Are surface and deep learning approaches associated with study patterns and choices among medical students? A cross-sectional study
Keywords:
Learning, Students, medical, Sleep, Teaching, Education, medicalAbstract
BACKGROUND: Different approaches to learning can exert considerable influence on the teaching-learn- ing process in medical education. This study aimed to investigate the association of surface and deep learning with study patterns, preferred type of assessment, practices of cheating and quality of sleep among medical students. DESIGN AND SETTING: Cross-sectional study on medical students enrolled in all six years of a medical school in Juiz de Fora, Brazil. METHODS: Questionnaires were applied to evaluate learning approaches (R-SPQ-2F), study patterns, sources and choices, and quality of sleep. Students’ learning approaches (deep or surface) were assessed in relation to their study patterns, study resources, quality of sleep and whether they cheated in tests. RESULTS: Among the 710 students included, 43% frequently studied on the night before an exam, 65% had used psychostimulants to study and more than 46% had cheated in an exam. Regarding quality of sleep, most students (53.4%) reported that their quality of sleep was poor, such that 45.3% slept for fewer than five hours before an exam. Those who studied just prior to an exam, used class summaries, preferred multiple-choice questions and cheated during the test had a more surface-learning approach. On the other hand, those who read books, preferred practical exams and slept better had a deeper approach. CONCLUSION: The type of learning approach was associated with study patterns and choices among medical students. Educators need to be attentive to the type of learning their students use and think of measures that impact teaching and assessment methods.
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Wilson K, Fowler J. Assessing the impact of learning environments on students’ approaches to learning: Comparing conventional and action learning designs. Assessment & Evaluation in Higher Education. 2005;30(1):87-101. doi: 10.1080/0260293042003251770.
Biggs J, Kember D, Leung DY. The revised two-factor Study Process Questionnaire: R-SPQ-2F. Br J Educ Psychol. 2001;71(Pt 1):133-49. PMID: 11307705.
Ferris HA, O’Flynn D. Assessment in Medical Education; What Are We Trying to Achieve? International Journal of Higher Education. 2015;4(2):139-144. doi: 10.5430/ijhe.v4n2p139.
Biggs J. What do inventories of students’ learning processes really measure? A theoretical review and clarification. Br J Educ Psychol. 1993;63(Pt 1):3-19. PMID: 8466833.
Aharony N. The use of deep and surface learning strategies among students learning English as a foreign language in an Internet environment. Br J Educ Psychol. 2006;76(4):851-66. PMID: 17094889; doi: 10.1348/000709905X79158.
Teoh HC, Abdullah MC, Roslan S, Mohad Daud S. Assessing students approaches to learning using a matrix framework in a Malaysian public university. Springerplus. 2014;3:54. PMID: 24600539; doi: 10.1186/2193-1801-3-54.
Dart BC, Clarke JA. Helping students become better learners: a case study in teacher education. Higher Education. 1991;22(3):317-35. doi: 10.1007/BF00132294.
Groves M. Problem-based learning and learning approach: is there a relationship? Adv Health Sci Educ Theory Pract. 2005;10(4):315-26. PMID: 16362620; doi: 10.1007/s10459-005-8556-3.
Mattick K, Dennis I, Bligh J. Approaches to learning and studying in medical students: validation of a revised inventory and its relation to student characteristics and performance. Med Educ. 2004;38(5):535-43. PMID: 15107087; doi: 10.1111/j.1365-2929.2004.01836.x.
McManus IC, Richards P, Winder BC, Sproston KA. Clinical experience, performance in final examinations, and learning style in medical students: prospective study. BMJ. 1998;316(7128):345-50. PMID: 9487168.
Barbosa J, Silva A, Ferreira MA, Severo M. The impact of students and curriculum on self-study during clinical training in medical school: a multilevel approach. BMC Med Educ. 2017;17(1):9. PMID: 28086868; doi:10.1186/s12909-016-0846-3.
Corrêa CC, Oliveira FK, Pizzamiglio DS, Ortolan EVP, Weber SAT. Sleep quality in medical students: a comparison across the various phases of the medical course. J Bras Pneumol. 2017;43(4):285-9. PMID: 29365004; doi:10.1590/S1806-37562016000000178.
Zunhammer M, Eichhammer P, Busch V. Sleep quality during exam stress: the role of alcohol, caffeine and nicotine. PloS One. 2014;9(10):e109490. PMID: 25279939; doi: 10.1371/journal.pone.0109490.
Bickerdike A, O’Deasmhunaigh C, O’Flynn S, O’Tuathaigh C. Learning strategies, study habits and social networking activity of undergraduate medical students. Int J Med Educ. 2016;7:230-6. PMID: 27424041; doi: 10.5116/ijme.576f.d074.
Costa SG. Validação para o Brasil da escala Revised two-factor Study Process Questionnaire (R-SPQ-2F) [thesis]. São Paulo: Enfermagem, Universidade de São Paulo; 2010. doi: 10.11606/T.83.2010.tde-26042010-143400.
Taylor JA, Shaw CM, Tan SA, Falcone JL. Are the kids alright? Review books and the internet as the most common study resources for the general surgery clerkship. Am J Surg. 2018;215(1):191-5. PMID: 28237045; doi: 10.1016/j.amjsurg.2017.01.036.
Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychiatr Res. 2012;46(12):1618-22. PMID: 23040161; doi: 10.1016/j. jpsychires.2012.09.008.
Babu TA, Joseph NM, Sharmila V. Academic dishonesty among undergraduates from private medical schools in India. Are we on the right track? Med Teach. 2011;33(9):759-61. PMID: 21592022; doi: 10.3109/0142159X.2011.576717.
Abdulghani HM, Haque S, Almusalam YA, et al. Self-reported cheating among medical students: An alarming finding in a cross-sectional study from Saudi Arabia. PloS One. 2018;13(3):e0194963. PMID: 29596538; doi: 10.1371/journal.pone.0194963.
Desalegn AA, Berhan A. Cheating on examinations and its predictors among undergraduate students at Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia. BMC Med Educ. 2014;14:89. PMID: 24885973; doi: 10.1186/1472-6920-14-89.
Dyrbye LN, Massie FS Jr, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304(11):1173-80. PMID: 20841530; doi: 10.1001/jama.2010.1318.
Oran NT, Can HÖ, Senol S, Hadimli AP. Academic dishonesty among health science school students. Nurs Ethics. 2016;23(8):919-31. PMID: 26002938; doi: 10.1177/0969733015583929.
Wilkinson TJ, Frampton CM. Comprehensive undergraduate medical assessments improve prediction of clinical performance. Med Educ. 2004;38(10):1111-6. PMID: 15461657; doi: 10.1111/j.1365-2929.2004.01962.x.
Boni R, Paiva CE, de Oliveira MA, et al. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PloS One. 2018;13(3):e0191746. PMID: 29513668; doi: 10.1371/journal.pone.0191746.
