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Enhancing students' agency in learning anatomy vocabulary with a formative intervention design

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Abstract

One of the major challenges for health science students is the rapid acquisition of a new vocabulary in anatomy comprising several hundred new words. Research has shown that vocabulary learning can be improved when students are directed to vocabulary strategies. This paper reported a study with a formative intervention design inspired by Vygotsky's method of double stimulation. In this design, the students were put in a structured situation that invited them to identify the challenges in learning anatomy and then provided them with active guidance and a range of anatomy vocabulary learning strategies that scaffolded them to work out a solution to the challenge and develop their individualized anatomy learning resources. The data were collected from surveys, pre and postquiz results, and group discussion transcripts. The results revealed students perceived one of the main challenges in learning anatomy was learning, memorizing, and remembering many new words. A key finding in our study was that the formative intervention enhanced students' agency in creating resources for learning anatomy vocabulary. In addition, the development of their understanding showed a recursive form: from concrete experiences to abstract concepts and then to concrete new practices.

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PurposeSelf-efficacy, academic motivation, and self-regulation have been identified as important factors contributing to students’ learning success in general education. In the field of medical education, however, few studies have examined these variables or their interrelationships as predictors of undergraduate medical students’ learning outcomes, especially in the context of flipped learning.Methods Using structural equation modeling (SEM), this study explored the impact of self-efficacy on 146 first- and second-year medical students’ academic achievement in a flipped-learning environment, and whether such impact (if any) was mediated by academic motivation and self-regulated learning (SRL) strategies.ResultsOn average, students scored highest on self-efficacy (mean = 5 out of a possible 7), followed by intrinsic motivation (mean = 4.59), resource-management strategies (mean = 4.48), metacognitive strategies (mean = 4.46), extrinsic motivation (mean = 4.24), and cognitive strategies (mean = 4.17). Our SEM results suggest that, while there was a direct effect of self-efficacy on learning outcomes, academic motivation and SRL strategies did not mediate it.Conclusions By unpacking the structural relationships among self-efficacy, academic motivation, SRL strategies, and learning outcomes, this study provides evidence-based support for the importance of promoting students’ self-efficacy in undergraduate medical flipped-learning environments. Strategies for increasing students’ self-efficacy are also discussed.
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Growing research suggests that digital flashcards may facilitate students' technical vocabulary learning efforts. The primary purpose of this quasi-experimental study was to compare the effect of digital flashcards (DFs) and wordlists on learning technical vocabulary as well as to explore stu-dents' perceptions regarding the use of DFs. Using convenience sampling method, the study was conducted with a total of 57 undergraduate pharmacy students. Data were collected using a pre-treatment survey, two technical vocabulary tests, and a post-treatment survey. The results indicated that (1) the students learned more technical vocabulary through DFs; (2) their perceptions about the use of DFs to study technical vocabulary were positive; (3) their perceptions of the usefulness of the Quizlet app was a predictor of their success in DF condition; and (4) practicing through digital apps positively predicted their intention to use the Quizlet application. Based on the findings, we concluded that teacher-prepared DFs result in better technical vocabulary learning.
Article
Recent literature emphasizes the importance of viewing teachers as agents in knowledge-building practice. This study aimed to develop preservice language teachers’ epistemic agency in creating their language teaching resources through a double stimulation design using video-based learning modules. The study was conducted in a secondary language teacher education program in an Australian university. The first phase of the design presented a problem in language teaching, such as how to create resources for teaching Chinese characters, as the first stimulus. The second stimuli included a short video-clip containing an experienced teachers’ teaching demonstration as a resolution to the problem, group discussions, and discussion worksheets, which supported the participants to develop their own resolution to the problem in their lesson plans for teaching Chinese. The data included an initial survey results, audio-recorded group discussions, discussion worksheets, and assignment analysis. Based on the conflict of motives revealed in the initial survey, the dialogic analysis of the group discussion and content analysis of the assignment revealed the development of their epistemic agency in forming and transforming the object of learning. The findings revealed that the double stimulation design and collaborative discussions enhanced preservice teachers’ epistemic agency in creating new ideas and language teaching resources.
Article
Theories of agency are often borrowed from psychology and sociology; truly educational theories of agency are rare – theories that not only classify and measure dimensions of agency but enable us to understand how its formation can be pedagogically facilitated. Based on Sannino’s recent work on transformative agency by double stimulation (TADS), a truly educational approach to agency is gaining traction. In double stimulation, a person or group faces a paralysing conflict of motives (first stimulus) which is resolved by identifying a meaningful artefact that is turned into a sign (second stimulus). Today’s critical learning challenges typically do not have obvious or ‘correct’ solutions. They require a pedagogy that allows learners to face conflicts and construct artefacts to help break out of their paralysis. The paradigm of double stimulation, as explored in the articles in this issue, offers as tarting point for a pedagogy of agentive actions and expanding possibilities.
Article
Between 2000 and 2013, over 8,000 students studied the module Reading Classical Latin at the Open University, the United Kingdom’s largest distance education provider. But while many learners attained high grades, a significant proportion withdrew from study or failed the module. In 2015, the original module was replaced with a completely new course, Classical Latin: The Language of Ancient Rome . This article details the innovative ways in which new technology and pedagogical theory from Modern Foreign Language (MFL) learning were drawn on by the team designing this new module, resulting in a learning experience which gives greater emphasis to elements such as spoken Latin, the intrinsic pleasure of reading, and cultural context. The (largely positive) effects of these pedagogical changes on student success and satisfaction are subsequently analysed using a rich mix of qualitative and quantitative data. Finally, the authors reflect on lessons learned and the possibilities for future research and enhancement.
Article
In this paper we examine two systematic observation methods intended to be used by pre-service and in-service teachers to help increase their awareness of children's participation in productive classroom dialogue. We identify the affordances of these methods for supporting teachers’ reflective practice, focusing in this case on students’ equitable participation in science groupwork activities. This involves the use of Teacher-SEDA (T-SEDA), a sub-scheme of SEDA (Cam-UNAM Scheme for Educational Dialogue Analysis), which was empirically trialled by a mixed group of researchers and teachers, using video-recordings from primary science classrooms in the UK and Mexico. The T-SEDA trials reported in this paper compare a ‘simulated live’ approach based on time-sampling techniques, with a ‘follow-up analysis’ approach, which uses audio-recordings and transcripts. The findings suggest that using either technique regularly can aid teachers in noticing classroom events and adjusting teaching accordingly. The ‘live’ coding approach appears to be the more practical method that teachers could use to audit the development of classroom equitable participation. However, the follow-up analysis emerged as a more informative approach, shedding light on more ambiguous cases of relative participation.
Book
Cambridge Core - ELT Applied Linguistics - Learning Vocabulary in Another Language - by I. S. P. Nation
Article
The Anatomy Learning Experiences Questionnaire (ALEQ) was designed by Smith and Mathias to explore students' perceptions and experiences of learning anatomy. In this study, the psychometric properties of a slightly altered 34-item ALEQ (ALEQ-34) were evaluated, and correlations with learning outcomes investigated, by surveying first- and second-year undergraduate medical students; 181 usable responses were obtained (75% response rate). Psychometric analysis demonstrated overall good reliability (Cronbach's alpha of 0.85). Exploratory factor analysis yielded a 27-item, three-factor solution (ALEQ-27, Cronbach's alpha of 0.86), described as: (Factor 1) (Reversed) challenges in learning anatomy, (Factor 2) Applications and importance of anatomy, and (Factor 3) Learning in the dissection laboratory. Second-year students had somewhat greater challenges and less positive attitudes in learning anatomy than first-year students. Females reported slightly greater challenges and less confidence in learning anatomy than males. Total scores on summative gross anatomy examination questions correlated with ALEQ-27, Pearson's r = 0.222 and 0.271, in years 1 and 2, respectively, and with Factor 1, r = 0.479 and 0.317 (all statistically significant). Factor 1 also had similar correlations across different question types (multiple choice; short answer or essay; cadaveric; and anatomical models, bones, or radiological images). In a retrospective analysis, Factor 1 predicted poor end-of-semester anatomy examination results in year 1 with a sensitivity of 88% and positive predictive value of 33%. Further development of ALEQ-27 may enable deeper understanding of students' learning of anatomy, and its ten-item Factor 1 may be a useful screening tool to identify at-risk students. Anat Sci Educ. © 2017 American Association of Anatomists.
Article
This article critiques the usefulness of double stimulation, a key concept in Vygotskian analyses of human development, with leaders in early childhood services in Australia. A series of formative interventions was conducted to identify and address systemic tensions that were confounding leaders’ attempts to realise a central object of activity in their work: the development of their staff in order to enhance children’s learning. An example of double stimulation is drawn from workshop comments and interviews with one of the participating leaders. The article elaborates on a tension identified between explicit cultural expectations of professionalism and an implicit division of labour that position leaders as having the primary responsibility for solving problems of practice. The article concludes by reflecting on the usefulness of double stimulation in fostering sustainable leadership practices in early childhood education.
Article
Effortful retrieval produces greater long-term recall of information when compared to studying (i.e., reading), as do learning sessions that are distributed (i.e., spaced apart) when compared to those that are massed together. Although the retrieval and distributed practice effects are well-established in the cognitive science literature, no studies have examined their additive effect with regard to learning anatomy information. The aim of this study was to determine how the benefits of retrieval practice vary with massed versus distributed learning. Participants used the following strategies to learn sets of skeletal muscle anatomy: (1) studying on three different days over a seven day period (SSSS7,2,0), (2) studying and retrieving on three different days over a seven day period (SRSR7,2,0), (3) studying on two different days over a two day period (SSSSSS2,0), (4) studying and retrieving on two separate days over a two day period (SRSRSR2,0), and (5) studying and retrieving on one day (SRx60). All strategies consisted of 12 learning phases and lasted exactly 24 minutes. Muscle information retention was assessed via free recall and using repeated measures ANOVAs. A week after learning, the recall scores were 24.72 ± 3.12, 33.88 ± 3.48, 15.51 ± 2.48, 20.72 ± 2.94, and 12.86 ± 2.05 for the SSSS7,2,0, SRSR7,2,0, SSSSSS2,0, STSTST2,0, and SRx60 strategies, respectively. In conclusion, the distributed strategies produced significantly better recall than the massed strategies, the retrieval-based strategies produced significantly better recall than the studying strategies, and the combination of distributed and retrieval practice generated the greatest recall of anatomy information. Anat Sci Educ. © 2016 American Association of Anatomists.
Article
Success and failure in formal mathematics education has been used to legitimize stratification. We describe participatory design research as a methodology for systemic repair. The analysis describes epistemic authority—exercising the right or the power to know—as a form of agency in processes of mathematical problem solving and learning. We asked: What will aid families in advocating for their children's math learning, particularly when they expressed concern about their ability to do so? Participatory design research provided a collaborative and iterative method to work with people who shape math learning: parents, children, teachers, community organizers, researchers, curriculum developers, and mathematicians. Data from four years of participant observation involved the design, facilitation, and dissemination of workshops and take-home materials and family case studies. As participating families claimed epistemic authority, institutional barriers became more visible. This tension maps where participatory design methodology can evolve to address systemic change.
Article
Innovative educational strategies can provide variety and enhance student learning while addressing complex logistical and financial issues facing modern anatomy education. Observe-Reflect-Draw-Edit-Repeat (ORDER), a novel cyclical artistic process, has been designed based on cognitivist and constructivist learning theories, and on processes of critical observation, reflection and drawing in anatomy learning. ORDER was initially investigated in the context of a compulsory first year surface anatomy practical (ORDER-SAP) at a United Kingdom medical school in which a cross-over trial with pre-post anatomy knowledge testing was utilized and student perceptions were identified. Despite positive perceptions of ORDER-SAP, medical student (n = 154) pre-post knowledge test scores were significantly greater (P < 0.001) with standard anatomy learning methods (3.26, SD = ±2.25) than with ORDER-SAP (2.17, ±2.30). Based on these findings, ORDER was modified and evaluated in the context of an optional self-directed gross anatomy online interactive tutorial (ORDER-IT) for participating first year medical students (n = 55). Student performance was significantly greater (P < 0.001) with ORDER-IT (2.71 ± 2.17) when compared to a control tutorial (1.31 ± 2.03). Performances of students with visual and artistic preferences when using ORDER were not significantly different (P > 0.05) to those students without these characteristics. These findings will be of value to anatomy instructors seeking to engage students from diverse learning backgrounds in a research-led, innovative, time and cost-effective learning method, in the context of contrasting learning environments. Anat Sci Educ. © 2016 American Association of Anatomists.
Article
Repetition is common in language use. Similarly, having students repeat is a common practice in language teaching. After surveying some of the better known contributions of repetition to language learning, I propose an innovative role for repetition from the perspective of complexity theory. I argue that we should not think of repetition as exact replication, but rather we should think of it as iteration that generates variation. Thus, what results from iteration is a mutable state. Iteration is one way that we create options in how to make meaning, position ourselves in the world as we want, understand the differences which we encounter in others, and adapt to a changing context.
Article
While contemporary literature understands double stimulation primarily as a method to study specific mental functions with the help of two types of stimuli, this article points at two under-researched aspects of double stimulation based on a close reading of classic texts by Vygotsky and his colleagues. First, double stimulation, besides being a method, is a principle of volition which distinctively characterizes all higher mental functions. Second, double stimulation comprises conflictual aspects, in particular conflicts of motives. Together with the two types of stimuli, conflicts of motives constitute the core of a strategic setup that human beings establish to intentionally affect their behavior and the world around them. A model based on these interpretations is constructed. The model may enrich our understanding of double stimulation and open up interesting new avenues for further research.
Article
The paper reports a study of a narrative-based Dynamic Assessment (BA) procedure developed in the USA that is used in the UK with children with developmental language disabilities. Three monolingual English children with language disabilities are assessed by a speech/language pathologist/therapist who is learning to work with OA in collaboration with the researcher in the study. Quantitative evidence of language structures indicates that the children learn to talk more after two intervention sessions. Evidence from the mediations of the children's language learning capabilities throws diagnostic light on the nature of their needs. A critique is offered of the assessment tool, and conclusions are drawn about the implications of BA for differentiating language-learning potential in language disabilities, with suggestions for further study.
Article
Changes and transformations in organisations are traditionally initiated by the management. This approach does not, however, encourage the agency of all the members in an organisation to engage in cooperative development of the activity. This paper presents an analysis of the development of participants’ transformative agency in a Change Laboratory (CL) intervention. In a CL, the participants analyse conflicts and disturbances in their local activity and search for ways to transform current work practices. In the analysis, we identified six types of expressions of transformative agency which evolved over the course of the laboratory sessions and across the topical contents of those sessions. Furthermore, we examined to what extent the expressions of agency produced by the participants reflected individual and collective agency. Our key argument based on the research findings is that transformative agency goes beyond the individual and the situational here-and-now actions. It is produced and maintained in collective change efforts and evolves over time.
Article
Medical education requires student comprehension of both technical (scientific/medical) and non-technical (general) vocabulary. Our experience with "English as a second language" (ESL) Arab students suggested they often have problems comprehending scientific statements because of weaknesses in their understanding of non-scientific vocabulary. This study aimed to determine whether ESL students have difficulties with general vocabulary that could hinder their understanding of scientific/medical texts. A survey containing English text was given to ESL students in the premedical years of an English-medium medical school in an Arabic country. The survey consisted of sample questions from the Medical College Admission Test (USA). Students were instructed to identify all unknown words in the text. ESL students commenced premedical studies with substantial deficiencies in English vocabulary. Students from English-medium secondary schools had a selective deficiency in scientific/medical terminology which disappeared with time. Students from Arabic-medium secondary schools had equal difficulty with general and scientific/medical vocabulary. Deficiencies in both areas diminished with time but remained even after three years of English-medium higher education. Typically, when teaching technical subjects to ESL students, attention is focused on subject-unique vocabulary and associated modifiers. This study highlights that ESL students also face difficulties with the general vocabulary used to construct statements employing technical words. Such students would benefit from increases in general vocabulary knowledge.