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      Learning Theory Foundations of Simulation-Based Mastery Learning :

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          Abstract

          Simulation-based mastery learning (SBML), like all education interventions, has learning theory foundations. Recognition and comprehension of SBML learning theory foundations are essential for thoughtful education program development, research, and scholarship. We begin with a description of SBML followed by a section on the importance of learning theory foundations to shape and direct SBML education and research. We then discuss three principal learning theory conceptual frameworks that are associated with SBML-behavioral, constructivist, social cognitive-and their contributions to SBML thought and practice. We then discuss how the three learning theory frameworks converge in the course of planning, conducting, and evaluating SBML education programs in the health professions. Convergence of these learning theory frameworks is illustrated by a description of an SBML education and research program in advanced cardiac life support. We conclude with a brief coda.

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          Most cited references35

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          The role of deliberate practice in the acquisition of expert performance.

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            Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains.

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              Test-enhanced learning in medical education.

              In education, tests are primarily used for assessment, thus permitting teachers to assess the efficacy of their curriculum and to assign grades. However, research in cognitive psychology has shown that tests can also directly affect learning by promoting better retention of information, a phenomenon known as the testing effect. Cognitive psychology laboratory studies show that repeated testing of information produces superior retention relative to repeated study, especially when testing is spaced out over time. Tests that require effortful retrieval of information, such as short-answer tests, promote better retention than tests that require recognition, such as multiple-choice tests. The mnemonic benefits of testing are further enhanced by feedback, which helps students to correct errors and confirm correct answers. Medical educational research has focused extensively on assessment issues. Such assessment research permits the conclusion that clinical expertise is founded on a broad fund of knowledge and effective memory networks that allow easy access to that knowledge. Test-enhanced learning can potentially strengthen clinical knowledge that will lead to improved expertise. Tests should be given often and spaced out in time to promote better retention of information. Questions that require effortful recall produce the greatest gains in memory. Feedback is crucial to learning from tests. Test-enhanced learning may be an effective tool for medical educators to use in promoting retention of clinical knowledge.

                Author and article information

                Journal
                Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
                Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
                Ovid Technologies (Wolters Kluwer Health)
                1559-2332
                2018
                January 2018
                : 1
                Article
                10.1097/SIH.0000000000000279
                29373384
                79f05e29-30f6-4178-a1dd-92d2c33887c2
                © 2018
                History

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