Infusing the teaching of critical thinking into undergraduate medical education: lessons learned from a three–year longitudinal study

Main Article Content

Akbar Soltani Alireza Monajemi Maryam Allaa Hamideh Moosapour Azadeh Aletaha Farzaneh Shahrtash Tohid Arastoo Azim Mirzazadeh Maryam Tajik Mahboobeh Khabaz Mafinejad

Abstract

Introduction: A glance at the medical curriculum process reform o in the recent years indicates a tendency to strengthen critical thinking skills as an essential component of the health care team members’ performance. Regarding this, for the first time at Tehran University of Medical Sciences, teaching of critical thinking as a longitudinal integrated course was included in undergraduate medical curriculum.


Methods: We formed a committee for preparing the first draft of critical thinking program for reformed undergraduate curriculum. The model was a combination of active learning strategies, practice worksheets and pre-reading texts. First, a group of faculty members and a number of students evaluated the draft. Then, a pilot session with participation of second-year medical students was held. During this session, facilitators practiced to attend small groups according to the guidelines. In the end, we applied the revised program to 159 second-year medical students. Each session included pre-reading of the contents, conducting mini interactive lectures, solving worksheets, summarizing the golden points and providing feedback. Finally, survey forms were provided to students to determine the level of their satisfaction with the educational program.


Findings: Total number of 159 medical students participated in this study (%48.2 female and %51.8 male). In the evaluation phase, 47.1% of students stated that the relevancy of prepared texts was good and 39.9% of students evaluated them in average level. In regards to coordination of the worksheets with educational content, 68.3% completely agreed and 27.3% neither agreed/nor disagreed. 62.6% of students agreed on the fact that thoughts were challenged by the worksheets.


Conclusion: the results of the study showed that using interactive methods such as question and answer technique, small group teaching strategies, worksheet, etc. could be useful to learn critical thinking skills.

Article Details

How to Cite
SOLTANI, Akbar et al. Infusing the teaching of critical thinking into undergraduate medical education: lessons learned from a three–year longitudinal study. Medical Research Archives, [S.l.], v. 5, n. 8, aug. 2017. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1229>. Date accessed: 16 apr. 2024. doi: https://doi.org/10.18103/mra.v5i8.1229.
Keywords
longitudinal integrated theme, critical thinking, undergraduate medical curriculum
Section
Research Articles

References

1. Gelder Tv. Teaching critical thinking: Some lessons from cognitive science. College teaching. 2005;53(1):41-8.

2. O'neill ES, Dluhy NM. A longitudinal framework for fostering critical thinking and diagnostic reasoning. Journal of Advanced Nursing. 1997;26(4):825-32.

3. Gambrill E. Critical thinking in clinical practice: Improving the quality of judgments and decisions: John Wiley & Sons; 2006.

4. Simpson E, Courtney M. Implementation and evaluation of critical thinking strategies to enhance critical thinking skills in Middle Eastern nurses. International Journal of Nursing Practice. 2008;14(6):449-54.

5. Tanner CA. Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education. 2006;45(6):204-11.

6. Ku KY. Assessing students’ critical thinking performance: Urging for measurements using multi-response format. Thinking skills and creativity. 2009;4(1):70-6.

7. Birgegård G, Lindquist U. Change in student attitudes to medical school after the introduction of problem‐based learning in spite of low ratings. Medical education. 1998;32(1):46-9.

8. Hasanpour M, Mohammadi R, Dabbaghi F, Oskouie F, Nikravesh MY, Salsali M, et al. The need for change in medical sciences education: A step towards developing critical thinking. Iran Journal of Nursing. 2006;18(44):39-49.

9. Thompson C. Critical thinking across the curriculum: Process over output. International Journal of Humanities and social science. 2011;1(9):1-7.

10. Davies WM. An ‘infusion’approach to critical thinking: Moore on the critical thinking debate. Higher Education Research & Development. 2006;25(02):179-93.

11. Solon T. Improving Critical Thinking in an Introductory Psychology Course. Michigan Community College Journal: Research & Practice. 2001;7(2):73-80.

12. Soltani A, Allaa M, Moosapour H, Aletaha A, Shahrtash F, Monajemi A, et al. Integration of Cognitive Skills as a Cross-Cutting Theme Into the Undergraduate Medical Curriculum at Tehran University of Medical Sciences. Acta Medica Iranica. 2017:68-73.

13. Astleitner H. Teaching critical thinking online. Journal of Instructional Psychology. 2002;29(2):53-76.

14. Paul R, Elder L. The miniature guide to critical thinking: Concepts & tools: Foundation Critical Thinking; 2001.

15. Tiwari A, Lai P, So M, Yuen K. A comparison of the effects of problem‐based learning and lecturing on the development of students' critical thinking. Medical education. 2006;40(6):547-54.

16. Kowalczyk N. Review of teaching methods and critical thinking skills. Radiologic technology. 2011;83(2):120-32.

17. Drummond CK. Team-based learning to enhance critical thinking skills in entrepreneurship education. Journal of entrepreneurship education. 2012;15:57-60.

18. Margery Duffey R. An evidence-based project for evaluating strategies to improve knowledge acquisition and critical-thinking performance in nursing students. Journal of Nursing Education. 2000;39(5):219.

19. Gul R, Cassum S, Ahmad A, Khan S, Saeed T, Parpio Y. Enhancement of critical thinking in curriculum design and delivery: A randomized controlled trial for educators. Procedia-Social and Behavioral Sciences. 2010;2(2):3219-25.

20. Michaelsen LK, Parmelee DX, McMahon KK. Team-based learning for health professions education: A guide to using small groups for improving learning: Stylus Publishing, LLC.; 2008.

21. Azer SA. Challenges facing PBL tutors: 12 tips for successful group facilitation. Medical teacher. 2005;27(8):676-81.

22. Ekahitanond V. Learn, think, act: Using movies to develop critical thinking skills. Executive Journal. 2011;31(3):110-4.

23. Mandel LS, Goff BA, Lentz GM. Self-assessment of resident surgical skills: is it feasible? American journal of obstetrics and gynecology. 2005;193(5):1817-22.

24. Maudsley G, Strivens J. Promoting professional knowledge, experiential learning and critical thinking for medical students. Medical education. 2000;34(7):535-44.

25. Mattick K, Knight L. High‐quality learning: harder to achieve than we think? Medical Education. 2007;41(7):638-44.