The role of deliberate practice in the acquisition of clinical skills

<p>Abstract</p> <p>Background</p> <p>The role of deliberate practice in medical students' development from novice to expert was examined for preclinical skill training.</p> <p>Methods</p> <p>Students in years 1-3 completed 34 Likert type ite...

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Main Authors: Duvivier Robbert J, van Dalen Jan, Muijtjens Arno M, Moulaert Véronique RMP, van der Vleuten Cees PM, Scherpbier Albert JJA
Format: Article
Language:English
Published: BMC 2011-12-01
Series:BMC Medical Education
Online Access:http://www.biomedcentral.com/1472-6920/11/101
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author Duvivier Robbert J
van Dalen Jan
Muijtjens Arno M
Moulaert Véronique RMP
van der Vleuten Cees PM
Scherpbier Albert JJA
author_facet Duvivier Robbert J
van Dalen Jan
Muijtjens Arno M
Moulaert Véronique RMP
van der Vleuten Cees PM
Scherpbier Albert JJA
author_sort Duvivier Robbert J
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The role of deliberate practice in medical students' development from novice to expert was examined for preclinical skill training.</p> <p>Methods</p> <p>Students in years 1-3 completed 34 Likert type items, adapted from a questionnaire about the use of deliberate practice in cognitive learning. Exploratory factor analysis and reliability analysis were used to validate the questionnaire. Analysis of variance examined differences between years and regression analysis the relationship between deliberate practice and skill test results.</p> <p>Results</p> <p>875 students participated (90%). Factor analysis yielded four factors: planning, concentration/dedication, repetition/revision, study style/self reflection. Student scores on 'Planning' increased over time, score on sub-scale 'repetition/revision' decreased. Student results on the clinical skill test correlated positively with scores on subscales 'planning' and 'concentration/dedication' in years 1 and 3, and with scores on subscale 'repetition/revision' in year 1.</p> <p>Conclusions</p> <p>The positive effects on test results suggest that the role of deliberate practice in medical education merits further study. The cross-sectional design is a limitation, the large representative sample a strength of the study. The vanishing effect of repetition/revision may be attributable to inadequate feedback. Deliberate practice advocates sustained practice to address weaknesses, identified by (self-)assessment and stimulated by feedback. Further studies should use a longitudinal prospective design and extend the scope to expertise development during residency and beyond.</p>
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spelling doaj.art-016ad280b4944d4e9ddcbe4028c7c2f22022-12-22T01:42:49ZengBMCBMC Medical Education1472-69202011-12-0111110110.1186/1472-6920-11-101The role of deliberate practice in the acquisition of clinical skillsDuvivier Robbert Jvan Dalen JanMuijtjens Arno MMoulaert Véronique RMPvan der Vleuten Cees PMScherpbier Albert JJA<p>Abstract</p> <p>Background</p> <p>The role of deliberate practice in medical students' development from novice to expert was examined for preclinical skill training.</p> <p>Methods</p> <p>Students in years 1-3 completed 34 Likert type items, adapted from a questionnaire about the use of deliberate practice in cognitive learning. Exploratory factor analysis and reliability analysis were used to validate the questionnaire. Analysis of variance examined differences between years and regression analysis the relationship between deliberate practice and skill test results.</p> <p>Results</p> <p>875 students participated (90%). Factor analysis yielded four factors: planning, concentration/dedication, repetition/revision, study style/self reflection. Student scores on 'Planning' increased over time, score on sub-scale 'repetition/revision' decreased. Student results on the clinical skill test correlated positively with scores on subscales 'planning' and 'concentration/dedication' in years 1 and 3, and with scores on subscale 'repetition/revision' in year 1.</p> <p>Conclusions</p> <p>The positive effects on test results suggest that the role of deliberate practice in medical education merits further study. The cross-sectional design is a limitation, the large representative sample a strength of the study. The vanishing effect of repetition/revision may be attributable to inadequate feedback. Deliberate practice advocates sustained practice to address weaknesses, identified by (self-)assessment and stimulated by feedback. Further studies should use a longitudinal prospective design and extend the scope to expertise development during residency and beyond.</p>http://www.biomedcentral.com/1472-6920/11/101
spellingShingle Duvivier Robbert J
van Dalen Jan
Muijtjens Arno M
Moulaert Véronique RMP
van der Vleuten Cees PM
Scherpbier Albert JJA
The role of deliberate practice in the acquisition of clinical skills
BMC Medical Education
title The role of deliberate practice in the acquisition of clinical skills
title_full The role of deliberate practice in the acquisition of clinical skills
title_fullStr The role of deliberate practice in the acquisition of clinical skills
title_full_unstemmed The role of deliberate practice in the acquisition of clinical skills
title_short The role of deliberate practice in the acquisition of clinical skills
title_sort role of deliberate practice in the acquisition of clinical skills
url http://www.biomedcentral.com/1472-6920/11/101
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