Project B02

Project B02

Personalised fostering of collaborative intervention skills in medicine

Summary

Project B02 investigates how personalized scaffolding can support learning outcomes in a simulation-based learning environment for medical students. Collaborative intervention skills, which are necessary for successful interprofessional ward-rounding in a modern-day clinic, will be practiced by learners through a simulation. The simulated task of interprofessional collaboration during ward round briefing ahead of entering the patient’s room is conceptualized through an intervention reasoning task requiring the interaction with an LLM-based agent nurse to reach a viable and qualitatively good intervention plan. This task will be personalized through representational and learning process scaffolding according to the learner’s performance. After working on the simulation, learners will engage in a human-to-human roleplay of a similar simulation. From this, we want to analyze whether and under what conditions the learned skills can be transferred to a close-to-real-life scenario. Project B02 aims to develop and validate a model for collaborative intervention reasoning skills, as well as a learning simulation and authentic patient cases for this purpose (study 1). Next, the project will conduct three experimental studies to investigate the effects of different personalization strategies on the learning outcome (study 2 and 3) and feedback skills of learners (study 4). The main focus of project B02 is on the differences between learner-controlled and system-controlled adaptivity of learning process scaffolding and representational scaffolding, and how these differences are linked to the self-regulation skills of learners.

Participants

Principal Investigators

Research associates

Collaboration partners

Goal

The goal of B02 is to identify conditions for effective advancement of collaborative intervention skills in simulation-based medical education with personalized scaffolding. The main focus is the analysis of differences between learner-controlled and system-controlled adaptivity of learning process scaffolding and representational scaffolding, and how these differences are linked to the self-regulation skills of the learners. The effects of the different personalization strategies will be analyzed in three experimental studies. Furthermore, B02 contributes to theory-building in the field of clinical reasoning research through an empirical validation of the model of collaborative intervention skills. For this reason, a simulation focusing on the interprofessional, collaborative intervention reasoning required in modern ward rounding is being developed and validated.

Research Questions

  • Is system-controlled adaptation of scaffolding more effective with respect to collaborative intervention processes and outcomes than learner-controlled adaptation of scaffolding?

  • What are the enabling conditions for transfer of collaborative intervention skills from a human-to-agent to a human-to-human simulation?

  • Does the newly developed model for collaborative intervention reasoning skills describe the collaborative interaction accurately?

  • Is the new simulation valid as a learning- and practice tool and rated as authentic by medicine students and experts?

  • Do the patterns of social interaction differ between different expertise levels?

  • How do self-regulation skills of learners influence the effects of different personalization strategies?

  • What are the effects of the different personalization strategies on the cognitive, meta-cognitive and social learning processes?

Methodology

Project B02 combines experimental designs in laboratory settings with pre, process and post-measurements to examine the effects of prior knowledge and different personalizing strategies on the learning outcome. Data include medical content and strategic knowledge, learner prerequisites, social skills and collaboration knowledge, self-regulation skills and meta-cognitive strategy knowledge as well as interaction logs both during the simulation and the human-to-human roleplay. Data is assessed through questionnaires, knowledge tests and behavioral sequences from logdata. The analyses combine quantitative and qualitative approaches, including analyses of variance, sequential analyses and learner profile modelling.

  • Study 1: Quasi-experimental validation study of the simulation and the patient cases concerning different levels of expertise.

  • Study 2: Experimental study for the analysis of differences between learner-controlled and system-controlled adaptivity of learning process scaffolding (collaboration prompts) on the learning outcome of working on the simulation.

  • Study 3: Experimental study for the analysis of differences between learner-controlled and system-controlled adaptivity of representational scaffolding (case complexity) on the learning outcome of working on the simulation.

  • Study 4: Experimental study for the analysis of differences between learner-controlled and system-controlled adaptivity of representational scaffolding (peer-performance quality) on the learning outcome of giving feedback to peer performances of working on the simulation.

Rolle im Sonderforschungsbereich

  • Joint data collection, data provision and aggregation of logdata with Project M

  • Collaboration on RDM and personalization of the simulation with Project INF

  • Design of feedback, conceptualization and test instrument for feedback skills with B01

  • Vicarious learning, feedback and errors, conceptualization of case typicality with B03

  • Joint definition and operationalization of intervention skills with A01, B01, B03, B05

  • Analyses regarding enabling conditions for transfer of CIS from human-to-agent to human-to-human simulation, identification of indicators for social learning processes based on B05’s assessment instrument, evaluating generalizability of effects of group learning prerequisites, development of a measure for subjective perception of social skills in collaborative situations with B05 and B06

  • Joint cross-domain focus on self-regulation skills with A04

  • Conceptualization of case complexity with A01

  • Conceptualization and design of clinical ward round simulations, clinical ward round communication skills and involved social activities, possibilities of integrating eye-tracking data with C03

  • Conceptualization and design of clinical simulations with feedback for medical students with Aldaptive (LMU, Freiraum)

  • Professional exchange on simulations with adaptive scaffolding in higher education with KoKon (LMU)

Publications

2024

2023

2022

2021

2019

2017

2016

2014