The Effects of Using Concept Mapping as an Artifact to Engender Metacognitive Thinking in First-year Medical Students’ Problem-based Learning Discussions: A Mixed-methods Investigation
Open Access
Author:
Shoop, Glenda H
Graduate Program:
Instructional Systems
Degree:
Doctor of Philosophy
Document Type:
Dissertation
Date of Defense:
None
Committee Members:
Susan M Land, Dissertation Advisor/Co-Advisor Roy Clariana, Committee Member Priya Sharma, Committee Member Paul Joseph Eslinger, Special Member
Attention in medical education is turning toward instruction that not only focuses on knowledge acquisition, but on developing the medical students’ clinical problem-solving skills, and their ability to critically think through complex diseases. Metacognition is regarded as an important consideration in how we teach medical students these higher-order, critical thinking skills.
This study used a mixed-methods research design to investigate if concept mapping as an artifact may engender metacognitive thinking in the medical student population. Specifically the purpose of the study is twofold: (1) to determine if concept mapping, functioning as an artifact during problem-based learning, improves learning as measured by scores on test questions; and (2) to explore if the process of concept mapping alters the problem-based learning intragroup discussion in ways that show medical students are engaged in metacognitive thinking.
The results showed that students in the problem-based learning concept-mapping groups used more metacognitive thinking patterns than those in the problem-based learning discussion-only group, particularly in the monitoring component. These groups also engaged in a higher level of cognitive thinking associated with reasoning through mechanisms-of-action and breaking down complex biochemical and physiologic principals. The students disclosed in focus-group interviews that concept mapping was beneficial to help them understand how discrete pieces of information fit together in a bigger structure of knowledge. They also stated that concept mapping gave them some time to think through these concepts in a larger conceptual framework. There was no significant difference in the exam-question scores between the problem-based learning concept-mapping groups and the problem-based learning discussion-only group.