title: Can Individualized Learning Plans in an advanced clinical experience course for fourth year medical students foster Self-Directed Learning?
abstract: BACKGROUND
  Residency programs have utilized Individualized Learning Plans (ILPs) to customize resident education while undergraduate medical education has not done so in a meaningful way. We discuss the use of ILPs within a fourth year medical school course to facilitate self-directed learning (SDL).
  
  
  METHODS
  At Stony Brook University School of Medicine, an ILP component was added to the Advanced Clinical Experience (ACE) course for fourth year students. Each completed an ILP outlining personal learning goals and strategies to achieve them. An adaptation of the Motivated Strategies for Learning Questionnaire (MSLQ) (Duncan T and McKeachie W, Educ Psych 40(2):117-128, 2005 and Cook DA et al., Med Ed 45:1230-1240, 2011) was used to measure success of ILPs in improving SDL. Qualitative data analysis was conducted on the ILPs and self-reflections.
  
  
  RESULTS
  Forty-eight students participated. Two of the four SDL sub-domains identified on the MSLQ showed improvement; self-efficacy (p = .001) and self-regulation (p = .002). 'Medical Knowledge' was the competency most frequently identified as an area of concentration (90 %) and professionalism was selected least frequently (4 %). A higher percentage (83 %) of students who reported complete achievement of their ILP goals also reported feeling better prepared for entering residency.
  
  
  CONCLUSIONS
  ILPs improve SDL strategies among medical students and may serve as useful tools to help shape future learning goals as they transition to residency training.
authors: Department of Pediatrics, Stony Brook Children's, HSC T11-080, Stony Brook, NY, 11794-8111, USA. Maribeth.chitkara@stonybrookmedicine.edu.
authors: Maribeth B
authors: MB
authors: Chitkara
authors: Department of Emergency Medicine, Mount Sinai West, NY, USA.
authors: Daniel
authors: D
authors: Satnick
authors: Department of Preventive Medicine, Stony Brook Children's, HSC T11-080, Stony Brook, NY, 11794-8111, USA.
authors: Wei-Hsin
authors: WH
authors: Lu
authors: Department of Pathology, Stony Brook Children's, HSC T11-080, Stony Brook, NY, 11794-8111, USA.
authors: Howard
authors: H
authors: Fleit
authors: Department of Medicine, Stony Brook Children's, HSC T11-080, Stony Brook, NY, 11794-8111, USA.
authors: Roderick A
authors: RA
authors: Go
authors: Department of Pediatrics, Stony Brook Children's, HSC T11-080, Stony Brook, NY, 11794-8111, USA.
authors: Latha
authors: L
authors: Chandran
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D007858:Learning; D009042:Motivation; D015397:Program Evaluation; D011380:Programmed Instructions as Topic; D013337:Students, Medical / Q000523:psychology*; D014481:United States
keywords: Fourth year medical students; Individualized learning plans; Self-directed learning