Effects of a curriculum integrating critical thinking on medical students’ critical thinking ability in Iran: a quasi-experimental study
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Purpose: Improving physicians’ critical thinking abilities could have meaningful impacts on various aspects of routine medical practice, such as choosing treatment plans, making an accurate diagnosis, and reducing medical errors. The present study aimed to measure the effects of a curriculum integrating critical thinking on medical students’ skills at Tehran University of Medical Sciences, Iran. Methods: A 1-group pre-test, post-test quasi-experimental design was used to assess medical students’ critical thinking abilities as they progressed from the first week of medical school to middle of the third year of the undergraduate medical curriculum. Fifty-six participants completed the California Critical Thinking Skills Test twice from 2016 to 2019. Results: Medical students were asked to complete the California Critical Thinking Skills Test the week before their first educational session. The post-test was conducted 6 weeks after the 2 and half-year program. Out of 91 medical students with a mean age of 20±2.8 years who initially participated in the study, 56 completed both the pre- and post-tests. The response rate of this study was 61.5%. The analysis subscale showed the largest change. Significant changes were found in the analysis (P=0.03), evaluation (P=0.04), and inductive reasoning (P<0.0001) subscales, but not in the inference (P=0.28), and deductive reasoning (P=0.42) subscales. There was no significant difference according to gender (P=0.77). Conclusion: The findings of this study show that a critical thinking program had a substantial effect on medical students’ analysis, inductive reasoning, and evaluation skills, but negligible effects on their inference and deductive reasoning scores.
Abstract
Purpose: Improving physicians’ critical thinking abilities could have meaningful impacts on various aspects of routine medical practice, such as choosing treatment plans, making an accurate diagnosis, and reducing medical errors. The present study aimed to measure the effects of a curriculum integrating critical thinking on medical students’ skills at Tehran University of Medical Sciences, Iran. Methods: A 1-group pre-test, post-test quasi-experimental design was used to assess medical students’ critical thinking abilities as they progressed from the first week of medical school to middle of the third year of the undergraduate medical curriculum. Fifty-six participants completed the California Critical Thinking Skills Test twice from 2016 to 2019. Results: Medical students were asked to complete the California Critical Thinking Skills Test the week before their first educational session. The post-test was conducted 6 weeks after the 2 and half-year program. Out of 91 medical students with a mean age of 20±2.8 years who initially participated in the study, 56 completed both the pre- and post-tests. The response rate of this study was 61.5%. The analysis subscale showed the largest change. Significant changes were found in the analysis (P=0.03), evaluation (P=0.04), and inductive reasoning (P<0.0001) subscales, but not in the inference (P=0.28), and deductive reasoning (P=0.42) subscales. There was no significant difference according to gender (P=0.77). Conclusion: The findings of this study show that a critical thinking program had a substantial effect on medical students’ analysis, inductive reasoning, and evaluation skills, but negligible effects on their inference and deductive reasoning scores.
참고문헌 (15)
- Von Colln-Appling C, "A concept analysis of critical thinking : a guide for nurse educators", Nurse Educ Today, 49, pp.106~109 (2017)[DOI]
- Chan ZC, "A systematic review on critical thinking in medical education", Int J Adolesc Med Health, 30, pp.20150117~ (2016)[DOI]
- Ross D, "Do scores on three commonly used measures of critical thinking correlate with academic success of health professions trainees?: a systematic review and meta-analysis", Acad Med, 88, pp.724~734 (2013)[DOI]
- Huang GC, "Critical thinking in health professions education: summary and consensus statements of the Millennium Conference 2011", Teach Learn Med, 26, pp.95~102 (2014)[DOI]
- Burke SM, "Cultivating critical thinking using virtual interactive case studies", J Pediatr Nurs, 33, pp.94~96 (2017)[DOI]
- Behar-Horenstein LS, "Teaching critical thinking skills in higher education : a review of the literature", J Coll Teach Learn, 8, pp.25~41 (2011)[DOI]
- Mafinejad MK, "Use of multi-response format test in the assessment of medical students’ critical thinking ability", J Clin Diagn Res, 11, pp.LC10~LC13 (2017)[DOI]
- Khalili H, "Investigation of reliability, validity and normality Persian version of the California Critical Thinking Skills Test; form B (CCTST)", J Med Educ, 3, pp.29~32 (2003)
- Athari Z, "Evaluation of critical thinking skills in Isfahan University of Medical Sciences’ students and its relationship with their rank in university entrance exam rank", Iran J Med Educ, 9, pp.5~11 (2009)
- Smith L, "A semester-long critical thinking course in the first semester of pharmacy school : impact on critical thinking skills", Curr Pharm Teach Learn, 11, pp.499~504 (2019)[DOI]
- Jacob SM, "Analyzing critical thinking skills using online discussion forums and CCTST", Procedia Soc Behav Sci, 31, pp.805~809 (2012)[DOI]
- Chen SL, "Effects of concept map teaching on students’ critical thinking and approach to learning and studying", J Nurs Educ, 50, pp.466~469 (2011)[DOI]
- Athari ZS, "Assessing critical thinking in medical sciences students in two sequential semesters : does it improve", J Educ Health Promot, 2, pp.5~ (2013)[DOI]
- Azizi-Fini I, "Critical thinking skills in nursing students : a comparison between freshmen and senior students", Nurs Midwifery Stud, 4, pp.e25721~ (2015)[DOI]
- Liu NY, "The effect of gender role orientation on student nurses’ caring behaviour and critical thinking", Int J Nurs Stud, 89, pp.18~23 (2019)[DOI]