Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education (2024)

Abstract

We propose a conceptual framework which may guide research on fostering diagnostic competences in simulations in higher education. We first review and link research perspectives on the components and the development of diagnostic competences, taken from medical and teacher education. Applying conceptual knowledge in diagnostic activities is considered necessary for developing diagnostic competences in both fields. Simulations are considered promising in providing opportunities for knowledge application when real experience is overwhelming or not feasible for ethical, organizational or economic reasons. To help learners benefit from simulations, we then propose a systematic investigation of different types of instructional support in such simulations. We particularly focus on different forms of scaffolding during problem-solving and on the possibly complementary roles of the direct presentation of information in these kinds of environments. Two sets of possibly moderating factors, individual learning prerequisites (such as executive functions) or epistemic emotions and contextual factors (such as the nature of the diagnostic situation or the domain) are viewed as groups of potential moderators of the instructional effects. Finally, we outline an interdisciplinary research agenda concerning the instructional design of simulations for advancing diagnostic competences in medical and teacher education.

Original languageEnglish
Pages (from-to)1-24
Number of pages24
JournalFrontline Learning Research
Volume7
Issue number4
DOIs
StatePublished - 2019

Keywords

  • Diagnostic competence
  • Instructional support
  • Learning through problem-solving
  • Medical education
  • Scaffolding
  • Simulation
  • Teacher education

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Heitzmann, N., Seidel, T., Opitz, A., Hetmanek, A., Wecker, C., Fischer, M., Ufer, S., Schmidmaier, R., Neuhaus, B., Siebeck, M., Stürmer, K., Obersteiner, A., Reiss, K., Girwidz, R., & Fischer, F. (2019). Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education. Frontline Learning Research, 7(4), 1-24. https://doi.org/10.14786/flr.v7i4.384

Heitzmann, Nicole ; Seidel, Tina ; Opitz, Ansgar et al. / Facilitating diagnostic competences in simulations : A conceptual framework and a research agenda for medical and teacher education. In: Frontline Learning Research. 2019 ; Vol. 7, No. 4. pp. 1-24.

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title = "Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education",

abstract = "We propose a conceptual framework which may guide research on fostering diagnostic competences in simulations in higher education. We first review and link research perspectives on the components and the development of diagnostic competences, taken from medical and teacher education. Applying conceptual knowledge in diagnostic activities is considered necessary for developing diagnostic competences in both fields. Simulations are considered promising in providing opportunities for knowledge application when real experience is overwhelming or not feasible for ethical, organizational or economic reasons. To help learners benefit from simulations, we then propose a systematic investigation of different types of instructional support in such simulations. We particularly focus on different forms of scaffolding during problem-solving and on the possibly complementary roles of the direct presentation of information in these kinds of environments. Two sets of possibly moderating factors, individual learning prerequisites (such as executive functions) or epistemic emotions and contextual factors (such as the nature of the diagnostic situation or the domain) are viewed as groups of potential moderators of the instructional effects. Finally, we outline an interdisciplinary research agenda concerning the instructional design of simulations for advancing diagnostic competences in medical and teacher education.",

keywords = "Diagnostic competence, Instructional support, Learning through problem-solving, Medical education, Scaffolding, Simulation, Teacher education",

author = "Nicole Heitzmann and Tina Seidel and Ansgar Opitz and Andreas Hetmanek and Christof Wecker and Martin Fischer and Stefan Ufer and Ralf Schmidmaier and Birgit Neuhaus and Matthias Siebeck and Kathleen St{\"u}rmer and Andreas Obersteiner and Kristina Reiss and Raimund Girwidz and Frank Fischer",

note = "Publisher Copyright: {\textcopyright} 2019, European Association for Research on Learning and Instruction. All rights reserved.",

year = "2019",

doi = "10.14786/flr.v7i4.384",

language = "English",

volume = "7",

pages = "1--24",

journal = "Frontline Learning Research",

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Heitzmann, N, Seidel, T, Opitz, A, Hetmanek, A, Wecker, C, Fischer, M, Ufer, S, Schmidmaier, R, Neuhaus, B, Siebeck, M, Stürmer, K, Obersteiner, A, Reiss, K, Girwidz, R & Fischer, F 2019, 'Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education', Frontline Learning Research, vol. 7, no. 4, pp. 1-24. https://doi.org/10.14786/flr.v7i4.384

Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education. / Heitzmann, Nicole; Seidel, Tina; Opitz, Ansgar et al.
In: Frontline Learning Research, Vol. 7, No. 4, 2019, p. 1-24.

Research output: Contribution to journalArticlepeer-review

TY - JOUR

T1 - Facilitating diagnostic competences in simulations

T2 - A conceptual framework and a research agenda for medical and teacher education

AU - Heitzmann, Nicole

AU - Seidel, Tina

AU - Opitz, Ansgar

AU - Hetmanek, Andreas

AU - Wecker, Christof

AU - Fischer, Martin

AU - Ufer, Stefan

AU - Schmidmaier, Ralf

AU - Neuhaus, Birgit

AU - Siebeck, Matthias

AU - Stürmer, Kathleen

AU - Obersteiner, Andreas

AU - Reiss, Kristina

AU - Girwidz, Raimund

AU - Fischer, Frank

N1 - Publisher Copyright:© 2019, European Association for Research on Learning and Instruction. All rights reserved.

PY - 2019

Y1 - 2019

N2 - We propose a conceptual framework which may guide research on fostering diagnostic competences in simulations in higher education. We first review and link research perspectives on the components and the development of diagnostic competences, taken from medical and teacher education. Applying conceptual knowledge in diagnostic activities is considered necessary for developing diagnostic competences in both fields. Simulations are considered promising in providing opportunities for knowledge application when real experience is overwhelming or not feasible for ethical, organizational or economic reasons. To help learners benefit from simulations, we then propose a systematic investigation of different types of instructional support in such simulations. We particularly focus on different forms of scaffolding during problem-solving and on the possibly complementary roles of the direct presentation of information in these kinds of environments. Two sets of possibly moderating factors, individual learning prerequisites (such as executive functions) or epistemic emotions and contextual factors (such as the nature of the diagnostic situation or the domain) are viewed as groups of potential moderators of the instructional effects. Finally, we outline an interdisciplinary research agenda concerning the instructional design of simulations for advancing diagnostic competences in medical and teacher education.

AB - We propose a conceptual framework which may guide research on fostering diagnostic competences in simulations in higher education. We first review and link research perspectives on the components and the development of diagnostic competences, taken from medical and teacher education. Applying conceptual knowledge in diagnostic activities is considered necessary for developing diagnostic competences in both fields. Simulations are considered promising in providing opportunities for knowledge application when real experience is overwhelming or not feasible for ethical, organizational or economic reasons. To help learners benefit from simulations, we then propose a systematic investigation of different types of instructional support in such simulations. We particularly focus on different forms of scaffolding during problem-solving and on the possibly complementary roles of the direct presentation of information in these kinds of environments. Two sets of possibly moderating factors, individual learning prerequisites (such as executive functions) or epistemic emotions and contextual factors (such as the nature of the diagnostic situation or the domain) are viewed as groups of potential moderators of the instructional effects. Finally, we outline an interdisciplinary research agenda concerning the instructional design of simulations for advancing diagnostic competences in medical and teacher education.

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KW - Instructional support

KW - Learning through problem-solving

KW - Medical education

KW - Scaffolding

KW - Simulation

KW - Teacher education

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U2 - 10.14786/flr.v7i4.384

DO - 10.14786/flr.v7i4.384

M3 - Article

AN - SCOPUS:85079772272

SN - 2295-3159

VL - 7

SP - 1

EP - 24

JO - Frontline Learning Research

JF - Frontline Learning Research

IS - 4

ER -

Heitzmann N, Seidel T, Opitz A, Hetmanek A, Wecker C, Fischer M et al. Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education. Frontline Learning Research. 2019;7(4):1-24. doi: 10.14786/flr.v7i4.384

Facilitating diagnostic competences in simulations: A conceptual framework and a research agenda for medical and teacher education (2024)
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