries for efficient review and second-pass studying.
Conclusions:
- Faculty should carefully consider the purposeful integration of text, video, and images in SLGs to minimize extrinsic cognitive load.
- Aligning SLG content creation with cognitive load theory principles can enhance learning efficiency and outcomes.
- Faculty development focused on cognitive load theory can improve the design and effectiveness of SLGs.
Keywords:
Asynchronous learningCognitive loadE-learningFlipped classroomMedical educationMultimedia instructional designMore Related Videos
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