通过多选题评估事实和概念知识的难度和长期保留:一项纵向研究
Neil G Haycocks1,2, Jessica Hernandez-Moreno3, Johan C Bester4
1Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Advances in medical education and practice
|December 19, 2024
概括
概念医学知识被保留的时间比事实回忆更长,即使初始得分较低. 这突显了理解在医学教育中长期学习的持久性,而不是记忆.
科学领域:
- 医学教育 医学教育
- 认知科学 认知科学
- 评估评估的方法
背景情况:
- 多选题 (MCQ) 是医疗评估中的标准.
- 传统的MCQ经常测试事实回忆,对更高的认知功能进行有限的评估.
- 评估事实与概念知识的长期保留对于有效的医学教育至关重要.
研究的目的:
- 用MCQs比较事实回忆与概念理解的难度和长期保留.
- 为了测试这个假设,回忆问题比概念问题得分更高.
- 为了确定事实知识或概念理解是否随着时间的推移显示出更大的记忆衰退.
主要方法:
- 多项MCQ被分为回忆/字面和概念/推断类型.
- 临床前医学学生在2020年参加了MCQ (基准).
- 两年后,同样的MCQ被重新分配给同一个队列.
主要成果:
- 记忆/口头问题更频繁地得到正确答案 (82.0%与60.9%相比).
- 两种类型的问题在两年后都显示出绩效下降.
- 回忆/字面问题表现出比概念/推断问题显著更大的性能损失.
结论:
- 概念/推理思维更复杂,但产生更持久的知识.
- 纵向保留增强了概念理解,特别是当在临床环境中加强时.
- MCQ设计影响认知技能和知识持久性的评估.
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