Student Logbook Research Articles

Transforming learning experiences and assessments through AI‐empowered cocreation of quality feedback

AbstractThis article examines the transformative impact of generative artificial intelligence (GenAI) in enhancing feedback quality in a Bachelor of Science course. It the challenges of providing personalized, timely feedback to students in larger educational settings, focusing on the use of GenAI to analyze and respond to student logbooks. These logbooks are key to reflective learning and capture students’ insights and progress. The study explores the integration of GenAI in feedback provision, which moves beyond traditional automated processes to tailor feedback to individual student journeys, thus fostering a growth mindset. GenAI shows potential for revolutionizing learning feedback, with positive effects on student engagement and learning outcomes. The article details the innovation, implementation, and context of this approach, reflecting on the learning coach's experience and successes. It links these findings to educational theories, discussing the broader implications for educators, future AI integration in education, and policy considerations. The conclusion outlines the benefits of GenAI in feedback processes and future directions for exploration and ethical guidelines.

Applied engineering education for soft skills in the context of sustainability and mobility

Purpose The purpose of this paper is to address the need to rethink the traditional approach to education in the university engineering curriculum. The paper examines two engineering projects led by university students in Sweden: the design and construction of a solar-powered car taking part in the Bridgestone World Solar Challenge and the creation of a business model for the ownership phase of an electric car together with Polestar. Design/methodology/approach An extensive literature review was conducted. Students were interviewed and surveyed on their impressions of their learning experience in the two projects and student logbooks reviewed. Problem-based learning (PBL), the Conceiving, Designing, Implementing and Operating approach and the ABCD procedure are used. Results are compared to theories from the literature. Findings PBL in real-world settings can increase engineering students’ technical knowledge and improve their technical skills as they solve complex problems or propose solutions to such problems. Such projects also strengthen students’ commitment, self-confidence and self-esteem as well as promote co-operation and creativity. These are soft skills largely absent from traditional engineering education. Practical implications Innovative, student-led learning in the applied engineering curriculum can foster students’ soft skills in ways that teacher-led, lecture-style learning does not. Originality/value This research offers a timely perspective on an issue of current interest in engineering education: student-led learning versus teacher-led learning. The paper also provides two illustrative student-led projects that focus on sustainability and mobility.

Redesigning Biomedical Science Practicum towards a New Frontier

Due to the COVID-19 pandemic, majority of the Biomedical Science students were not able to undergo their clinical internship at diagnostic laboratories and this has created an impact on students’ skills and the future of the Malaysian healthcare system. Hence, our objective was to implement arevolutionized Biomedical Science practicum completely in a virtual environment, without compromising the learning outcomes during the pandemic in 2021. To achieve the intended learning outcomes, various online teaching-learning and assessment activities were carefully curated in accordance to standard program guidelines, learning outcomes, student learning time and thorough analysis of actual student logbooks. Learning materials were reinforced with various initiatives such as actual engagements with real-life scenarios via synchronous meetings with external panelists from hospitals. Online video-log (Vlog) and a logbook of daily activities were used as part of the assessment to ensure that students were able to learn and reflect on the activities performed. The study showed that all students displayed increased confidence levels in medical laboratory skills. They were also able to apply them in real-life situations due to the clear instructions and realistic experience via the virtual learning activities. Therefore, students who participated in the virtual practicum demonstrated almost similar levels of performance when compared to the students who went for physical practicums in the year 2020. Our virtual practicum has achieved its intended outcomes of empowering students with similar skills as those who underwent physical clinical placements in diagnostic laboratories. Those skills include successful acquisition of discipline-specific knowledge, collaborative and communication skills, as well as solid experimental methods and good laboratory practices.

The role of technology in assessment, documentation, and tracking of clinical competencies in radiography education

The role of technology in assessment, documentation, and tracking of clinical competencies in radiography education

English

BACKGROUND Medical and dental education is highly dependent on the development of students’ clinical skills in addition to their theoretical knowledge. The use of logbooks to monitor the clinical procedures performed by students provides a great advantage in the educational process. Because of the pandemic, utilisation of digital logbooks may prove to be more advantageous. This study aims to investigate the effective use of online progress records and as to whether they actually decrease the chance of error compared to the traditional paper-based logbooks. METHODS In this quasi-experimental study, 139 student logbooks were studied to compare online and paper-based clinical procedures. Logbook monitoring of undergraduate dental students reported by the students themselves vs. instructors was compared. Students filled mandatory individual paper-based logbooks, reporting the number of clinical procedures performed in that year. Additionally, they filled online log- sheets, and updated them regularly. Instructors proofread and signed the paper-based students’ logbooks. Instructors also separately submitted individual online forms recording each student’s clinical procedure performed in clinical sessions. A total of 556 logbook records was collected. The mean number of procedures recorded by the students and instructors (online and paper-based) were statistically compared. RESULTS The mean number of procedures recorded in student-reported online logbooks were significantly lower than that in all other logbooks. Paper-based and online instructorreported logbook data was identical to that of student reported paper-based logbooks. CONCLUSIONS Within the scope of the study, it was concluded that online tools are an asset and may be used as a substitute for paper-based monitoring of clinical activity for instructors. However, students’ compliance updating and uploading online forms is a factor, which is a matter of concern. KEY WORDS Undergraduate Dental Logbooks, Clinical Progress Records, Monitoring Methods, Monitoring Tools, Undergraduate Dental Monitoring, Undergraduate Clinical Procedures Records

The experience of adult education: Workers’ Educational Association tutorial class logbooks as sources

ABSTRACT This article seeks to understand how adult students perceived education as disseminated by the Workers’ Educational Association (WEA). Evidence will be presented from sources not commonly studied, namely WEA student logbooks of tutorial classes. Adult students attending WEA tutorial classes in the 1920s and 1930s recorded their own personal, real-time experiences of education in the logbooks on a weekly basis. The logbooks offer a fascinating glimpse into the workings of the tutorial class, the WEA’s gold standard in education. They show how students perceived the topics being taught, related this to their wider lives, and expressed the immediate impacts that this education was having on them. This paper highlights the value of WEA logbooks, intriguing artefacts in themselves, as underused primary sources in the history of adult education. It will suggest ways using the information contained in the logbooks for future histories of education.

The teaching and learning environment of a primary care medical student clinical attachment ("Famulatur") - a qualitative study on experiences of students and primary care physicians in Germany.

Aim: Following changes in licensing regulations for doctors (“Approbationsordnung”) in 2012, a 4-week clinical attachment (“Famulatur”) in primary care is now mandatory for all medical students in Germany. To date, it has not been studied how the Famulatur in primary care is perceived by the learner or the teacher. The aim of this study was to explore the experiences of both medical students and primary care physicians (PCPs) with regard to the teaching and learning situation in the Famulatur in primary care.Methods: A qualitative analysis of semi-structured interviews with 12 students from the medical faculty in Tübingen, Germany, and 17 PCPs from this region, was performed. Interview material was analyzed following content analysis according to Mayring. Results: In addition to considering the variety of tasks expected of the students and the optimal time for the Famulatur during the medical curriculum, the main themes of the interviews were the strengths, weaknesses and suggestions for improvement of the Famulatur. The Famulatur was predominantly perceived positively, although it being obligatory was criticized. In particular, the 1:1 supervision and the extended duration (compared to the first curricular primary care placement (“Blockpraktikum”)) were positively evaluated. PCPs and students were critical of the lack of a learning and educational Famulatur framework, which would have enabled earlier orientation and alignment of each party. Conclusion: The Famulatur offers good learning opportunities for medical students and provides an insight into primary care, which is typically seen positively; it appears to heighten enthusiasm for primary care within budding doctors. Even if the obligation should cease in “The Master Plan for Medical Studies 2020” (Masterplan Medizinstudium 2020), it would be beneficial to optimize the primary care Famulatur; the development of a student logbook and learning objectives could be helpful, for example in the form of portfolios.

Medical students' logbook case loads do not predict final exam scores in surgery clerkship.

PurposeTo investigate the reliability of medical student logbook data in assessing student performance and predicting outcomes in an objective standardized clinical exam and a multiplechoice exam during surgery rotation. In addition, we examined the relationship between exam performance and the number of clinical tutors per student.Materials and methodsA retrospective review of the logbooks of first and third clinical year medical students at the Faculty of Medicine, Kuwait University, was undertaken during their surgery rotation during the academic year 2012–2013.ResultsLogbooks of 184 students were reviewed and analyzed. There were 92 and 93 students in the first and third clinical years, respectively. We did not identify any correlation between the number of clinical encounters and clinical exam or multiple-choice exam scores; however, there was an inverse relationship between the number of clinical tutors encountered during a rotation and clinical exam scores.ConclusionOverall, there was no correlation between the volume of self-reported clinical encounters and exam scores. Furthermore, an inverse correlation between the number of clinical tutors encountered and clinical exam scores was detected. These findings indicate a need for reevaluation of the way logbook data are entered and used as an assessment tool.

Do senior medical students meet recommended emergency medicine curricula requirements?

BackgroundEmergency departments (EDs) offer a variety of learning opportunities for undergraduate medical students. It is however, difficult to evaluate whether they are receiving recommended training during their emergency medicine (EM) clerkship without identifying their clinical activities. We aimed to evaluate the clinical exposure of the final year medical students at our College during their EM clerkship.MethodsThis is a retrospective analysis of prospectively collected student logbooks. 75 students rotated in a 4-week EM clerkship during 2015–2016. The students rotated in EDs of two hospitals. Each ED treats more than 120,000 cases annually. The students completed 12 eight-hours shifts. Presentations and procedures seen were compared with EM curriculum recommendations.ResultsFive thousand one hundred twenty-two patient presentations and 3246 procedures were recorded in the logbooks, an average (SD) of 68.3 (17.6) patients and 46.1 (14.0) procedures. None of the students encountered all ten recommended presentations. Two students (2.6%) logged all nine procedure categories of the EM curriculum.ConclusionRecommended presentations and procedures of the EM clerkship were not fully encountered by all our students. Different settings vary in the availability and type of patients and procedures. Each clinical clerkship should tailor their teaching methods based on the available learning opportunities.

Multidisciplinary Project Based Learning Within a Collaborative Framework: A Case Study on Urban Drone Conception

Multidisciplinary project-based learning (PBL) allows multifaceted real-world problems to be resolved with solutions addressing scientific, technical, business, and social aspects. However, such a method can be very challenging in terms of project management (including planning, coordinating, and management of human, material and financial resources) and time-consuming, especially when involving several partners (academic and industrial partners).
 This paper provides firsthand experience of multidisciplinary PBL implemented in France in engineering education through a case study on urban drone conception. This research project has been proceeded within a collaborative framework in which 3 specialties (electrical energy systems, industrial computing, and mechanics and systems design) of a graduate school of engineering and a start-up company are jointly involved for the first time.
 This article discusses knowledge and skills that engineering students are expected to acquire at the end of the research project, and the methods of assessment. The designing, manufacturing, and experimental validation of the urban drone are described. The various steps in the project management, and the interactions with the students and partners (teachers and industrial partner) are particularly highlighted. 
 Qualitative and quantitative data have been collected through questionnaires, student logbooks and reports. The results demonstrate that this experience is overwhelmingly positive since it empowers and enhances student learning.

Formative Assessment by Direct Observation of Clinical Skills on the OB/GYN Clerkship Rotation

Local Mentor: Margaret Burnett, MD, FRCSC APGO Advisor: John Dalrymple, MD PURPOSE: To determine the impact of requiring that medical students be observed taking a history or performing a pelvic examination by a physician during their OB/GYN clerkship rotation. BACKGROUND: One of the LCME standards for accreditation of a medical school is having physicians directly observe medical students in their clinical activities in order to provide formative feedback. Since 2009, 29.7–52.9% of each class of Manitoba medical graduates report having been observed taking a history on their OB/GYN clerkship rotation; 45.2–70.4% for observed physical examination. METHOD: Clerks are surveyed on the last day of their OB/GYN rotation to determine the number of observed histories and/or pelvic examinations. In September 2015, observed histories and pelvic examinations became a rotation requirement. A mini-CEX tool was developed and included in the student's logbook to facilitate documentation and provide feedback. The reported number of observed histories and pelvic examinations are compared before and after implementation of this process. RESULTS: Thirty-five percent of 69 students surveyed before implementation report having been observed performing a history by a physician. This rose to 64% (of 28 students) following implementation. All of them report being observed performing a pelvic examination, before and after, however only 53% documented this on the assessment tool. DISCUSSION: The number of observed histories has increased however there is room for further improvement. This may require additional faculty education and/or scheduled assessment for some students. The number reporting an observed pelvic examination continues to be 100% but improved documentation of this must be encouraged.

Paediatric clinical exposure for medical students: Are they seeing enough?

To determine whether students are exposed to the 25 clinical presentations included in a comprehensive paediatric curriculum based on presenting features, as well as to evaluate for any variation in case exposure between the different locations and seasons of the student attachments. Students in the final 2 years of a 6-year medical degree completed logbooks during their 8-week paediatric attachment, recording which of 25 listed clinical presentations they had seen. Data were then collected regarding the period and location of the clinical placement, and which presentations had been seen by each student. Analysis was performed to detect differences in student case exposure depending on location and season of attachment, as well as the frequency with which each presentation was seen. Three hundred and sixty-one student logbooks were included for analysis. Only one student had seen all 25 presentations; the median (range; interquartile range) number of cases seen was 14 (4-25; 11-17). There was no significant difference in the number of cases seen relating to location (rural, metropolitan or tertiary children's hospital) or season of the paediatric attachment. Only three presentations (infant/child with fever, breathing difficulties and vomiting/diarrhoea) had been seen by more than 90% of students; nine presentations had been seen by less than 50% of students. Students rarely gain exposure to all clinical presentations suggested in a comprehensive paediatric curriculum based on presenting features during an 8-week clinical attachment. Students have a similar experience regardless of the hospital or season of attachment.

Student and staff experiences of attendance monitoring in undergraduate obstetrics and gynecology: a cross-sectional survey.

BackgroundDespite the widespread introduction of active learning strategies to engage students across modern medical curricula, student attendance and attendance monitoring remain a challenging issue for medical educators. In addition, there is little published evidence available to medical educators regarding the use of attendance monitoring systems. The aim of this study was to evaluate the opinions of students and staff about the use of a paper-based student logbook to record student attendance across all clinical and classroom-based learning activities within an undergraduate clinical rotation in obstetrics and gynecology (OBGYN).MethodsEach student undertaking the clinical rotation in OBGYN was required to complete a paper-based logbook in a booklet format that listed every clinical and classroom-based activity that the student was expected to attend. A cross-sectional survey evaluating the acceptability, practicality, and effect on access to learning opportunities of using the logbook was undertaken. The survey was conducted among all medical students who completed their OBGYN rotation over a full academic year and staff who taught on the program.ResultsThe response rate was 87% (n=128/147) among students and 80% (n=8/10) among staff. Monitoring attendance was widely acceptable to students (n=107/128, 84%) and staff (n=8/8, 100%). Most students (n=95/128, 74%) and staff (n=7/8, 88%) recommended that attendance should be mandatory during rotations. Almost all staff felt that attendance should contribute toward academic credit (n=7/8, 88%), but students were divided (n=73/128, 57%). Students (n=94/128, 73%) and staff (n=6/8, 75%) reported that the use of the logbook to record attendance with tutor signatures was a satisfactory system, although students questioned the need for recording attendance at every classroom-based activity. Most students felt that the logbook facilitated access to learning experiences during the rotation (n=90/128, 71%). Staff felt that the process of signing logbooks improved their interaction with students (n=6/8, 75%).ConclusionThe survey showed that the use of a paper-based logbook to record medical student attendance with tutor signatures across all clinical and classroom-based learning activities was acceptable and practical for students and staff and was felt to facilitate access to learning opportunities. The study provides medical educators with evidence to support monitoring of attendance within clinical rotations.

Assessment Methods -Integrated with teaching learning and skill development process in medicine

Medical education, the art and science behind medical learning and teaching, has progressed remarkably. Assessment is entering every phase of professional development. A wide range of assessment methods currently available include essay questions, patient management problems, modified essay questions (MEQs) checklists, OSCE, student projects, Constructed Response Questions (CRQs), MCQs, Critical reading papers, rating scales, extended matching items, tutor reports, portfolios, short case assessment and long case assessment, log book, trainer's report, audit, simulated patient surgeries, video assessment, simulators, self assessment, peer assessment and standardized patients. Assessment has a powerful positive steering effect on learning and the curriculum. Assessment is purpose driven. Mastery testing (criterion-reflected tests) requires that 100% of the items are measured correctly to determine whether students have attained a mastery level of achievements. Self assessment (self regulation) is a vital aspect of the lifelong performance of physicians. Self assessment approaches include: written exams (MCQs, True/False, Essay, MEQs, modified CRQs), performance exams (checklists, global rating, student logbook, portfolio, video, etc). Long Essay Questions can be used for assessment of complex learning situations that can not be assessed by other means (writing skills, ability to present arguments succinctly). The questions can incorporate clinical scenarios.

Dental students' experiences of treating orthodontic emergencies - a qualitative assessment of student reflections.

IntroductionProfessional regulatory bodies in the UK and Europe state that dental graduates should be able to manage orthodontic emergency patients. Therefore, the aim of this study was to explore dental student experiences of treating orthodontic emergencies within a teaching institution.Materials and methodThis study was designed as a single‐centre evaluation of teaching based in a UK university orthodontic department. The participants were fourth‐year dental students who treated orthodontic emergency patients under clinical supervision as part of the undergraduate curriculum. Student logbook entries for one academic year detailing the types of emergencies treated and structured, reflective commentaries for each procedure were analysed using thematic analysis methods. The total numbers and types of orthodontic emergencies treated by students were presented. Overall, self‐reported student confidence in managing orthodontic emergencies was calculated. Themes, which represented student reflections, were identified.ResultsSeventy‐two students participated in the study. Overall, 69% of students stated they were confident in managing orthodontic emergencies. Students treated a range of emergencies, of which the most frequent was debonded brackets (38%). Reflections from student commentaries were housed under a primary theme of building procedural confidence. Three subthemes were identified: (i) theory‐practice integration; (ii) expanding clinical experience; and (iii) importance of a supportive clinical learning environment.ConclusionThe majority of dental students were confident in managing orthodontic emergencies. Theoretical knowledge supplemented by exposure to a range of clinical problems within a supported learning environment made students feel more confident.

Performance of central venous catheterization by medical students: a retrospective study of students' logbooks.

BackgroundMedical students often learn the skills necessary to perform a central venous catheterization in the operating room after simulator training. We examined the performance of central venous catheterization by medical students from the logbooks during their rotation in department of anesthesiology.MethodsFrom the logbooks of medical students rotating in our department between January 2011 and June 2012, we obtained the kind and the number of central venous catheterization students had done, the results of the procedures whether they were success or failed, the reasons of the failures, complications, and the student self-reported confidence and satisfaction of their performance.ResultsThere were 93 medical students performed 875 central venous catheterizations with landmark guidance on patients in the operating theater, and the mean number of catheterizations performed per student was 9.4 ± 2.0, with a success rate of 67.3%. Adjusted for age, sex, body mass index, surgical category, ASA score and insertion site, the odds of successful catherization improved with cumulative practice (odds ratio 1.10 per additional central venous catheterization performed; 95% confidence interval 1.05–1.15). The major challenge students encountered during the procedure was the difficulty of finding the central veins, which led to 185 catheterizations failed. The complication rate of central venous catheterization by the students was 7.8%, while the most common complication was puncture of artery. The satisfaction and confidence of students regarding their performance increased with each additional procedure and decreased significantly if failure or complications had occurred.ConclusionA student logbook is a useful tool for recording the actual procedural performance of students. From the logbooks, we could see the students’ performance, challenges, satisfaction and confidence of central venous catheterization were improved through cumulative clinical practice of the procedure.

Can an Autonomous Form of Peer Feedback in Physical Education Enhance Students’ Motivation?

This paper addresses the potential of creating a motivational climate by introducing an autonomous form of peer feedback as a way to enhance autonomy support, and by doing so motivate and stimulate students to engage in physical education. In an action research case study, 14 students (Male = 8, Female = 6) from a Danish sports folk high school were introduced to autonomy support by giving and receiving peer feedback during a volleyball unit. Qualitative data including student observations, interviews, and student self-report logbooks were analysed, and emergent factors such as the students own choice in the peer feedback situation, the challenges the students were confronted and the context, in which the feedback was given was related to the psychological needs autonomy, competences and relatedness. The conclusion of this study is that peer feedback not only motivates the students to engage in physical activities, but also contributes to students’ learning and improving of volleyball skills. Further research is needed to test the applicability of these results in other contexts.

Developing a caries risk assessment model for patients attending University Malaya dental clinic

Aim: In response to the introduction of an integrated dental education program at University of Malaya (UM) in 2011, a study was conducted to develop a caries risk assessment model (CRA) for use in non-surgical caries management for Year 3 and 4 students of the new integrated program.Methods: The CRA model was based on risk indicators used by dental students in the Preventive Dental Clinic (PDC). Patients aged 15 years and above who attended the PDC for the first time in year 2009 and 2010 were used as study sample. Four hundred and fourteen patient names were identified from the student PDC logbook. Of the 414, 359 dental records had complete data and included in the analysis. Data were analysed using SPSS version 17.0. Chi-square test was used for group comparison and associated factors for coronal caries were analysed using Multiple Logistic Regression (MLR). Results: The final model showed that adults, brushing teeth once daily, and not having dental prosthesis/appliance were 3.31 (CI=1.64-6.69), 2.53 (CI=1.19-5.40), and 2.25 (CI=1.25-4.10) more likely to develop coronal caries, respectively, than adolescents, brushing teeth at least twice a day, and having dental prosthesis/appliance. Conclusions: The results indicate that age group, toothbrushing frequency and dental prosthesis status are significant indicators for coronal caries among patients. Outcomes of the study contributed towards bridging the gap between cariology and preventive modules in the new integrated dental program.

Impact of the Hall technique for preformed metal crown placement on undergraduate paediatric dentistry experience

The Hall technique, a novel method of placing preformed metal crowns (PMCs) without local anaesthesia or tooth preparation, was introduced to our undergraduate dental curriculum in 2009. This study aimed to describe student experience of, and attitudes towards, PMCs before and after exposure to this new technique. Clinical data were extracted from student logbooks to determine the number of PMCs placed for cohorts graduating in 2005 (n = 55), 2009 (n = 61) and 2010 (n = 75). Five focus groups were also conducted with 29 final-year dental students. Students graduating in 2005, 2009 and 2010 had placed a mean (range) of 0.03 (0-1), 0.63 (0-5) and 1.15 (0-9) PMCs, respectively. The proportion of students who had placed a PMC increased significantly from only 1.9% in 2005 to 75% in 2010 (P < 0.05, ANOVA). Students reported some positive experiences of the Hall technique. However, concern over perceived lack of future clinical support, an anticipated increase in time and financial pressures, and the ease of use of glass-ionomer cement as an alternative were described as potential barriers to PMC use. Findings suggest that the introduction of the Hall technique has had a marked impact on the use of PMCs as a treatment modality for carious primary teeth.

Internal Medicine Core Clerkships Experience With Core Problem Lists: Results From a National Survey of Clerkship Directors in Internal Medicine

Background: The Liaison Committee on Medical Education (LCME) requires clinical clerkships in North American Medical Schools to define and monitor core problems and clinical conditions for medical students and adjust the clerkships to ensure that all students meet those objectives at all instructional sites. Clinical clerkships usually use medical student generated logbooks to meet these requirements. It is not clear what clinical clerkship directors are doing to meet these standards. Purpose: To determine how internal medicine clerkship directors develop problem lists, whether and how they verify student problem list entry, and how missed core problems are covered. Methods: The Clerkship Directors in Internal Medicine (CDIM) organization conducts an annual survey of its institutional members (one member per medical school). In 2007, 75% of North American medical schools (82 of 110) responded to the survey, which included questions on core problem lists and medical student logbooks. Results: Ninety-four percent of responding medical schools had a core problem list for the core internal medicine clerkship. Most schools used an electronic logbook and verified student exposure to core problems (76%). The clerkship director usually did the verification (63%). Clerkships offered a variety of options to remedy lack of exposure to core problems and usually offered more than one option. Conclusions: Clerkship directors in internal medicine develop, verify, and ensure exposure to core problems in internal medicine. Most clerkship directors used the CDIM recommended core problem list as a basis for their local core problem list. Emerging computer-assisted learning options may simplify clerkship adjustments for lack of exposure to core problems. It appears that clerkship directors are using logbooks appropriately to meet the LCME charge to monitor core problems and clinical conditions.