Multi-level longitudinal learning curve regression models integrated with item difficulty metrics for deliberate practice of visual diagnosis: groundwork for adaptive learning.

Adaptive Learning Electrocardiograms Item-response theory Learning curves Multi-level modelling Predictive analytics Radiology Statistical modelling

Journal

Advances in health sciences education : theory and practice
ISSN: 1573-1677
Titre abrégé: Adv Health Sci Educ Theory Pract
Pays: Netherlands
ID NLM: 9612021

Informations de publication

Date de publication:
08 2021
Historique:
received: 21 07 2020
accepted: 07 01 2021
pubmed: 2 3 2021
medline: 26 10 2021
entrez: 1 3 2021
Statut: ppublish

Résumé

Visual diagnosis of radiographs, histology and electrocardiograms lends itself to deliberate practice, facilitated by large online banks of cases. Which cases to supply to which learners in which order is still to be worked out, with there being considerable potential for adapting the learning. Advances in statistical modeling, based on an accumulating learning curve, offer methods for more effectively pairing learners with cases of known calibrations. Using demonstration radiograph and electrocardiogram datasets, the advantages of moving from traditional regression to multilevel methods for modeling growth in ability or performance are demonstrated, with a final step of integrating case-level item-response information based on diagnostic grouping. This produces more precise individual-level estimates that can eventually support learner adaptive case selection. The progressive increase in model sophistication is not simply statistical but rather brings the models into alignment with core learning principles including the importance of taking into account individual differences in baseline skill and learning rate as well as the differential interaction with cases of varying diagnosis and difficulty. The developed approach can thus give researchers and educators a better basis on which to anticipate learners' pathways and individually adapt their future learning.

Identifiants

pubmed: 33646468
doi: 10.1007/s10459-021-10027-0
pii: 10.1007/s10459-021-10027-0
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

881-912

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Nature B.V. part of Springer Nature.

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Auteurs

Ilan Reinstein (I)

Institute for Innovations in Medical Education, NYU Grossman School of Medicine, 550 First Avenue, MSB G109, New York, NY, 10016, USA.

Jennifer Hill (J)

Department of Applied Statistics, Social Science, and the Humanities, New York University, New York, NY, USA.

David A Cook (DA)

Department of Medicine, Office of Applied Scholarship and Education Science, School of Continuous Professional Development, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.

Matthew Lineberry (M)

Zamierowksi Institute for Experiential Learning, University of Kansas Medical Center, Kansas City, KS, USA.

Martin V Pusic (MV)

Institute for Innovations in Medical Education, NYU Grossman School of Medicine, 550 First Avenue, MSB G109, New York, NY, 10016, USA. martin.pusic@childrens.harvard.edu.
Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY, USA. martin.pusic@childrens.harvard.edu.

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