논증강화교육이 의학과 학생의 문제바탕학습 경험에 미치는 영향
Effect of Argumentation Instruction on Medical Student Experiences with Problem‐Based Learning
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When participating in problem-based learning (PBL), it is important for medical students to generate claims and provide justifications for their claims in small group discussions. This study aimed to investigate the effect of argumentation instruction on medical student learning experiences with PBL. A total of one hundred first-year preclinical students from Inje University College of Medicine, who had attended argumentation instruction, participated in this study. All of the participants completed a 5-point Likert scale questionnaire regarding their learning experiences with PBL, before and after the argumentation instruction. The questionnaire comprised 22 items with eight subcategories: argumentation activity, reflection, integration of basic and clinical science, identification of lack of knowledge, logical thinking, self-directed study, communication, and attitude toward discussion. The collected data were analyzed through a paired-sample t-test. The results of this study found that the argumentation instruction promoted the preclinical students’ experiences with argumentation activities, reflection, an integration of basic and clinical science, the identification of their lack of knowledge, logical thinking, and self-directed study, and it increased positive attitudes toward group discussion. The findings suggest argumentation instruction can enhance medical student group discussions and help students achieve the objectives of PBL, including acquisition of basic and clinical science knowledge and development of clinical reasoning and self-directed learning abilities, which can highlight the meaningful learning experiences students have with PBL.
Abstract
When participating in problem-based learning (PBL), it is important for medical students to generate claims and provide justifications for their claims in small group discussions. This study aimed to investigate the effect of argumentation instruction on medical student learning experiences with PBL. A total of one hundred first-year preclinical students from Inje University College of Medicine, who had attended argumentation instruction, participated in this study. All of the participants completed a 5-point Likert scale questionnaire regarding their learning experiences with PBL, before and after the argumentation instruction. The questionnaire comprised 22 items with eight subcategories: argumentation activity, reflection, integration of basic and clinical science, identification of lack of knowledge, logical thinking, self-directed study, communication, and attitude toward discussion. The collected data were analyzed through a paired-sample t-test. The results of this study found that the argumentation instruction promoted the preclinical students’ experiences with argumentation activities, reflection, an integration of basic and clinical science, the identification of their lack of knowledge, logical thinking, and self-directed study, and it increased positive attitudes toward group discussion. The findings suggest argumentation instruction can enhance medical student group discussions and help students achieve the objectives of PBL, including acquisition of basic and clinical science knowledge and development of clinical reasoning and self-directed learning abilities, which can highlight the meaningful learning experiences students have with PBL.
참고문헌 (30)
- Lim WK, "Dysfunctional problem-based learning curricula : resolving the problem", BMC Med Educ, 12, pp.89~ (2012)
- Neville AJ, "Problem-based learning and medical education forty years on: a review of its effects on knowledge and clinical performance", Med Princ Pract, 18(1), pp.1~9 (2009)
- 김주희, "학생반응으로 살펴본 문제바탕학습 교육과정의 질적 평가", Korean Journal of Medical Education, 16(2), pp.179~194 (2004), 한국의학교육학회
- 여상희, "Students’ perceptions and satisfaction level of hybrid problem-based learning for 16 years in Kyungpook National University School of Medicine, Korea", Korean Journal of Medical Education, 28(1), pp.9~16 (2016), 한국의학교육학회[DOI]
- Barrows HS, "How to design a problem-based curriculum for the preclinical years", pp.148~ (1985), Springer
- Barrows HS, "Practice-based learning: problem-based learning applied to medical education", pp.147~ (1994), Southern Illinois University
- Hmelo-Silver CE, "Problem-based learning: what and how do students learn", Educ Psychol Rev, 16(3), pp.235~266 (2004)
- Ju H, "Challenges experienced by Korean medical students and tutors during problem-based learning : a cultural perspective", Interdiscip J Probl Based Learn, 10(1), pp.8~ (2016)
- De Grave WS, "Student perceptions about the occurrence of critical incidents in tutorial groups", Med Teach, 23(1), pp.49~54 (2001)
- Hung W, "Theory to reality : a few issues in implementing problem-based learning", Educ Technol Res Dev, 59(4), pp.529~552 (2011)
- Khoo HE, "Implementation of problem-based learning in Asian medical schools and students’ perceptions of their experience", Med Educ, 37(5), pp.401~409 (2003)
- Cerbin, B, "The nature and development of informal reasoning skills in college students", Proceedings of the 12th National Institute on Issues in Teaching and Learning (1988), Office of Educational Research and Improvement
- Jonassen DH, "Learning to solve problems: a handbook for designing problem-solving learning environments", pp.472~ (2011), Routledge
- Kuhn D, "Thinking as argument", Harvard Educ Rev, 62(2), pp.155~179 (1992)
- Hmelo-Silver CE, "Facilitating collaborative knowledge building", Cogn Instr, 26(1), pp.48~94 (2008)
- Savery JR, "Problem based learning : an instructional model and its constructivist framework", Educ Technol, 35(5), pp.31~38 (1995)
- Toulmin S, "The uses of argument", pp.247~ (1958), Cambridge University Press
- Frederiksen CH, "Learning to reason through discourse in a problem‐based learning group", Discourse Process, 27(2), pp.135~160 (1999)
- Ju H, "The role of argumentation in hypotheticodeductive reasoning during problem-based learning in medical education: a conceptual framework", Interdiscip J Probl Based Learn (2017)
- 주현정, "Do medical students generate sound arguments during small group discussions in problem-based learning?: an analysis of preclinical medical students’ argumentation according to a framework of hypothetico-deductive reasoning", Korean Journal of Medical Education, 29(2), pp.101~109 (2017), 한국의학교육학회[DOI]
- Chin C, "Supporting argumentation through students' questions : case studies in science classrooms", J Learn Sci, 19(2), pp.230~284 (2010)
- Ju HJ, "Enhancing medical students’ argumentation during hypotheticodeductive reasoning (HDR) in problem-based learning (PBL)", Ph D, pp.2016
- Prince KJ, "A qualitative analysis of the transition from theory to practice in undergraduate training in a PBL-medical school", Adv Health Sci Educ Theory Pract, 5(2), pp.105~116 (2000)
- Dolmans DH, "Solving problems with group work in problem-based learning : hold on to the philosophy", Med Educ, 35(9), pp.884~889 (2001)
- 소연희, "문제바탕학습시행에 따른 만족도", Korean Journal of Medical Education, 17(1), pp.49~58 (2005), 한국의학교육학회
- Xun GE, "A conceptual framework for scaffolding III-structured problem-solving processes using question prompts and peer interactions", Educ Technol Res Dev, 52(2), pp.5~22 (2004)
- Barrows HS, "The tutorial process", pp.70~ (1992), Southern Illinois University
- Schwarz BB, "Construction of collective and individual knowledge in argumentative activity", J Learn Sci, 12(2), pp.219~256 (2003)
- Knowles MS, "Self-directed learning: a guide for learners and teachers", pp.135~ (1975), Association Press
- Van Berkel HJ, "The influence of tutoring competencies on problems, group functioning and student achievement in problem-based learning", Med Educ, 40(8), pp.730~736 (2006)