Understanding the effects of structured self-assessment in directed, self-regulated simulation-based training of mastoidectomy:A mixed methods study
| Autor: | Mads Sølvsten Sørensen, Steven Arild Wuyts Andersen, Mads J Guldager, Martin Frendø |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Self-assessment
Technical skills training Directed medicine.medical_treatment Applied psychology education Mastoidectomy Task (project management) 03 medical and health sciences Self-regulated learning 0302 clinical medicine Simulation-based training Intervention (counseling) medicine RT Reaction Time 030223 otorhinolaryngology DSRL Directed Self-Regulated Learning Structured self-assessment CL Cognitive Load Temporal bone surgery VR Virtual Reality lcsh:Otorhinolaryngology lcsh:RF1-547 Otorhinolaryngology Content analysis Distributed Practice Virtual reality surgical simulation Psychology 030217 neurology & neurosurgery Cognitive load Research Article |
| Zdroj: | Andersen, S A W, Frendø, M, Guldager, M & Sørensen, M S 2020, ' Understanding the effects of structured self-assessment in directed, self-regulated simulation-based training of mastoidectomy : A mixed methods study ', Journal of Otology, vol. 15, no. 4, pp. 117-123 . https://doi.org/10.1016/j.joto.2019.12.003 Journal of Otology Journal of Otology, Vol 15, Iss 4, Pp 117-123 (2020) |
| DOI: | 10.1016/j.joto.2019.12.003 |
| Popis: | Objective Self-directed training represents a challenge in simulation-based training as low cognitive effort can occur when learners overrate their own level of performance. This study aims to explore the mechanisms underlying the positive effects of a structured self-assessment intervention during simulation-based training of mastoidectomy. Methods A prospective, educational cohort study of a novice training program consisting of directed, self-regulated learning with distributed practice (5x3 procedures) in a virtual reality temporal bone simulator. The intervention consisted of structured self-assessment after each procedure using a rating form supported by small videos. Semi-structured telephone interviews upon completion of training were conducted with 13 out of 15 participants. Interviews were analysed using directed content analysis and triangulated with quantitative data on secondary task reaction time for cognitive load estimation and participants’ self-assessment scores. Results Six major themes were identified in the interviews: goal-directed behaviour, use of learning supports for scaffolding of the training, cognitive engagement, motivation from self-assessment, self-assessment bias, and feedback on self-assessment (validation). Participants seemed to self-regulate their learning by forming individual sub-goals and strategies within the overall goal of the procedure. They scaffolded their learning through the available learning supports. Finally, structured self-assessment was reported to increase the participants’ cognitive engagement, which was further supported by a quantitative increase in cognitive load. Conclusions Structured self-assessment in simulation-based surgical training of mastoidectomy seems to promote cognitive engagement and motivation in the learning task and to facilitate self-regulated learning. |
| Databáze: | OpenAIRE |
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