Medical student misconceptions in cardiovascular physiology.

Autor: Bordes SJ; Tulane University School of Medicine, New Orleans, Louisiana.; Medical Student Research Institute, St. George's University School of Medicine, St. George's, Grenada., Manyevitch R; Medical Student Research Institute, St. George's University School of Medicine, St. George's, Grenada., Huntley JD; University of Texas, Austin, Texas., Li Y; Education Psychology, Texas A&M University, Houston, Texas., Murray IVJ; Department of Medical Physiology, Engineering Medicine Program (EnMed), Texas A&M University, Houston, Texas.
Jazyk: angličtina
Zdroj: Advances in physiology education [Adv Physiol Educ] 2021 Jun 01; Vol. 45 (2), pp. 241-249.
DOI: 10.1152/advan.00220.2020
Abstrakt: Students find cardiovascular physiology challenging. Misunderstandings can be due to the nature of the subject, the way it is taught, and prior knowledge, which impede learning of new concepts. Some misunderstood concepts can be corrected with teaching (i.e., preconceptions), whereas others are resistant to instruction (i.e., misconceptions). A set of questions, specifically created by a panel of physiology experts to probe difficult cardiovascular concepts, was used to identify preconceptions, misconceptions, and the effect of education level on question performance. The introductory cardiovascular lecture used in this study was created based on these questions. In-class polling of medical students' ( n = 736) performance was performed using the Turning-Point clicker response system during lecture instruction. Results were compared with published data from undergraduates ( n = 1,076) who completed the same questions but without prior instruction. To our knowledge, there have been no studies directly comparing performance using the same instrument and large numbers of undergraduate and medical students. A higher education level was associated with increased performance (preconceptions), whereas several concepts resistant to instruction (misconceptions) were identified. Findings suggest that prior knowledge interfered with the acquisition of medical knowledge. Based on these results, potential causes for these misconceptions and remedial teaching suggestions are discussed.
Databáze: MEDLINE