Redesigning the medical school learning environment to meet 21st century skills

SUMMARY Objective: We sought to understand the landscape of published articles regarding medical schools’ learning environments (LE) worldwide, with an explicit focus on potentially negative aspects of the LE as an effort to identify areas specifically in need of remediation or intervention that could prevent future unprofessional behaviours, burnout, violence and mistreatment among students and physicians. Methods: A bibliometric analysis was conducted in six electronic databases (PubMed/Medline, Web of Science, Cochrane Library, SCOPUS, ERIC-ProQuest and PsycINFO) through December 31, 2016, including 12 themes: learning environment - general, hidden curriculum (negative), unethical behaviours, bullying/hazing, violence, sexual discrimination, homophobia, racism, social discrimination, minorities’ discrimination, professional misconduct, and "other" negative aspects. Results: Of 9,338 articles found, 710 met the inclusion criteria. The most common themes were general LE (233 articles), unprofessional behaviours (91 articles), and sexual discrimination (80 articles). Approximately 80% of articles were published in the 21st century. Conclusion: There is a clear increase in scientific articles on negative aspects of the medical school LE in high-quality journals, especially in the 21st century. However, more studies are needed to investigate negative LE aspects with greater attention paid to experimental, longitudinal, and cross-cultural study designs.

Download Full-text

Mapping scientific research on the negative aspects of the medical school learning environment

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.65.2.232 ◽

2019 ◽

Vol 65 (2) ◽

pp. 232-239 ◽

Cited By ~ 1

Author(s):

Rodolfo F. Damiano ◽

Andrey O. da Cruz ◽

José G. de Oliveira ◽

Lisabeth F. DiLalla ◽

Sean Tackett ◽

...

Keyword(s):

Learning Environment ◽

Medical School ◽

21St Century ◽

Cochrane Library ◽

Professional Misconduct ◽

Sexual Discrimination ◽

Cross Cultural Study ◽

Unethical Behaviors ◽

School Learning ◽

Study Designs

SUMMARY OBJECTIVE: We sought to understand the landscape of published articles regarding medical schools’ learning environments (LE) worldwide, with an explicit focus on potentially harmful aspects of the LE as an effort to identify areas specifically in need of remediation or intervention that could prevent future unprofessional behaviors, burnout, violence and mistreatment among students and physicians. METHODS: A bibliometric analysis was conducted in six electronic databases (PubMed/Medline, Web of Science, Cochrane Library, SCOPUS, ERIC-ProQuest, and PsycINFO) up to December 31, 2016, including 12 themes: learning environment – general, hidden curriculum (harmful), unethical behaviors, bullying/hazing, violence, sexual discrimination, homophobia, racism, social discrimination, minorities discrimination, professional misconduct, and other negative aspects. RESULTS: Of the 9,338 articles found, 710 met the inclusion criteria. The most common themes were general LE (233 articles), unprofessional behaviors (91 articles), and sexual discrimination (80 articles). Approximately 80% of articles were published in the 21st century. CONCLUSION: There is a definite increase in scientific articles on negative aspects of the medical school LE in high-quality journals, especially in the 21st century. However, more studies are needed to investigate negative LE aspects with greater attention to experimental, longitudinal, and cross-cultural study designs.

Download Full-text

STUDENTS' PERCEPTION OF THE MEDICAL SCHOOL LEARNING ENVIRONMENT: A PILOT STUDY INTO SOME DIFFERENCES AND SIMILARITIES BETWEEN CLINICAL SCHOOLS IN THE U.K.

Assessment & Evaluation in Higher Education ◽

10.1080/0260293810060303 ◽

1981 ◽

Vol 6 (3) ◽

pp. 206-217 ◽

Cited By ~ 8

Author(s):

Richard E. Wakeford

Keyword(s):

Pilot Study ◽

Learning Environment ◽

Medical School ◽

School Learning

Download Full-text

The Effect of a Stimulating Learning Environment on Pre-Service Teachers’ Motivation and 21st Century Skills

Journal of Education and Learning ◽

10.5539/jel.v5n3p29 ◽

2016 ◽

Vol 5 (3) ◽

pp. 29 ◽

Cited By ~ 10

Author(s):

Yonit Nissim ◽

Eyal Weissblueth ◽

Lennie Scott-Webber ◽

Shimon Amar

Keyword(s):

Active Learning ◽

Learning Environment ◽

Student Teachers ◽

21St Century ◽

21St Century Skills ◽

Innovative Technology ◽

Traditional Classrooms ◽

High Increase ◽

Post Occupancy Evaluation ◽

New Learning

We investigated the effect of an innovative technology-supported learning environment on pre-service student teachers’ motivation and 21st century skills. Students and instructors filled-in the Active Learning Post Occupancy Evaluation (AL-POE) questionnaire. Analysis included tests for individual items and a comparison of the overall mean, composite differences between pre- and post- occupation of the new classes. Over 80% reported high increase in creativity, motivation, ability to get higher grades and engagement in class while studying in the new learning environment. They gave significantly higher evaluations for practices and solutions in the new vs. traditional classrooms and perceived working there adequately and better, on many of the 21st century skills. Therefore, learning environment plays an important role in preparing pre-service teachers.

Download Full-text

A predictive model of student satisfaction with the medical school learning environment

Academic Medicine ◽

10.1097/00001888-199702000-00021 ◽

1997 ◽

Vol 72 (2) ◽

pp. 134-9 ◽

Cited By ~ 25

Author(s):

L S Robins ◽

L D Gruppen ◽

G L Alexander ◽

J C Fantone ◽

W K Davis

Keyword(s):

Learning Environment ◽

Medical School ◽

Student Satisfaction ◽

Predictive Model ◽

School Learning

Download Full-text

The Medical School Learning Environment Survey: an examination of its factor structure and relationship to student performance and satisfaction

Learning Environments Research ◽

10.1007/s10984-014-9167-9 ◽

2014 ◽

Vol 17 (3) ◽

pp. 423-435 ◽

Cited By ~ 4

Author(s):

Shayna Rusticus ◽

Anne Worthington ◽

Derek Wilson ◽

Karen Joughin

Keyword(s):

Learning Environment ◽

Medical School ◽

Student Performance ◽

Factor Structure ◽

School Learning

Download Full-text

E-Portfolio to Assess the 21stCentury Skills of Students in Smart E-Learning Environment

International Journal for Quality Assurance ◽

10.34028/ijqa/3/1/133 ◽

2020 ◽

Vol 3 (1) ◽

pp. 49-56

Author(s):

Hala El-Senousy

Keyword(s):

Higher Education ◽

Learning Environment ◽

21St Century ◽

21St Century Skills ◽

Assessment Tool ◽

Digital Age ◽

Thinking Skills ◽

Assessment System ◽

Problem Solving Skills ◽

E Learning

In the digital age, the interaction between the ICT and the educational system has led to fundamental transformations and changes to all elements of the learning process. Intelligent devices have enabled the learner to access knowledge resources at any time and anywhere. Learning management systems have produced a smart E-learning environment which enables active learning, Communication, and interaction among users. Quality Assurance in Higher Education has become urgent and aspires to qualify graduates who have mastered diverse and varied skills appropriate with the digital age. The academic programs requisite to rely upon the evaluation of learning outcomes, not only cognitive but also skills, thus the modification of the current assessment system is demanded. This study identified the 21st century skills and performance of learners in five categories: Critical Thinking Skills, Problem Solving Skills, Digital Communication & Sharing Skills, the Productivity of Creative Innovation Skills, and Self Regulated Learning & Career Skills. While Higher education is required to provide evidence of student learning skills, the study suggests E-Portfolios, which are considered as a tool that allows the student to: organize, save, document, publish, and digitally share his work as an accurate assessment tool. The study discusses the foundations, principles, objectives, and analyzes the application of E-Portfolio as a learning and assessment tool of 21st century skills in higher education. Keywords: E –Portfolio, 21st century skill, Quality of smart E-Learning.

Download Full-text