how do people learn?

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Contemporary Principles & Concepts Applied to Medical Education. HOW DO PEOPLE LEARN?. The meaning of knowing has shifted from being able to remember and repeat information to being able to find and use it. Herbert Simon, 1966. LEARNING: Past - Present - Future. Early 20 th century 3 Rs - PowerPoint PPT Presentation

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Mennin Consulting, 2006

HOW DO PEOPLE LEARN?

•Contemporary Principles & Concepts Applied to Medical Education

The meaning of knowing has shifted from being able to

remember and repeat information to being able to

find and use it

Herbert Simon, 1966

Mennin Consulting, 2006

LEARNING: Past - Present - Future

•Early 20th century•3 Rs

•End of 20th century•Read critically•Clear self expression•Solve complex problems

•Early 21st century•Knowledge management•Sustainable learning

Mennin Consulting, 2006

OBJECTIVES

• Describe the basic paradigm of how people learn

• Match teaching-learning methods & techniques to your context & learning objectives

• Describe & apply 3-4 methods - techniques to activate learning

Mennin Consulting, 2006

CYC: HOW DO PEOPLE LEARN?

Mennin Consulting, 2006

“Nobody tells productions when to act; they wait until conditions are ripe and then activate themselves. By contrast, chefs in the other kitchens merely follow orders. Turing units are nominated by their predecessors, von Neurmann operations are all prescheduled, and LISP functions are invoked by other functions. Production system teamwork is more laissez-faire: each production acts on its own, when and where its private conditions are satisfied. There is no central control, and individual productions never directly interact. All communication and influence is via patterns in the common workspace – like anonymous “to whom it may concern” notices on a public bulletin boards”

(Haugeland, 1985 in Schmidt, 1993)

Mennin Consulting, 2006

Memorize this Text

A newspaper is better than a magazine. A seashore is a better place than the street. At first, it is better to run than to walk. You may have to try several times. It takes some skills but it’s easy to learn. Even young children can enjoy it. Once successful, complications are minimal. Birds seldom get too close. Rain, however, soaks very fast. Too many people doing the same thing can also cause problems. One needs lots of room. If there are no complications, it can be very peaceful. A rock will serve as an anchor. If things break loose from it, however, you will not get a second change.

Bransford & Johnson, 1972 in Schmidt, 1993.

Mennin Consulting, 2006

Knowledge is Decentralized & Linked to Stimulus & Context

• Dog Bike• Bird School• Chair Flower• Man House• Genoa ESME

Mennin Consulting, 2006

Context & Remembering Experiment

•Water - Land •Land - Water•Water - Water•Land - Land

Duncan Godden and Alan Baddeley (1975)

Mennin Consulting, 2006

Context & Remembering

Duncan Godden and Alan Baddeley (1975)

Mennin Consulting, 2006

LEARNING WITH UNDERSTANDING

1. Read & text + Lecture

2. Did not read text, actively compared data + lecture

3. 2x time working with data + no lecture

05

101520253035404550

Possible Predictions

%

1 2 3

Groups

Mennin Consulting, 2006

PRE-EXISTING KNOWLEDGE

FOCUS ON PROCESS OF KNOWING• History shapes receptivity to

information• New knowledge merges with pre-

existing knowledge in multiple networks

• Teachers need to know and activate students’ history (knowing)

Mennin Consulting, 2006

LESSONS FROM COGNITIVE PSYCHOLOGY

• Problem solving is context bound

• Data collection is influenced by questions being entertained

• Context influences understanding & remembering

• Timely feedback improves transfer of information

Mennin Consulting, 2006

LEARNING WITH UNDERSTANDING

•Expert problem solving requires rich body of knowledge

•Beyond memory•Usable•Connected•Organized around concepts

Mennin Consulting, 2006

LEARNING WITH UNDERSTANDING

• Takes time• Reorganize understanding with new

information• Test for understanding• Disconnected facts not sufficient

Mennin Consulting, 2006

Memory and Expertise

a

8

b

7

c

6

d

5

e

4

f

3

g

2

h

1

Possible Positiona

8

b

7

c

6

d

5

e

4

f

3

g

2

h

1

Bizarre Position

•Experts’ command of concepts shapes understanding of new information•Patterns, Relationships, Discrepancies•Extract meaning better than novices•Select and remember relevant information better

Mennin Consulting, 2006

ORGANIZATION OF KNOWLEDGE

• Core concepts and ideas• Experts – use principles• Novices – use surface features• Effortless recall of information

Mennin Consulting, 2006

A SIMPLE MODEL OF COMPETENCE

Miller GE. The assessment of clinical skills/competence/performance. Academic Medicine (Supplement) 1990; 65: S63-S7.

Knows

Shows how

Knows how

Does

Pro

fess

ion

al au

then

tici

tyPro

fess

ion

al au

then

tici

ty

Written, Oral orComputer based assessment

Performance or hands on assessment

Mennin Consulting, 2006

META ~ COGNITION(REFLECTION)

META•Changed in position or form•Altered -- Transposed•Going Beyond, higher•Substitutions in the 1,3 position in a benzene ring

COGNITION•The process of knowing in the broadest sense, including perception, memory, & judgment

Mennin Consulting, 2006

REFLECTION (METACOGNITION)(Adaptive Expertise)

•Monitor own understanding •Identify new information for understanding•Consistent with what is known?•Analogies to advance understanding•Metaphors

Mennin Consulting, 2006

IMPLICATIONS FOR TEACHERS

•Actively inquire into students’ thinking

•Create situations to reveal thinking

•Build on their understanding

Mennin Consulting, 2006

CHARACTERISTICS OF LEARNING AND TRANSFER

• All new learning involves connecting to previous learning

• Abstractions help – simile; metaphor• Learning is an active process

Mennin Consulting, 2006

CHARACTERISTICS OF LEARNING AND TRANSFER

• Time to learn• Deliberate practice

• Importance of feedback in learning• Contrasting cases- “what if…”

• Context• Active approaches to ‘transfer’ ‘level

jumping’

Mennin Consulting, 2006

IMPLICATIONS FOR TEACHING

• Promote reciprocal teaching• Explicate-Elaborate-Monitor

• Content expertise pedagogical expertise

Mennin Consulting, 2006

LEARNING FOR UNDERSTANDING

• Adequate time• Deliberate practice with

metacognition (reflection)• Feedback about understanding• Compare & contrast

• What if…

• Elaboration, Variable Iteration

Mennin Consulting, 2006

THREE TECHNIQUES

• Draw out and work with pre-existing understanding

• In-depth teaching, multiple examples• Reflection on and in action

(metacognition) in specific subject areas

Mennin Consulting, 2006

TEACHING TECHNIQUES(Making Understanding Visible)

• Consult your colleague• Reciprocal teaching• Polling the class• Frequent formative assessments

• Tap into understanding

• In-depth vs. superficial teaching• Prototypes

Mennin Consulting, 2006

TEACHING TECHNIQUES(Making Understanding Visible)

• Develop expertise in how students learn your subject

• Develop pedagogical expertise• In-depth assessment• Emphasize metacognition

(reflection)

Mennin Consulting, 2006

TEACHING TECHNIQUESFEEDBACK

• Timely• Constructive• Mutually agreed• Results in a plan• Supportive• “I” & “You” messages

Mennin Consulting, 2006

Knowledge is Decentralized & Linked to Stimulus & Context

•Dog•Bird•Chair•Man •Genoa

•Bike•School•Flower•House•ESME

Mennin Consulting, 2006

WHAT WILL YOU DO?NEXT STEPS

Mennin Consulting, 2006

PLUS DELTA

Key Concepts +

Role of pre-existing knowledge

Context & learning

Reflection Metacognition

Match methods your context

Teaching techniques

Mennin Consulting, 2006

OBJECTIVES

• Describe the basic paradigm of how people learn

• Match teaching-learning methods & techniques to your context & learning objectives

• Describe & apply 3-4 methods - techniques to activate learning

Mennin Consulting, 2006

Additional Resources

• http://hsc.unm.edu/som/TED• www.menninconsulting.com• How People Learn: Brain, Mind,

Experience and School (2000) http://www.nap.edu/books/0309070368/html/

• BEME bibliography http://www.bemecollaboration.org/bemebibl.htm

Mennin Consulting, 2006

Additional Resources

• Dent & Harden (eds) (2006). A Practical Guide for Medical Teachers. Edinburgh, Elsevier.

• L. Dee Fink (2000). Creating Significant Learning Experiences: an integrated approach to designing college courses. San Francisco, Jossey-Bass.

• Bransford & Johnson (1972) Journal of verbal Learning and Verbal Behavior 11: 717-726

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