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http://dx.doi.org/10.17496/kmer.2017.19.2.101

Effect of Argumentation Instruction on Medical Student Experiences with Problem-Based Learning  

Ju, Hyunjung (Innovation Center for Medical Education, Inje University College of Medicine)
Publication Information
Korean Medical Education Review / v.19, no.2, 2017 , pp. 101-108 More about this Journal
Abstract
When participating in problem-based learning (PBL), it is important for medical students to generate claims and provide justifications for their claims in small group discussions. This study aimed to investigate the effect of argumentation instruction on medical student learning experiences with PBL. A total of one hundred first-year preclinical students from Inje University College of Medicine, who had attended argumentation instruction, participated in this study. All of the participants completed a 5-point Likert scale questionnaire regarding their learning experiences with PBL, before and after the argumentation instruction. The questionnaire comprised 22 items with eight subcategories: argumentation activity, reflection, integration of basic and clinical science, identification of lack of knowledge, logical thinking, self-directed study, communication, and attitude toward discussion. The collected data were analyzed through a paired-sample t-test. The results of this study found that the argumentation instruction promoted the preclinical students' experiences with argumentation activities, reflection, an integration of basic and clinical science, the identification of their lack of knowledge, logical thinking, and self-directed study, and it increased positive attitudes toward group discussion. The findings suggest argumentation instruction can enhance medical student group discussions and help students achieve the objectives of PBL, including acquisition of basic and clinical science knowledge and development of clinical reasoning and self-directed learning abilities, which can highlight the meaningful learning experiences students have with PBL.
Keywords
Argumentation instruction; Learning experience; Medical students; Problem-based learning;
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1 Lim WK. Dysfunctional problem-based learning curricula: resolving the problem. BMC Med Educ. 2012;12:89.   DOI
2 Neville AJ. Problem-based learning and medical education forty years on: a review of its effects on knowledge and clinical performance. Med Princ Pract. 2009;18(1):1-9.   DOI
3 Kim JH, Kim JY, Son HJ, Choi YH, Hong KP, Ahn BH, et al. A qualitative evaluation of problem-based learning curriculum by students' perceptions. Korean J Med Educ. 2004;16(2):179-93.   DOI
4 Yeo S, Chang BH. Students' perceptions and satisfaction level of hybrid problem-based learning for 16 years in Kyungpook National University School of Medicine, Korea. Korean J Med Educ. 2016;28(1):9-16.   DOI
5 Barrows HS. How to design a problem-based curriculum for the preclinical years. New York (NY): Springer; 1985. 148 p.
6 Barrows HS. Practice-based learning: problem-based learning applied to medical education. Springfield (IL): Southern Illinois University; 1994. 147 p.
7 Ju H, Choi I, Rhee BD, Lee JT. Challenges experienced by Korean medical students and tutors during problem-based learning: a cultural perspective. Interdiscip J Probl Based Learn. 2016;10(1):8.
8 De Grave WS, Dolmans DH, van Der Vleuten CP. Student perceptions about the occurrence of critical incidents in tutorial groups. Med Teach. 2001;23(1):49-54.   DOI
9 Hung W. Theory to reality: a few issues in implementing problem-based learning. Educ Technol Res Dev. 2011;59(4):529-52.   DOI
10 Khoo HE. Implementation of problem-based learning in Asian medical schools and students' perceptions of their experience. Med Educ. 2003;37(5):401-9.   DOI
11 Cerbin, B. The nature and development of informal reasoning skills in college students. Proceedings of the 12th National Institute on Issues in Teaching and Learning; 1988 Apr 24-27; Chicago, USA. Washington (DC): Office of Educational Research and Improvement; 1988.
12 Jonassen DH. Learning to solve problems: a handbook for designing problem-solving learning environments. New York (NY): Routledge; 2011. 472 p.
13 Kuhn D. Thinking as argument. Harvard Educ Rev. 1992;62(2):155-79.   DOI
14 Hmelo-Silver CE, Barrows HS. Facilitating collaborative knowledge building. Cogn Instr. 2008;26(1):48-94.   DOI
15 Hmelo-Silver CE. Problem-based learning: what and how do students learn? Educ Psychol Rev. 2004;16(3):235-66.   DOI
16 Savery JR, Duffy TM. Problem based learning: an instructional model and its constructivist framework. Educ Technol. 1995;35(5):31-8.
17 Ju H, Choi I, Yoon BY. Do medical students generate sound arguments during small group discussions in problem-based learning?: an analysis of preclinical medical students' argumentation according to a framework of hypothetico-deductive reasoning. Korean J Med Educ. 2017;29(2): 101-9.   DOI
18 Toulmin S. The uses of argument. Cambridge: Cambridge University Press; 1958. 247 p.
19 Frederiksen CH. Learning to reason through discourse in a problem‐based learning group. Discourse Process 1999;27(2):135-60.   DOI
20 Ju H, Choi I. The role of argumentation in hypotheticodeductive reasoning during problem-based learning in medical education: a conceptual framework. Interdiscip J Probl Based Learn. 2018 Forthcoming.
21 Chin C, Osborne J. Supporting argumentation through students' questions: case studies in science classrooms. J Learn Sci. 2010;19(2):230-84.   DOI
22 Ju HJ. Enhancing medical students' argumentation during hypotheticodeductive reasoning (HDR) in problem-based learning (PBL) [dissertation]. Athens (GA): The University of Georgia; 2016.
23 Prince KJ, van de Wiel M, Scherpbier AJ, can der Vleuten CP, Boshuizen HP. A qualitative analysis of the transition from theory to practice in undergraduate training in a PBL-medical school. Adv Health Sci Educ Theory Pract. 2000;5(2):105-16.   DOI
24 Dolmans DH, Wolfhagen IH, van der Vleuten CP, Wijnen WH. Solving problems with group work in problem-based learning: hold on to the philosophy. Med Educ. 2001;35(9):884-9.   DOI
25 So YH, Lee YM, Ahn DS. An student's evaluation of the implementation of problem-based learning. Korean J Med Educ. 2005;17(1):49-58.   DOI
26 Knowles MS. Self-directed learning: a guide for learners and teachers. New York (NY): Association Press; 1975. 135 p.
27 Xun GE, Land SM. A conceptual framework for scaffolding III-structured problem-solving processes using question prompts and peer interactions. Educ Technol Res Dev. 2004;52(2):5-22.   DOI
28 Barrows HS. The tutorial process. 2nd ed. Springfield (IL): Southern Illinois University; 1992. 70 p.
29 Schwarz BB, Neuman Y, Gil J, Ilya M. Construction of collective and individual knowledge in argumentative activity. J Learn Sci. 2003;12(2): 219-56.   DOI
30 Van Berkel HJ, Dolmans DH. The influence of tutoring competencies on problems, group functioning and student achievement in problem-based learning. Med Educ. 2006;40(8):730-6.   DOI