Abstract
The objectives of this study are to explore the use of asynchronous discussion groups during medical students’ clinical rotation in paediatrics. In particular, the impact of role assignment on the level of knowledge construction through social negotiation is studied. Case-based asynchronous discussion groups were introduced to enhance reflection and critical thinking on patient management and treatment, and to offer an exercise in evidence-based medical practice. Groups of approximately 4–5 students were asked to discuss 4 authentic cases during clinical rotation in paediatrics. 49 students interning at the paediatric ward participated in this study. With respect to role assignment, differences between groups (1) with a student or an instructor as moderator and (2) with or without a developer of alternatives for patient management were explored. A content analysis was performed to explore the different levels of social construction of knowledge. The results of multilevel logit analyses show a significant difference in knowledge construction through social negotiation between conditions with a student moderator and conditions where the instructor is moderating, but only when a developer of alternatives is involved. No significant difference was revealed between student-moderated and instructor-moderator groups without a developer of alternatives.
It can be concluded that when both the moderator and developer role are assigned to students, their contributions are more likely to reflect a high level of knowledge construction.
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Aviv, R. (2000). Educational performance of ALN via content analysis. Journal of Asynchronous Learning Networks 4: 53–72. Retrieved November 1, 2005, from http://www.sloan-c.org/publications/jaln/v4n2/v4n2_aviv.asp
Aviv R., Erlich Z., Ravid G. (2003). Cohesion and roles: Network analysis of CSCL communities. In Devedzic V., Spector J. M., Sampson D. G., Kinshuk (Eds.), Proceedings of the 3rd IEEE International Conference on Advanced Learning Technologies. ICALT, Athens, pp. 145–150
Bernard R.M., Lundgren-Cayrol K. (2001). Computer conferencing: An environment for collaborative project-based learning in distance education Educational Research and Evaluation 7:241–261
Browne, W. (2004). MCMC estimation in MLwiN, version 2.0. London: Centre for Multilevel Modeling, Institute of Education, University of London. Retrieved November 1, 2005, from http://www.mlwin.com/download/manuals.html
Browne W. J., Subramanian S. V., Jones K., Goldstein H. (2005). Variance partitioning in multilevel logistic models that exhibit overdispersion Journal of the Royal Statistical Society: Series A (Statistics in Society) 168:599–613
Carney P. A., Poor D. A., Schifferdecker K. E., Gephart D. S., Brooks W. B., Nierenberg D. W. (2004). Computer use among community-based primary care physician preceptors Academic Medicine 79:580–590
De Wever B., Schellens T., Valcke M., Van Keer H. (2006). Content analysis schemes to analyze transcripts of online asynchronous discussion groups: a review Computers & Education 46:6–28
De Wever B., Valcke M., Van Winckel M., Kerkhof J. (2002). De invloed van “structuur” in CSCL-omgevingen: een onderzoek met on line discussiegroepen bij medische studenten [The influence of structuring CSCL-environments: A study of online discussion groups with medical students] Pedagogisch Tijdschrift 27:105–128
Dolmans D. H. J. M., Gijselaers W. H., Moust J. C., De Grave W. S., Wolfhagen I. H. A. P., Van Der Vleuten C. P. M. (2002). Trends in research on the tutor in problem-based learning: conclusions and implications for educational practice and research Medical Teacher 24:173–180
Gilbert P. K., Dabbagh N. (2005). How to structure online discussions for meaningful discourse: A case study British Journal of Educational Technology 36:5–18
Grabinger R. S. (1996). Rich environments for active learning. In Jonassen D. H. (Eds.), Handbook of Research for Educational Communications and sechnology. Prentice Hall International, London, pp. 665–692
Greenhalgh T. (2001). Computer assisted learning in undergraduate medical education British Medical Journal 322:40–44
Gunawardena, C.N., Carabajal, K. & Lowe, C.A. (2001). Critical analysis of models and methods used to evaluate online learning networks. In American Educational Research Association Annual Meeting. Seattle: American Educational Research Association
Gunawardena C. N., Lowe C. A., Anderson T. (1997). Analysis of a global online debate and the development of an interaction analysis model for examining social construction of knowledge in computer conferencing Journal of Educational Computing Research 17:397–431
Hagdrup N. A., Edwards M., Carter Y. H., Falshaw M., Gray R. W., Sheldon M. G. (1999). Why? What? and How? IT provision for medical students in general practice Medical Education 33:537–541
Hox J. J. (1998). Multilevel modeling: When and why. In: Balderjahn R., Mathar R., Schader M. (Eds.), Classification, Data Analysis, and Data Highways. Springer-Verlag, New York, pp. 147–154
Hox, J. J. & Maas, C. J. M. (2002). Sample sizes for multilevel modeling. In J. Blasius, J. J. Hox, E.␣De Leeuw & P. Schmidt (eds.), Social Science Methodology in the New Millennium. Proceedings of the Fifth International Conference on Logic and Methodology. Second expanded edition. Retrieved November 1, 2005, from http://www.fss.uu.nl/ms/jh/publist/simnorm1.pdf
Joiron, C. & Leclet, D. (2002). Architecture of a learning system for between-peers distance continuing medical education: The DIACOM forum. In P. Kommers, V. Petrushin, Kinshuk & I. Galeev (eds.), Proceedings of IEEE International Conference on Advanced Learning Technologies (pp. 161–164). Kazan, Katarsan: ICALT-2002. Retrieved November 1, 2005, from http://lttf.ieee.org/icalt2002/proceedings/
Kollar I., Fischer F., Hesse F. W. (2003). Cooperation scripts for computer-supported collaborative learning. In: Wasson B., Baggetun R., Hoppe U., Ludvigsen S. (Eds.), Proceedings of the International Conference on Computer Support for Collaborative Learning -CSCL 2003, COMMUNITY EVENTS-Communication and Interaction. Intermedia, Bergen, pp. 59–61
Lockhorst D., Admiraal W., Pilot A., Veen W. (2002). Design elements for a CSCL environment in a teacher training programme Education and Information Technologies 7:377–384
Marra R. M., Moore J. L., Klimczak A. K. (2004). Content analysis of online discussion forums: a comparative analysis of protocols Educational Technology Research and Development 52:23–40
McGlade K. J., McKeveney C. J., Crawford V. L. S., Brannigan P. (2001). Preparing tomorrow’s doctors: the impact of a special study module in medical informatics Medical Education 35:62–67
McLoughlin C., Luca J. (2000). Cognitive engagement and higher order thinking through computer conferencing: We know why but do we know how? In: Herrmann A., Kulski M. M. (Eds) Flexible Futures in Tertiary Teaching. Curtin University of Technology, Perth
Mercer N. (1996). The quality of talk in children’s collaborative activity in the classroom Learning and Instruction 6:359–377
Moust J. C., Schmidt H. G. (1994). Effects of staff and student tutors on student achievement Higher Education 28:471–482
Neuendorf K. A. (2002). The Content Analysis Guidebook. Sage Publications, Thousand Oaks, CA
Pena-Shaff J. B., Nicholls C. (2004). Analyzing student interactions and meaning construction in computer bulletin board discussions Computers & Education 42:243–265
Rasbash, J., Steele, F., Browne, W. & Prosser, B. (2004). A User’s Guide to MLwinN, version 2.0. London: Centre for Multilevel Modeling, Institute of Education, University of London. Retrieved November 1, 2005, from http://www.mlwin.com/download/manuals.html
Rourke L., Anderson T., Garrison D. R., Archer W. (2001). Methodological Issues in the Content Analysis of computer conference transcripts International Journal of Artificial Intelligence in Education 12:8–22
Salmon G. (2000). E-moderating. The key to Teaching and Learning Online. Kogan Page, London
Schellens T., Valcke M. (2005). Collaborative learning in asynchronous discussion groups: What about the impact on cognitive processing? Computers in Human Behavior 21:957–975
Schellens T., Van Keer H., Valcke M. (2005). The impact of role assignment on knowledge construction in asynchronous discussion groups: A multilevel analysis Small Group Research 36:704–745
Schmidt H. G., Van Der Arend A., Moust J. C., Kokx I., Boon L. (1993). Influence of tutors’ subject-matter expertise on student effort and achievement in problem-based learning Academic Medicine 68:784–791
Schrire S. (2004). Interaction and cognition in asynchronous computer conferencing Instructional Science 32:475–502
Strijbos J. W., Martens R. L., Jochems W., Broers N. J. (2004). The effect of functional roles on group efficiency: Using multilevel modelling and content analysis to investigate computer-supported collaboration in small groups Small Group Research 35:195–229
Stromso H. I., Grottum P., Hofgaard Lycke K. (2004). Changes in student approaches to learning with the introduction of computer-supported problem-based learning Medical Education 38:390–398
Wallace G. (2001). Information technology and telemedicine Canadian Medical Association Journal 165:777–779
Weinberger A., Reiserer M., Ertl B., Fischer F., Mandl H. (2005). Facilitating collaborative knowledge construction in computer-mediated learning environments with cooperation scripts. In Bromme R., Hesse F. W., Spada H. (Eds) Barriers and Biases in Computer-Mediated Knowledge Communication. Kluwer, Boston
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The authors thank the medical students who participated in this study. This study was funded by BOF2002/DRMAN/013 of Ghent University.
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De Wever, B., Van Winckel, M. & Valcke, M. Discussing Patient Management Online: The Impact of Roles on Knowledge Construction for Students Interning at the Paediatric Ward. Adv in Health Sci Educ 13, 25–42 (2008). https://doi.org/10.1007/s10459-006-9022-6
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DOI: https://doi.org/10.1007/s10459-006-9022-6