Maximize Learning Opportunities Research Articles

How Hormonal Contraceptive Use Impacts Laparoscopic Skill Acquisition in Biologically Female Medical Students

INTRODUCTIONHormonal contraceptive use is commonplace among biological females of reproductive age. Biological females typically have lower testosterone levels than males, and hormonal contraceptive use lowers that testosterone level even further. Higher testosterone levels are shown to be positively correlated with spatial ability and, ultimately, with better performance in surgical skill acquisition. Biological females, particularly those using hormonal contraceptives, may then be at a disadvantage for learning new surgical skills. However, the relationship between hormonal contraceptive use and surgical skill acquisition is not yet understood, and will be examined in this study.METHODSParticipants (anticipated n=50) are students of Oakland University William Beaumont School of Medicine and are participating under approval of the university's Institutional Review Board. This study makes use of laparoscopic box trainers and the peg transfer task from the MISTELS (McGill Inanimate System for Training and Evaluation of Laparoscopic Skills) battery of tests. The control and treatment groups are divided based on biologically female participants who do not use hormonal contraceptives, and those who do, respectively. Both groups perform several screening tasks regarding demographics, handedness, video game usage, mental rotation ability, and ovulation status. Participants then train on the peg transfer task, recording their times for each attempt until proficiency is reached. An ANCOVA, 2 (cycle/static) × 1 (frequency of repetitions) with spatial ability as a covariate, with appropriate post‐hocs as necessary, will be used to statistically analyze differences in the learning curves between naturally cycling participants and those using hormonal contraceptives.ANTICIPATED RESULTSCompared to the naturally cycling group, the group using hormonal contraceptives is expected to require greater time and number of attempts to reach proficiency on the peg transfer task.SIGNIFICANCEThe results are expected to support the hypothesis that hormonal contraceptive use is negatively correlated with surgical skill acquisition. This may have implications for informing contraceptive choices of biological females pursuing careers in surgery. In addition, it may inform future curriculum design for graduate medical programs, to maximize learning opportunities for aspiring surgeons.Support or Funding InformationDepartment of Biomedical Sciences Research Seed Fund, Oakland University William Beaumont School of Medicine.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Task engagement: a potential criterion for quality assessment of language learning tasks

Maximizing learning opportunities has long been the focus of research in teaching English as a foreign language. Besides the degree to which learners are engaged with the linguistic aspects, investigating other potential of the tasks is of prime importance for maximizing learning opportunities. The present research investigates the potential of four different task types (translation, dictogloss, text reconstruction and jigsaw) performed by 80 Iranian English as foreign language (EFL) intermediate students in promoting learner engagement. Learner's movement from limited to elaborate behavioral, affective and cognitive engagement at verbal, paralinguistic and functional levels while performing the tasks was studied using conversation analysis techniques. The conversation and episodes were coded using a predetermined template of coding. The conversation and ANOVA (analysis of variance) results show that as mind goes through transformation, it is indicated in the transformation in dialogic discourse (speech). The results also indicated that although task engagement patterns were the same across all tasks, the tasks have different potential in promoting task engagement. The results imply that besides other task characteristics including task utility, naturalness and essentiality which focus on linguistic aspects, task engagement is an equally important criterion for the quality assessment of the tasks and should be taken into account since it not only creates sustained attention on linguistic aspects but also mediates learning as it engages learners behaviorally, affectively and cognitively. The results also shed lights on the concept of interactional authenticity and how it can be operationalized in practice.

Pursuing Precision Speech-Language Therapy Services for Children with Down Syndrome.

The behavioral phenotype of individuals with Down syndrome (DS) offers one avenue for developing speech-language therapy services that are tailored to the individual's characteristics that affect treatment response. Behavioral phenotypes are patterns of behavioral strengths and weaknesses for specific genetic disorders that can help guide the development and implementation of effective interventions. Nonetheless, individual differences within children with DS must be acknowledged and addressed because behavioral phenotypes are probabilistic, not deterministic. Developing precision speech-language therapy services to maximize learning opportunities and outcomes for children with DS calls for increased collaboration among clinicians and researchers to address the needs, challenges, and opportunities on three interconnected themes: (1) moving effective interventions from research to practice, (2) making evidence-based, child-specific treatment intensity decisions, and (3) considering child motivation and temperament characteristics. Increased availability of intervention materials and resources as well as more specific recommendations that acknowledge individual differences could help narrow the research-practice gap. Clear descriptions of disciplined manipulations of treatment intensity components could lead to more effective intervention services. Last, addressing motivation and temperament characteristics, such as the personality-motivation orientation, in children with DS may help maximize learning opportunities. Focused attention and collaboration on these key themes could produce substantial, positive changes for children with DS and their families in the coming decade.

Maximising learning opportunities in the time available for surgical training

The results of a Health Education England Better Training Better Care pilot.

Positive assessments in teacher learning

Much scholarly and pedagogical attention has been devoted to positive and negative feedback in language and other classrooms. This article looks at feedback in teacher education classrooms. In particular, it examines the nature and effect of positive assessments in whole class interaction. Based on examples from a teacher education classroom, it shows that positive assessments may not always maximize learning opportunities in potentially interaction-rich contexts. The article argues for a reconsideration of positive assessments in teacher learning, and ends by offering suggestions for managing the interactional complexities of positive feedback in the teacher education classroom.

Primary Mathematics Teacher Education Encountering Difficult Terrain: A Personal Perspective

This paper is a case study in preparing prospective primary teachers to teach mathematics at one Australian university. The paper describes the content knowledge of prospective teachers, pre and post a final mathematics curriculum subject. The teaching approach which attempts to account for both content and pedagogical content knowledge is described. The constraints with respect to time and delivery mode are documented as well as the strategies used to maximise learning opportunities. The findings suggest that current mechanisms of student entry enable students with low levels of personal mathematics to enter and indeed pass teacher education courses. The data suggest there is merit in considering specialist or part-specialist primary teachers of mathematics or in extending teacher preparation time in pre-service teaching programs and refocusing their intent to better account for prospective teachers' knowledge of mathematics which is widely considered essential for effective teaching of the discipline.

PsyConnect: Constructing Layered Engagement for Optimal Learning in Clinical Education.

The increasing volume of nursing students placed in shrinking numbers of clinical sites has resulted in clinical overcrowding in behavioral care settings. Overcrowding has resulted in the deterioration of the clinical teaching and learning experience for students, faculty, and nurses. PsyConnect is a layered, multiplatform engagement learning experience that uses multiple teaching methods to increase student engagement, reduce inpatient overcrowding, maximize learning opportunities, and improve teaching and learning experiences. PsyConnect was implemented in a baccalaureate mental health nursing course during one term. Investigators surveyed students, faculty, and nurses who attended campus simulation. Data analysis included measures of central tendency and Pearson correlation coefficient. Setting rotations, clinical checklists, off-unit learning modules, and simulation with staff nurses improved educational experiences, as reported by students, faculty, and participating nurses. The PsyConnect evaluation suggested that layered, multiplatform, engagement-based learning addressed critical barriers to high-quality, clinical education. [J Nurs Educ. 2016;55(9):541-543.].

Interprofessional team debriefings with or without an instructor after a simulated crisis scenario: An exploratory case study

ABSTRACTThe value of debriefing after an interprofessional simulated crisis is widely recognised; however, little is known about the content of debriefings and topics that prompt reflection. This study aimed to describe the content and topics that facilitate reflection among learners in two types of interprofessional team debriefings (with or without an instructor) following simulated practice. Interprofessional operating room (OR) teams (one anaesthesia trainee, one surgical trainee, and one staff circulating OR nurse) managed a simulated crisis scenario and were randomised to one of two debriefing groups. Within-team groups used low-level facilitation (i.e., no instructor but a one-page debriefing form based on the Ottawa Global Rating Scale). The instructor-led group used high-level facilitation (i.e., gold standard instructor-led debriefing). All debriefings were recorded, transcribed, and thematically analysed using the inductive qualitative methodology. Thirty-seven interprofessional team-debriefing sessions were included in the analysis. Regardless of group allocation (within-team or instructor-led), the debriefings centred on targeted crisis resource management (CRM) content (i.e., communication, leadership, situation awareness, roles, and responsibilities). In both types of debriefings, three themes emerged as topics for entry points into reflection: (1) the process of the debriefing itself, (2) experience of the simulation model, including simulation fidelity, and (3) perceived performance, including the assessment of CRM. Either with or without an instructor, interprofessional teams focused their debriefing discussion on targeted CRM content. We report topics that allowed learners to enter reflection. This is important for understanding how to maximise learning opportunities when creating education activities for healthcare providers that work in interprofessional settings.

Global Diversity and Inclusion in Engineering Education: Developing Platforms toward Global Alignment

This paper presents an exploratory investigation of global scale diversity and inclusion efforts within engineering education. The content is an expansion of work that was shared at the 2015 World Engineering Education Forum’s first special session on “Diversity & Inclusion in Global Engineering.” Diversity and Inclusion (D&I) are contextualized topics that shift objectives from country to country. The role of D&I in engineering education and practice has gained prominence in recent years due to the fact that engineers are facing increased need for global collaborations and are expected to be able to work in highly diverse teams and within different cultures. D&I initiatives in the field of engineering generally include gender, ethnicity, and national origin, and may include persons who are economically underprivileged and persons with disabilities. While the prominence of D&I has increased, international learning outcomes and collaborations within these efforts are limited. Within a global community a common platform would allow for the sharing of best practices and maximize learning opportunities and impact. By examining models from around the world, we can begin to consolidate, optimize, and disseminate the global benefits of D&I. In this work, various programs are reviewed as success cases because they have increased the numbers of underrepresented students who enroll in and graduate from STEM programs. The potential for solidarity amongst Diversity & Inclusion initiatives and programs in different regions of the world is explored. Efforts are made to determine what can be learned from synergies across D&I activities.

Unsettled teamwork: communication and learning in the operating theatres of an urban hospital.

To explore the unsettling effects of increased mobility of nurses, surgeons and other healthcare professionals on communication and learning in the operating theatre. Increasingly, healthcare professionals step in and out of newly formed transient teams and work with colleagues they have not met before, unsettling previously relatively stable team work based on shared, local knowledge accumulated over significant periods of close collaboration. An ethnographic case study was conducted of the operating theatre department of a major teaching hospital in London. Video recordings were made of 20 operations, involving different teams. The recordings were systematically reviewed and coded. Instances where difficulties arose in the communication between scrub nurse and surgeons were identified and subjected to detailed, interactional analysis. Instrument requests frequently prompted clarification from the scrub nurse (e.g. 'Sorry, what did you want?'). Such requests were either followed by a relatively elaborate clarification, designed to maximize learning opportunities, or a by a relatively minimal clarification, designed to achieve the immediate task at hand. Significant variation exists in the degree of support given to scrub nurses requesting clarification. Some surgeons experience such requests as disruptions, while others treat them as opportunities to build shared knowledge.

Wildlife restoration: Mainstreaming translocations to keep common species common

In most urban and agricultural landscapes, remnants of native vegetation are surrounded by an inhospitable matrix. Although vagile species come and go, many reptiles, amphibians and small mammals are effectively stranded and declining towards local extinction. In the same landscapes, other areas where these species are absent are improving in habitat quality, both through natural regeneration and active restoration efforts. So, for many species in many domesticated landscapes, there are too many individuals in some patches of decreasing quality and no individuals in patches of increasing quality. One solution to this situation is to move animals from those areas where there are plenty to suitable areas where there are none. These targeted translocations apply lessons learned from revegetation to dispersal-limited animals to in-fill distributional ranges, increase population size and improve both demographic and genetic connectivity, pushing nonequilibrial metapopulations away from extinction via an imposed mass effect. In contrast to conventional reintroduction schemes—expensive, reactive interventions involving highly-trained specialists and captive-raised endangered species—these inexpensive, proactive, community-driven initiatives aim to avert future declines by keeping common species common. Having introduced the wildlife restoration vision, we use two scenarios to illustrate the benefits of the approach—to species, ecosystem function, ecological understanding, restoration practise and public engagement. As well as adhering to best-practise reintroduction techniques to ensure animal welfare is not compromised and avoid detrimental effects to source populations or release sites, we emphasize community participation, data quality and long-term accessibility as paramount to maximize learning opportunities.

Resident Learning Styles: Are We Maximizing Learning Opportunities for Today’s Resident Learner?

Medical education is in constant evolution. It is important to continuously evaluate how residents are being taught in order to improve, and to maximize didactic time while improving standardized test scores. The aim of this study is to assess how residents prefer to learn, which factors preclude residents from studying, the prevalence of certain teaching methods at our institutions, and how this affects standardized exam scores. In order to gather this data, residents across the three Mayo Clinic campuses were anonymously surveyed regarding their preferred study habits, factors that affect their ability to study, how they are most frequently taught within their program, and their most recent in training exam (ITE) scores. Residents are frequently encountering didactic lessons that are consistent with their preferred study methods. However, there seems to be a number of preferred study methods that may not be represented by standard didactic sessions. There are many other factors that affect a resident’s ability to study and those should be taken into consideration by the department when deciding how to teach their residents.

Advanced teamworking in emergency surgical situations: Improving patient safety through the design of a multi-professional, multi-disciplinary course focusing on non-technical skills

Advanced teamworking in emergency surgical situations: Improving patient safety through the design of a multi-professional, multi-disciplinary course focusing on non-technical skills

Consultant-supervised, core surgical trainee-led theatre lists – Successfully maximising learning opportunities in the time available

Consultant-supervised, core surgical trainee-led theatre lists – Successfully maximising learning opportunities in the time available

The development and evaluation of online stories to enhance clinical learning experiences across health professions in rural Australia

Clinical placement learning experiences are integral to all health and medical curricula as a means of integrating theory into practice and preparing graduates to deliver safe, high-quality care to health consumers. A growing challenge for education providers is to access sufficient clinical placements with experienced supervisors who are skilled at maximising learning opportunities for students. This paper reports on the development and evaluation of an innovative online learning program aimed at enhancing student and clinical supervisors' preparedness for effective workplace-based learning. The evidence-based learning program used 'story-telling' as the learning framework. The stories, which were supported by a range of resources, aimed to engage the learners in understanding student and supervisor responsibilities, as well as the expectations and competencies needed to support effective learning in the clinical environment. Evaluation of this program by the learners and stakeholders clearly indicated that they felt authentically 'connected' with the characters in the stories and developed insights that suggested effective learning had occurred.

A contemporary examination of workplace learning culture: An ethnomethodology study

Creating and maintaining a sustainable workforce is currently an international concern. Extensive literature suggest that students and staff need to be 'engaged', that is they need to interact with the health team if they are to maximise learning opportunities. Despite many studies since the 1970s into what creates a 'good' learning environment, ongoing issues continue to challenge healthcare organisations and educators. A 'good' learning environment has been an intangible element for many professions as learning is hindered by the complexity of practice and by limitations on practitioners' time available to assist and guide novices. This study sought to explore the nature of the learning interactions and experiences in clinical nursing practice that enhance a 'good' workplace learning culture for both nursing students and qualified nurses. An ethnomethodology study. A range of clinical settings in Victoria and Queensland, Australia. Students and registered nurses (n=95). Fieldwork observations were carried out on student nurses and registered nurses, followed by an individual interview with each participant. An iterative approach to analysis was undertaken; field notes of observations were reviewed, interviews transcribed verbatim and entered into NVivo10. Major themes were then extracted. Three central themes: learning by doing, navigating through communication, and 'entrustability', emerged providing insights into common practices potentially enhancing or detracting from learning in the workplace. Students' and registered nurses' learning is constrained by a myriad of interactions and embedded workplace practices, which can either enhance the individual's opportunities for learning or detract from the richness of affordances that healthcare workplace settings have to offer. Until the culture/or routine practices of the healthcare workplace are challenged, the trust and meaningful communication essential to learning in practice, will be achievable only serendipitously.

Electives in undergraduate medical education: AMEE Guide No. 88

This Guide outlines the scope and potential roles an elective can contribute to undergraduate medical training and identifies ways to maximize learning opportunities, including within global health. The types of educational activity available for electives range from meeting individual educational need through to exploration of potential career pathways, with many factors influencing choice. Key areas of organization underpinning a successful elective before, during and after the placement include developing clarity of the intended educational outcomes as well as addressing practicalities such as travel and accommodation. Risk management including the implications for the participating schools as well as the student and their elective supervisors is crucial. This Guide would not be complete without some discussion around ethics and professional conduct during an elective, with consideration of the impact of elective placements, particularly in low-middle income countries.

The nature of conversation of primary students in technology education: Implications for teaching and learning

Classroom conversations are core to establishing successful learning for students. This research explored the nature of conversation in technology education in the primary classroom and the implications for teaching and learning. Over a year, two units of work in technology were taught in two primary classrooms. Most data was gathered in Round 2 during the implementation of the second unit titled ‘Props for the School Production’. It used qualitative methodology and an ethnographic approach using participant observations, stimulated recall interviews with autophotography, semi- structured interviews with participants and their teachers, and students’ work samples to develop a rich description of classroom conversation in technology. Initial data identified four significant stages of learning within the second technology unit; these included Stage 1 Character and Function, Stage 2 Planning, Stage 3 Mock-up and Stage 4 Construction. Four over-arching elements of conversation, each with various sub-elements, were identified as flowing through the classroom conversations. These were Funds of Knowledge, Making Connections and Links, Management of Learning, and Technology Knowledge and Skills. These elements describe the sources and the purpose of conversation. For example, conversations identified as Funds of Knowledge showed students brought knowledge and/or skills learned from home and their community to their technology learning. In Making Connections and Links, students implemented knowledge from school-based learning. Management of Learning included classroom conversations initiated by both teachers and students that enhanced or managed students’ learning in some way. In the fourth element, technological knowledge and skills learned were evidenced. Further analysis of the elements identified three over-arching themes of conversations. The first, ‘Deployment’, describes knowledge and skills brought by students to their technological practice and included the elements Funds of Knowledge and Making Connections and Links. The second, ‘Conduit’, described techniques and strategies used by teachers and students to maximise learning opportunities acting as a conduit between other knowledge and technological knowledge, and was mainly situated within the Management of Learning element. The third theme, ‘Knowledge’, showed the exact nature of technology learning obtained by the students though the bringing together of the first two themes, rather like a set of interconnected cogs. The study makes a significant contribution to understanding how students learn in technology education. It develops current understanding of the nature of talk and the role it plays in learning technology. It also presents new findings on the Funds of Knowledge students bring to technology and it challenges existing findings on students’ ability to transfer knowledge from one domain to other. Finally, it identifies a gap in existing research into students’ abilities to investigate and select appropriate materials for intermediate and final outcomes.

Social Goals in Urban Physical Education: Relationships with Effort and Disruptive Behavior

This study investigated the relationships among four distinct types of social goals, effort, and disruptive behavior in urban physical education. Social responsibility, affiliation, recognition, status goals, along with effort and disruptive behavior in physical education were reported by high school physical education students (N = 314) from three urban schools. Findings from correlation and structural equation modeling analyses revealed that social responsibility goals had a positive relationship with effort and an inverse relationship with disruptive behavior. Social status goals demonstrated a positive relationship with disruptive behavior and no relationship with effort. Social recognition goal results were mixed, as they had positive relationships to both effort and disruptive behavior while social affiliation goals were unrelated to effort or disruptive behavior. Application of these results suggests that physical educators who are able to identify the diverse social motives that underlie students’ goals can maximize learning opportunities by increasing student effort and minimizing disruptive behavior.

Reporting, Analyzing and Learning from Incidents in Radiotherapy: Defining the Structure

A common defined language and structure for unambiguously describing all relevant aspects of radiotherapy incidents is needed in order to share valuable but rare information on incidents within and across institutions. This project, initiated by the AAPM's Working Group on the Prevention of Errors (WGPE), aimed to recommend, through a consensus approach, a structure for reporting and analyzing incidents which would maximize learning opportunities and hence enhance patient safety.