Does learning a skill with the expectation of teaching it impair the skill’s execution under psychological pressure if the skill is learned with analogy instructions?

ObjectiveHaving learners practice a motor skill with the expectation of teaching it (versus an expectation of being tested on it) has been revealed to enhance skill learning. However, this improvement in skill performance is lost when the skill must be performed under psychological pressure due to ‘choking under pressure.’ The present study investigated whether this choking effect is caused by an accrual of declarative knowledge during skill practice and could be prevented if a technique (analogy instructions) to minimize the accrual of declarative knowledge during practice is employed.DesignWe used a 2 (Expectation: teach/test) x 2 (Instructions: analogy/explicit) x 2 (Posttest: low-pressure/high-pressure) mixed-factor design, with repeated measures on the last factor.MethodsOne-hundred fifty-six participants were quasi-randomly assigned (based on sex) to one of four groups. Participants in the teach/analogy and teach/explicit groups practiced golf putting with the expectation of teaching putting to another participant, and analogy instructions or explicit instructions, respectively. Participants in the test/analogy and test/explicit groups practiced golf putting with the expectation of being tested on their putting, and analogy instructions or explicit instructions, respectively. The next day all participants completed low- and high-pressure putting posttests, with their putting accuracy serving as the dependent variable.ResultsWe observed an Expectation x Instructions × Posttest interaction, such that a main effect of expectation was found in the low-pressure posttest, with the teach group exhibiting superior accuracy, and an Expectation × Instructions interaction was revealed for the high-pressure posttest. This interaction resulted from the teach group showing greater accuracy than the test group exclusively when receiving analogy instructions.ConclusionResults show that participants who practiced with the expectation of teaching exhibited superior learning and indicate that they choked under pressure likely due to their accrual of declarative knowledge during practice, since the choking effect was prevented by having them practice with analogy instructions. Accordingly, having learners practice with the expectation of teaching and techniques that minimize the accrual of declarative knowledge is recommended.     

医学生对医师责任和伦理修养若干问题的认知

为了探索以患者为中心的医学生医师职业精神教育,本研究调查了四川大学医学生对医师职业精神中的“伦理修养”（“保密与尊重”和“知情同意”）和“医师责任”两方面的认知,并将其与患者认知进行比较。笔者分析了医学生和患者认知差异,并对医学生医师职业精神的影响因素进行探讨。结果显示,医学生对医师职业精神的认识停留在比较肤浅的层面,未能发自内心地把患者的利益放在首位,最重视的仍然是临床技能的提高。研究提示医学生医师职业精神教育需要增强感染力和实践性。     

Relations Between the Development of Teaching and Theory of Mind in Early Childhood

The relations among children’s theory of mind (ToM), their understanding of the intentionality of teaching, and their own peer teaching strategies were tested. Seventy-five 3-, 4-, and 5-year-olds completed 11 ToM and understanding-of-teaching tasks. Subsequently, 30 of the children were randomly chosen to teach a peer how to play a board game, and their teaching strategies and levels of contingent teaching were recorded. There were developmental changes in the children’s understanding of teaching as an intentional activity. When teaching their peers, 3-year-olds used demonstration, whereas 4- and 5-year-olds added verbal explanations and began to adapt contingently to the learners’ changing knowledge level. Relations among ToM, understanding of teaching, and teaching level were found. The results suggest that the development of children’s teaching strategies and their contingency are closely tied to the development of ToM.     

“The Grand Experiment”: Modeling Adult Learning with Adult‐Ministry Students

Abstract. Adult‐learning theory challenges faculty to adapt their teaching to certain characteristics of adult learners, including self‐direction: if adults direct the bulk of their lives outside of school, they should be permitted to direct their own educational experiences. To what extent is self‐directed learning an optimal, or even realistic, methodology for seminary teaching? Does it matter what subjects we are teaching? This essay details an experiment with self‐directed learning in a seminary ministry class: what worked, what might be improved, and how it challenges our view of ourselves as faculty to teach in this way. Student feedback from the course in question enhances our understanding of the best (and most challenging) features of the experiment.     

Does learning a skill with the expectation of teaching it impair the skill’s execution under psychological pressure if the skill is learned with analogy instructions?

ObjectiveHaving learners practice a motor skill with the expectation of teaching it (versus an expectation of being tested on it) has been revealed to enhance skill learning. However, this improvement in skill performance is lost when the skill must be performed under psychological pressure due to ‘choking under pressure.’ The present study will investigate whether this choking effect is caused by an accrual of declarative knowledge during skill practice and could be prevented if a technique (analogy instructions) to minimize the accrual of declarative knowledge during practice is employed.DesignWe will use a 2 (Expectation: teach/test) x 2 (Instruction: analogy/explicit) x 2 (Posttest: high-pressure/low-pressure) mixed-factor design, with repeated measures on the last factor.MethodsA minimum of 148 participants will be quasi-randomly assigned (based on sex) to one of four groups. Participants in the teach/analogy and teach/explicit groups will practice golf putting with the expectation of teaching putting to another participant, and analogy instructions or explicit instructions, respectively. Participants in the test/analogy and test/explicit groups will practice golf putting with the expectation of being tested on their putting, and analogy instructions or explicit instructions, respectively. The next day all participants will complete low- and high-pressure putting posttests, with their putting accuracy serving as the dependent variable.     

The divine dreams of a sample of South African children: the gateway to their spirituality

As part of a research project on religion, spirituality and education, the authors attended to the role that children's divine dreams could play in religious education (RE). They contend that such dreams can indeed be used by RE teachers as the gateway to understanding the spirituality of their learners. They defend their claim by firstly developing a conceptual‐theoretical framework with respect to religion, spirituality and children's divine dreams, and then presenting the results of an explorative quantitative‐qualitative investigation in three schools. They find their claim to have been vindicated, and suggest that although RE teachers should not necessarily teach divine dreams per se, they should, nevertheless, explore the possibility that (at least some of) the contents of children's divine dreams may be useful for the purpose of teaching them RE from religion itself, rather than teaching them only about religion.     

A Compelling Practice: Empowering Future Leaders in the Medical Humanities

Medical students and faculty explore the medical humanities for diverse reasons: as a medium for self-reflection, a means to cultivate professionalism and humanism, and a way to gain an appreciation for the broader contexts in which illness and health occur. One important area for development is increasing the exposure of learners and clinicians of various levels of training to the medical humanities and to role models in the field. Student-led programs in the medical humanities at the American Medical Student Association (AMSA) address these needs by offering unique opportunities for learning and sharing experiences. AMSA programs connect physicians-in-training using technology to create virtual communication and learning opportunities. These include monthly book discussion webinars, the Writers' Institute and the Medical Humanities Scholars Program (MHSP).     

Towards a Confucian Virtue Bioethics: Reframing Chinese Medical Ethics in a Market Economy

This essay addresses a moral and cultural challenge facing health care in the People’s Republic of China: the need to create an understanding of medical professionalism that recognizes the new economic realities of China and that can maintain the integrity of the medical profession. It examines the rich Confucian resources for bioethics and health care policy by focusing on the Confucian tradition’s account of how virtue and human flourishing are compatible with the pursuit of profit. It offers the Confucian account of the division of labor and the financial inequalities this produces with special attention to China’s socialist project of creating the profession of barefoot doctors as egalitarian peasant physicians and why this project failed. It then further develops the Confucian acknowledgement of the unequal value of different services and products and how this conflicts with the current system of payment to physicians which has led to the corruption of medical professionalism through illegal supplementary payments. It further gives an account the oblique intentionality of Confucian moral psychology that shows how virtuous persons can pursue benevolent actions while both foreseeing profit and avoiding defining their character by greed. This account of Confucian virtue offers the basis for a medical professionalism that can function morally within a robustly profit-oriented market economy. The paper concludes with a summary of the characteristics of Confucian medical professionalism and of how it places the profit motive within its account of virtue ethics.     

Teaching Medical Law in Medical Education

Although the teaching of medical ethics and law in medical education is an old story that has been told many times in medical literature, recent studies show that medical students and physicians lack confidence when faced with ethical dilemmas and medico-legal issues. The adverse events rates and medical lawsuits are on the rise whereas many medical errors are mostly due to negligence or malpractices which are preventable. While it is true that many medical schools teach their students medical law and ethics, there are wide variations in what is being taught because there is no universally agreed syllabus. Yet the knowledge of medical law and ethics is closely relevant to the medical profession and that failure in abiding the law may result in serious civil or even criminal consequences. While this paper does not propose to lay detailed analysis of the relevant areas of law or ethics, it proposes to cover some legal areas so as to highlight and bring to attention the need for a medical law and ethics course. This article also considers the problems faced and recommendation as to future directions to be taken with respect to teaching medical law and ethics. It concludes with a suggested course outline for the teaching of medical law and ethics.     

A proposal for teaching bioethics in high schools using appropriate visual education tools

Teaching bioethics with visual education tools, such as movies and comics, is a unique way of explaining the history and progress of human research and the art and science of medicine to high school students. For more than a decade, bioethical concepts have appeared in movies, and these films are useful for teaching medical and research ethics in high schools. Using visual tools to teach bioethics can have both interpretational and transformational effects on learners that will enhance their overall understanding of complex moral and legal issues in medicine and research.High school students are uniquely suited to learn bioethics because they will soon become legal adults. As adults, they will make moral decisions that may affect their health and wellbeing as well as that of their communities and societies.However, not all visual education tools are appropriate for bioethics pedagogy in high school. Bioethics film and comic producers must consider the specifics of student age, race, gender, belief, level of education, and sexual orientation. Such tools must not be dominated by either dystopic or utopic genres, must aim for objectivity, and must consider the complexity of ethical decision making. It is critical that the teacher, who is the final arbiter regarding the use of visual tools in the classroom, determines that the visual learning tool is acceptable for students in any particular education context. In addition, during the conceptualization and creation of these tools, bioethics film and comic producers must work harder to ensure that these visual tools are devoid of any form of stereotyping.     

Caring for students: Pedagogy and professionalism in an age of anxiety

University teachers are strongly motivated by the care they feel for their students. Yet today, many are frustrated. On the one hand, it is becoming harder to teach well, as more diverse student populations, new media, and new educational priorities challenge conventional pedagogical postures and styles. On the other hand, teachers are wary of calls for greater pedagogical professionalism in an increasingly managed and de-motivating professional environment. This essay examines two movements in the United States that attempt to sustain teachers' motivation by rethinking what caring for students requires them to do. The first, a call for a “scholarship of teaching and learning,” directs the professor's attention outward, towards inquiry into their students' learning; the second directs attention inwards, encouraging exploration of “the inner landscape of a teacher's life.” While both movements oppose a narrow view of pedagogy as simply technique, they address the challenge of caring for students in different ways and point to resolutions that appear to have different potential to alter the teaching environment itself. These tensions around teaching inscribe in higher education wider debates about the value of the professions, the nature of expert practice, and how to recover and ensure professionals' capacity for care.     

A comparison of blocked and mixed‐trial methods for teaching auditory–visual discriminations

Behavior analysts typically teach conditional discriminations in a mixed‐trial format but may switch to a blocked‐trial format for learners displaying limited acquisition. No known research has shown that mixed‐trial methods are more effective or efficient than blocked‐trial methods for teaching discriminations, so it is not clear why this format has been adopted as the “first‐line” intervention. We compared blocked and mixed‐trial formats for teaching novel auditory–visual discriminations to three adults with intellectual and developmental disabilities (IDD). Results show blocked‐trial methods resulted in faster skill acquisition in all cases, suggesting this format may be a preferable starting point for instruction.     

The learning benefits of teaching: A retrieval practice hypothesis

Teaching educational materials to others enhances the teacher's own learning of those to‐be‐taught materials, although the underlying mechanisms remain largely unknown. Here, we show that the learning‐by‐teaching benefit is possibly a retrieval benefit. Learners (a) solved arithmetic problems (i.e., they neither taught nor retrieved; control group), (b) taught without relying on teaching notes (i.e., they had to retrieve the materials while teaching; teaching group), (c) taught with teaching notes (i.e., they did not retrieve the materials while teaching; teaching without retrieval practice [TnRP] group), or (d) retrieved (i.e., they did not teach but only practised retrieving; retrieval practice group). In a final comprehension test 1 week later, learners in the teaching group, as did those in the retrieval practice group, outperformed learners in the TnRP and control groups. Retrieval practice possibly causes the learning benefits of teaching.     

关于医学专业精神的几个问题

职业与专业有所不同。医学专业精神基于医学专业的特点而产生,起着维护医学专业的社会责任和规范医疗行为的作用。医学专业的核心理念是病人健康利益高于一切,且具有历史的继承性与时代性的特点。医疗自治权的获得是医学专业形成和医学专业精神从自发走向自觉的标志。医学专业精神首先依赖医生的自律,但同时也需要来自外界的社会调控。     

入世后医学院校面临的影响及对策探讨

加入WTO后,我国现有的教育体制将遭到重大冲击,为此,从医学教育方面说,亟待要做的事有：建设具有国际竞争力的教师队伍,校长职业化;转变教育理念;更新教学内容;创新教学手段;清理陈旧校规,加强思想教育工作。     

医师职业素养评测体系构建的研究进展

随着我国社会经济的发展,医疗体制的改革,医师职业素养的培养成为当今医疗体制下医学在校教育、住院医生培养、医疗卫生管理中必须关注的内容。目前国外对医师职业素养的培养做了大量的工作,也取得了较好的效果,但是对于职业素养的培养不仅需要理论教学的改革,更需要相应评估机制的建立。本文对国外医师执业素养评估的最新进展进行介绍,分析各种方法的优劣,以期为国内医学教育建立统一的、具有广泛公认度的测评体系提供参考。     

Understanding Oral Learners

A five‐year research project of seminary students from various cultural backgrounds revealed that the slight majority of contemporary seminary students studied are oral learners. Oral learners learn best and have their lives most transformed when professors utilize oral teaching and assessment methods. After explaining several preferences of oral learners, suggestions for effective teaching are provided in this article in order to improve both teaching and assessment of oral learners. Applications are provided for face‐to‐face and online learning contexts.     

医学专业精神的初步研究

由于历史和社会文化的差异,中西方对医学专业精神有着不同的理解。在中西不同语境下,分析了“Profession”和“Professionalism”这两个核心概念的涵义,并从中西对比的视角,对中西方医学专业精神所面临的几个共同问题进行了初步研究,包括医学专业核心道德价值观念、利益冲突、行业自治等。在此基础之上,还对我国医学专业精神的发展提出建议。     

Learning subgoals and methods for solving probability problems

We hypothesize that typical example problems used in quantitative domains such as algebra and probability can be represented in terms of subgoals and methods that these problems teach learners. The "quality" of these subgoals and methods can vary, depending on the features of the examples. In addition, the likelihood of these subgoal's being recognized in novel problems and the likelihood of learners' being able to modify an old method for a new problem may be functions of the training examples learners study. In Experiment 1, subjects who studied examples predicted to teach certain subgoals were often able to recognize those subgoals in nonisomorphic transfer problems. Subjects who studied examples demonstrating two methods rather than one exhibited no advantages in transfer. Experiment 2 demonstrated that if the conditions for applying a method are highlighted in examples, learners are more likely to appropriately adapt that method in a novel problem, perhaps because they recognize that the conditions do not fully match those required for any of the old methods. Overall, the results indicate that the subgoal/method representational scheme may be useful in predicting transfer performance.     

Expecting to teach enhances motor learning and information processing during practice

Recent research has revealed that having learners study and practice a motor skill with the expectation of having to teach it enhances motor learning. However, the mechanisms underlying this effect remain unknown. We attempted to replicate this effect and elucidate the mechanisms underlying it. Thus, participants studied golf putting instructions and practiced putting either with the expectation of having to teach another participant how to putt or the expectation of being tested on their putting. During this acquisition phase, participants’ motivation, anxiety, and information processing (the duration they took preparing each putt) were indexed as possible mechanisms underlying a motor learning effect. One day and seven days after the acquisition phase, learning was assessed by testing all participants on their golf putting. Results revealed that expecting to teach enhanced motor learning, replicating the original finding. Moreover, expecting to teach increased the duration participants took preparing each putt, which was correlated with superior motor learning. Thus, results suggest expecting to teach enhances motor learning by increasing information processing during practice.