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dc.contributor.advisor Raupach, Tobias Prof. Dr.
dc.contributor.author Wieland, Anna Katherina
dc.date.accessioned 2016-12-19T10:12:52Z
dc.date.available 2017-01-13T23:50:33Z
dc.date.issued 2016-12-19
dc.identifier.uri http://hdl.handle.net/11858/00-1735-0000-002B-7CE8-C
dc.language.iso deu de
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc 610 de
dc.title Einfluss verschiedener Lernanreize auf das Lernverhalten und die Prüfungsleistungen von Studierenden der Humanmedizin de
dc.type doctoralThesis de
dc.title.translated Effect of different learning incentives on the learning behavior and test performance of medical students de
dc.contributor.referee Raupach, Tobias Prof. Dr.
dc.date.examination 2016-12-21
dc.description.abstracteng Background: Electrocardiogram (ECG) interpretation is an important clinical examination and skill that needs to be improved in undergraduate medical education. This study assessed the impact of summative assessment and financial incentive compared with formative assessment on learning behaviour and outcome in the context of self-directed learning regarding ECG interpretation skills in undergraduate medical students.<br> Methods: Two consecutive cohorts of year 4 medical students (n=301) participated in three validated exams of ECG interpretation skills, consisting of a module entry exam, exit exam and an unannounced retention test at the end of the cardiovascular course. The teaching format was self-directed learning. The first cohort was assessed in a summative written ECG examination. The second cohort was randomised to an intervention (financial incentive) or a control (formative assessment with book voucher raffle) group. Primary outcome was the proportion of students who correctly identified at least 3 out of 5 ECG diagnoses. Secondary outcome evaluates student self-study in ECG interpretation and the student learning behaviour in the context of spending time on independent study and use of further study material. <br>Results: Summative assessments and financial incentives, compared with formative assessments, enhanced the odds of correct identification ≥ 3 out of 5 ECG diagnoses (summative assessment: aOR 8,13; 95% CI 3,76-17,57; financial incentive: aOR 2,44; 95% CI 1,06-5,59) and of self-assessment regarding the ECG interpretation (summative assessment: aOR 5,66; 95% CI 2,76-11,63; financial incentive aOR 2,25; 95% CI 1,10-5,80). Students, who were assessed in a summative examination (aOR 4,47; 95% CI 2,30-8,67) or were randomised to the intervention group with financial incentive (aOR 3,22; 95% CI 1,49-6,96) spent at least 2h/week extra on ECG self-study. There was no significant effect on additional learning material and performance levels in the retention exam. <br>Conclusion: Summative assessments and financial incentives increase student self-assessment, learning time and learning outcome in the short-term of ECG interpretation. Further investigation needs to be focused on absent sustained effect on performance. de
dc.contributor.coReferee Sennhenn-Kirchner, Sabine PD Dr.
dc.subject.ger Ausbildungsforschung de
dc.subject.ger medizinische Ausbildung de
dc.subject.ger EKG-Interpretation de
dc.subject.ger Selbststudium de
dc.subject.ger studentisches Lernziel de
dc.subject.ger Lehrformat de
dc.subject.ger studentisches Lernverhalten de
dc.subject.ger finanzieller Anreiz de
dc.subject.ger Motivation de
dc.subject.ger summative Prüfung de
dc.subject.ger formative Prüfung de
dc.subject.eng education research de
dc.subject.eng medical education de
dc.subject.eng ECG interpretation de
dc.subject.eng student learning behavior de
dc.subject.eng learning objective de
dc.subject.eng teaching format de
dc.subject.eng self-study de
dc.subject.eng financial incentive de
dc.subject.eng motivation de
dc.subject.eng summative assessment de
dc.subject.eng formative assessment de
dc.identifier.urn urn:nbn:de:gbv:7-11858/00-1735-0000-002B-7CE8-C-8
dc.affiliation.institute Medizinische Fakultät de
dc.subject.gokfull Berufskunde/ Ausbildung / Recht in der Medizin / Medizinische Ökonomie / Wissenschaftssystem - Allgemein- und Gesamtdarstellungen (PPN619874880) de
dc.subject.gokfull Medizinische Psychologie / Medizinische Soziologie / Ethik in der Medizin / Krankenseelsorge / Hospiz - Allgemein- und Gesamtdarstellungen (PPN61987628X) de
dc.description.embargoed 2017-01-13
dc.identifier.ppn 875159605

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