title: Scientific education early in the curriculum using a constructivist approach on learning.
abstract: Physicians need to stay up-to-date with new developments in their field of expertise. This expectation has been made explicit by competency-based educational outcomes in the domain of scholar in the Dutch blueprint. There is a great diversity in teaching methods that aim to achieve a better understanding of scientific knowledge. Applying a constructivist approach to learning in acquiring research competencies we wonder how a research-intensive course is evaluated early in the curriculum and what learning gain students perceive. In a collaborative research-intensive course, the class of 300s-year students rated the quality of 150 preselected randomized controlled trials (RCT) using JAMA Users' Guides, and the pharmaceutical advertisements in which they were referenced. Each student rated two RCTs. Data were analyzed to answer a relevant research question. After the course students completed an evaluation survey. We did this in five consecutive years to capture student experience in relation to fostering a scientific mindset (n = 1,500). In addition we studied outcome of this scientific mindset as scientific output (publications) in journals. Survey data indicate that it is feasible to successfully implement a research-intensive course based on a large cohort using a constructivist paradigm early in the curriculum. Students consider it challenging and report high learning gain in several domains. Aggregated data have even led to four publications in journals. Implementing an active learning research experience early in the curriculum can foster student attitudes, provided the level of difficulty correctly matches the learners' prior knowledge. Further research is required to determine how to improve these active research curricula to maximize impact on learners.
authors: Center for Innovation in Medical Education, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, the Netherlands. m.w.c.vereijken@lumc.nl.
authors: M W C
authors: MWC
authors: Vereijken
authors: Department of Cellular and Molecular Pharmacology, University of California, San Francisco, CA, USA.
authors: M
authors: M
authors: Kruidering-Hall
authors: Center for Innovation in Medical Education, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, the Netherlands.
authors: P G M
authors: PGM
authors: de Jong
authors: Center for Innovation in Medical Education, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, the Netherlands.
authors: A J
authors: AJ
authors: de Beaufort
authors: Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
authors: F W
authors: FW
authors: Dekker
references: Blueprint Medical Education. Dutch Association of University Medical Centers. 2009. Retrieved from http://www.nfu.nl/pdf/Raamplan_Artsopleiding_2009.pdf . Accessed 17 May 2013.
references: Cruser des A, Brown SK, Ingram JR, et al. Practitioner research literacy skills in undergraduate medical education: thinking globally, acting locally. Med Sci Educ. 2012;22(3):162–84.
references: Schravendijk C, März R, Garcia-Seoane J. Exploring the integration of the biomedical research component in undergraduate medical education. Med Teach. 2013;. doi: 10.3109/0142159X.2013.768337 .
references: 23363401
references: Vandiver DM, Walsh JA. Assessing autonomous learning in research methods courses: implementing the student-driven research project. Act Learn High Educ. 2010;11:31–42.
references: Jenkins A, Breen R, Lindsay R. Reshaping teaching in higher education: linking teaching with research. London: Kogan Page Limited; 2003.
references: Simons M, Elen J. The research teaching nexus and education through research: an exploration of ambivalences. Stud High Educ. 2007;32:617–31.
references: Shuell TJ. The role of the student in learning from instruction. Contemp Educ Psychol. 1988;13:276–95.
references: Van der Vusse GJ, Leclercq RMFM, Op’t Root JMH, Nieuwenhuijzen Kruseman AC. Academische vorming in het medisch curriculum: noodzaak of luxe? TMO. 2011;30(6):315–23.
references: Healey M. Linking research and teaching: exploring disciplinary spaces and the role of inquiry-based learning. In: Barnett R, editor. Reshaping the university: new relationships between research, scholarship and teaching. London: McGraw-Hill/Open University Press; 2005. p. 67–78.
references: Guyatt GH, Sackett DL, Cook DJ. Users’ guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Evidence-based medicine working group. JAMA. 1993;270:2598–601.
references: 8230645
references: Janmaat VT, Kortekaas KE, Moerland TM, et al. Research-tutored learning: an effective way for students to benefit research by critical appraisal. Med Sci Educ. 2013;23(2):269–77.
references: van Winkelen P, Denderen JS, van Vossen CY, Huizinga TWJ, Dekker FW. How evidence-based are advertisements in journals regarding the subspecialty of rheumatology? Rheumatology. 2006;45:1145–57.
references: van Eeden AE, Roach REJ, Halbesma N, Dekker FW. Geneesmiddeladvertenties in het NTvG en Pharmaceutisch Weekblad: niet altijd evidence based. Ned Tijdschr Geneeskd. 2012;156:A3999.
references: 22217308
references: Heimans L, van Hylckama Vlieg A, Dekker FW. Are claims of advertisements in medical journals supported by RCTs? Neth J Med. 2010;68:46–9.
references: 20103825
references: Janmaat VT, Kortekaas KE, Moerland TM, et al. Research tutored learning: an effective way for students to benefit research. Med Sci Educ. 2013;23:269–77.
references: Laskowitz DT, Drucker RP, Parsonnet J, Cross PC, Gesundheit N. Engaging students in dedicated research and scholarship during medical school: the long-term experiences at Duke and Stanford. Acad Med. 2010;85:419–28.
references: 20182114
references: Verloop N, Lowyck J. Onderwijskunde. Groningen/Houten: Wolters-Noordhoff; 2003.