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      Conceptualising spaced learning in health professions education: A scoping review

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          Abstract

          Objectives

          To investigate the definitions and applications of ‘spaced learning’ and to propose future directions for advancing its study and practice in health professions education.

          Method

          The authors searched five online databases for articles published on spaced learning in health professions education prior to February 2018. Two researchers independently screened articles for eligibility with set inclusion criteria. They extracted and analysed key data using both quantitative and qualitative methods.

          Results

          Of the 2972 records retrieved, 120 articles were included in the review. More than 90% of these articles were published in the last 10 years. The definition of spaced learning varied widely and was often not theoretically grounded. Spaced learning was applied in distinct contexts, including online learning, simulation training and classroom settings. There was a large variety of spacing formats, ranging from dispersion of information or practice on a single day, to intervals lasting several months. Generally, spaced learning was implemented in practice or testing phases and rarely during teaching.

          Conclusions

          Spaced learning is infrequently and poorly defined in the health professions education literature. We propose a comprehensive definition of spaced learning and emphasise that detailed descriptions of spacing formats are needed in future research to facilitate the operationalisation of spaced learning research and practice in health professions education.

          Abstract

          Digging into the educationally strategic phenomenon of spaced learning, the authors discover variety that leads them to propose a comprehensive definition and emphasise that detailed format descriptions are needed to facilitate further development.

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          Most cited references126

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          Spacing effects in learning: a temporal ridgeline of optimal retention.

          To achieve enduring retention, people must usually study information on multiple occasions. How does the timing of study events affect retention? Prior research has examined this issue only in a spotty fashion, usually with very short time intervals. In a study aimed at characterizing spacing effects over significant durations, more than 1,350 individuals were taught a set of facts and--after a gap of up to 3.5 months--given a review. A final test was administered at a further delay of up to 1 year. At any given test delay, an increase in the interstudy gap at first increased, and then gradually reduced, final test performance. The optimal gap increased as test delay increased. However, when measured as a proportion of test delay, the optimal gap declined from about 20 to 40% of a 1-week test delay to about 5 to 10% of a 1-year test delay. The interaction of gap and test delay implies that many educational practices are highly inefficient.
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            Conceptual frameworks to illuminate and magnify.

            In a recent study of the quality of reporting experimental studies in medical education, barely half the articles examined contained an explicit statement of the conceptual framework used. Conceptual frameworks represent ways of thinking about a problem or a study, or ways of representing how complex things work. They can come from theories, models or best practices. Conceptual frameworks illuminate and magnify one's work. Different frameworks will emphasise different variables and outcomes, and their inter-relatedness. Educators and researchers constantly use conceptual frameworks to guide their work, even if they themselves are not consciously aware of the frameworks. Three examples are provided on how conceptual frameworks can be used to cast development and research projects in medical education. The examples are accompanied by commentaries and a total of 13 key points about the nature and use of conceptual frameworks. Ultimately, scholars are responsible for making explicit the assumptions and principles contained in the conceptual framework(s) they use in their development and research projects.
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              Using Spacing to Enhance Diverse Forms of Learning: Review of Recent Research and Implications for Instruction

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                Author and article information

                Contributors
                m.versteeg@lumc.nl
                Journal
                Med Educ
                Med Educ
                10.1111/(ISSN)1365-2923
                MEDU
                Medical Education
                John Wiley and Sons Inc. (Hoboken )
                0308-0110
                1365-2923
                20 December 2019
                March 2020
                : 54
                : 3 ( doiID: 10.1111/medu.v54.3 )
                : 205-216
                Affiliations
                [ 1 ] Department of Cardiology Leiden University Medical Center Leiden the Netherlands
                [ 2 ] Center for Innovation In Medical Education Leiden University Medical Center Leiden the Netherlands
                [ 3 ] School of Physical and Occupational Therapy Montreal Québec Canada
                [ 4 ] Faculty of Medicine Institute for Health Sciences Education McGill University Montreal Québec Canada
                [ 5 ] Centre for Interdisciplinary Research in Rehabilitation Montreal Québec Canada
                Author notes
                [*] [* ] Correspondence

                Marjolein Versteeg, Department of Cardiology, LUMC, 2333 ZA, Leiden, the Netherlands.

                Email: m.versteeg@ 123456lumc.nl

                Author information
                https://orcid.org/0000-0003-0252-6025
                https://orcid.org/0000-0002-1932-6428
                https://orcid.org/0000-0001-9807-6609
                https://orcid.org/0000-0002-8673-4923
                https://orcid.org/0000-0002-8454-4499
                Article
                MEDU14025
                10.1111/medu.14025
                7064953
                31860936
                20448140-0ba3-421f-b7f4-f6c328764cf2
                © 2019 The Authors. Medical Education published by Association for the Study of Medical Education and John Wiley & Sons Ltd

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 June 2019
                : 05 September 2019
                : 21 October 2019
                Page count
                Figures: 1, Tables: 2, Pages: 12, Words: 8921
                Categories
                Medical Education in Review
                Medical Education in Reviews
                Custom metadata
                2.0
                March 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.7 mode:remove_FC converted:11.03.2020

                Education
                Education

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