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3 . 2021

ADULT LEARNING THEORIES: IMPLICATIONS FOR LEARNING AND TEACHING IN MEDICAL EDUCATION: AMEE GUIDE NO. 83

Abstract

There are many theories that explain how adults learn and each has its own merits. This guide explains and explores the more commonly used ones and how they can be used to enhance student and faculty learning. The guide presents a model that combines many of the theories into a flow diagram which can be followed by anyone planning learning. The schema can be used at curriculum planning level, or at the level of individual learning. At each stage of the model, the guide identifies the responsibilities of both learner and educator. The role of the institution is to ensure that the time and resources are available to allow effective learning to happen. The guide is designed for those new to education, in the hope that it can unravel the difficulties in understanding and applying the common learning theories, whilst also creating opportunities for debate as to the best way they should be used.

Taylor D.C.M., Hamdy H. Adult learning theories: Implications for learning and teaching in medical education: AMEE Guide No. 83. Medical Teacher. 2013; 35: 11, el561-e1 572. DOI: http://dx.doi.org/10.3109/0142159X.2013.828153

Conflict of interests. The authors declare no conflict of interests.

References

· Ahlquist R. Manifestations of inequality: Overcoming resistance in a multicultural foundations course. In: Grant C., editor. Research and multicultural education. London: Falmer Press, 1992. P. 89–105.

· Anderson L.W., Kratwohl D.R. A taxonomy for learning, teaching and assessing: A revision of Bloom’s taxonomy of educational objectives. New York: Longman, 2001.

· Archer M.S. The reflexive imperative in late modernity. Cambridge: Cambridge University Press, 2012.

· Atherton J.S. Learning and teaching; Bloom’s taxonomy. 2011. [Online].

· [Accessed 19 March 2011]. Available from http://www.learningandteaching.info/learning/bloomtax.htm.

· Ausubel D. Educational psychologyy: A cognitive view. New York: Holt, Rinehart & Winston, 1968.

· Bandura A. Social learning theory. New York: General Learning press, 1977.

· Baskerville D., Goldblatt H. Learning to be a critical friend: From professional indifference through challenge to unguarded conversations. Camb J Educ. 2009; 39: 205–21.

· Belenky M.F., Clinchy B.M., Goldberger N.R., Tarule J.M. Women’s ways of knowing: The development of self, voice and mind. New York: Basic Books, 1997.

· Bernstein B. Pedagogy, symbolic control and identity: Theory, research, critique. Oxford: Rowman & Littlefield, 2000.

· Biggs J., Kember D., Leung D.Y.P. The revised two-factor study process questionnaire: R-SPQ-2F. Br J Educ Psychol. 2001; 71: 133–49.

· Bloom B.S., Engelhart M.D., Furst E.J., Hill W.H., Kratwohl D.R. Taxonomy of educational objectives: The classification of educational goals. Handbook I, Cognitive domain. New York: Longmans Green, 1956.

· Brookfield S.D. 2000. Transformative learning as ideology critique. In: Mezirow, Associates J, editors. Learning as transformation: Critical perspectives on a theory in progress. Kindle ed. San Fransisco, CA: Jossey-Bass Inc. P. 125–48.

· Bruner J. Toward a theory of instruction. Cambridge, MA: Belkap Press, 1966.

· Choi J., Hannafin M. Situated cognition and learning environments: Roles, structures and implications for design. Educ Technol Res Dev. 1995; 43: 53–69.

· Chomsky N. Reflections on language. New York: Pantheon Books, 1975.

· Coffield F., Moseley D., Hall E., Ecclestone K. Learning styles and pedagogy in post-16 learning: A systematic and critical review. London: The Learning and Skills Research Centre, 2004.

· Cross K. Adults as learners: Increasing participation and facilitating learning. San Fransisco, CA: Josset-Bass, 1981.

· Durning S.J., Artino A.R. Situativity theory: A perspective on how participants and the environment can interact: AMEE Guide no. 52. Med Teach. 2011; 33: 188–99.

· Duvivier R.J., Van Dalen J., Muijtjens A.M., Moulaert V.R.M.P., Van Der Vleuten C.P.M., Scherpbier A.J.J.A. The role of deliberate practice in the acquisition of clinical skills. BMC Med Educ. 2011; 11: 101.

· Ferguson K.J., Kreiter C.D. Assessing the relationship between peer and facilitator evaluations in case-based learning. Med Educ. 2007; 41: 906–8.

· Gagne R.M., Briggs L.J., Wagner W.W. Principles of instructional design. Orlando, FL: Harcourt Brace, 1992.

· Garrison D.R. Self-directed learning: Toward a comprehensive model. Adult Educ Quart. 1997; 48: 18–33.

· Hamdy H. Blueprinting for the assessment of health care professionals. Clin Teach. 2006; 3: 175–9.

· Hart R. Children’s participation: From tokenship to citizenship. Innocenti Essays No. 4. Florence, Italy: UNICEF, 1992.

· Hoban J.D., Lawson S.R., Mazmanian P.E., Best A.M., Seibel H.R. The selfdirected learning readiness scale: A factor analysis study. Med Educ. 2005. 39; 370–9.

· Jaques D. ABC of learning and teaching in medicine: Teaching small groups. Br Med J. 2003; 326: 492–4.

· Knowles M. The adult learner: A neglected species. Houston, TX: Gulf, 1988.

· Knowles M., Holton E.I., Swanson R. The adult learner: the definitive classic in adult education and human resource development. Burlington, MA: Elsevier, 2005.

· Kolb D. Experiental learning. Englewood Cliffs, NJ: Prentice-Hall, 1984.

· Kusurkar R.A., Ten Cate O.T.J. AM last page: Education is not filling a bucket, but lighting a fire: Self-determination theory and motivation in medical students. Acad Med. 2013; 88: 904.

· Land R., Meyer J.H.F., Smith J. Threshold concepts within the disciplines. Rotterdam and Taipei: Sense Publishers, 2008.

· Lave J., Wenger E. Situated learning: Legitimate peripheral participation. New York: Cambridge University Press, 1991.

· Locke J. An essay concerning human understanding. London: Thomas Basset, 1690.

· Loyens S.M.M., Magda J., Rikers R.M.J.P. Self-directed learning in problem-based learning and its relationships with self-regulated learning. Educ Psychol Rev. 2008; 20: 411–27.

· Luft J., Ingham H. The JoHari window, a graphic model of interpersonal awareness. Proceedings of the western training laboratory in group development. Los Angeles, CA: UCLA, 1955.

· Maslow A. Motivation and personality. New York, London: Harper and Row, 1954.

· Maudsley G. Medical students’ expectations and experience as learners in a problem-based curriculum: A ‘mixed methods’ research approach. Doctor of Medicine. Liverpool, UK: The University of Liverpool, 2005.

· Maudsley G., Taylor D.C.M. Learning professionalism in a problembased curriculum. In: Creuss R.L., Creuss S.R., Steinert Y., editors. Teaching medical professionalism. New York: Cambridge University Press, 2009. P. 211-24.

· Merriam S.B., Caffarella R.S., Baumgartner L.M. Learning in adulthood: A comprehensive guide. San Fransisco, CA: Jossey-Bass, 2007.

· Meyer J.H.F., Land R. Threshold concepts and troublesome knowledge: An introduction. In: Meyer J.H.F., Land R., editors. Overcoming barriers to student understanding: Threshold concepts and troublesome knowledge. London, UK: Routledge, 2006. P. 3-18.

· Meyer J.H.F., Land R., Baillie C. Threshold concepts and transformational learning. Rotterdam and Taipei: Sense Publishers, 2010.

· Mezirow J.E. Perspective transformation. Adult Education (USA). 1978; 28: 100-10.

· Mezirow J.E. Fostering critical reflection in adulthood: A guide to transformative and emancipatory learning. San Fransisco, CA: Jossey-Bass, 1990.

· Mezirow J.E. Transformative learning: Theory to practice. In: Welton M.R., editor. In defense of the lifeworld. New York: Suny Press., 1995. P. 36-70.

· Michaelsen L.K., Knight A.B., Fink L.D. Team based learning: A transformative use of small groups in college teaching. Sterling, VA: Stylus Publishing, 2002.

· Miller G.E. The assessment of clinical skills/competance/performance. Acad Med. 1990; 63: S63-S67.

· Newble D.I., Clarke R.M. The approaches to learning of students in a traditional and in an innovative problem-based medical school. Med Educ. 1986; 20: 267-73.

· Newble D.I., Entwistle N.J. Learning styles and approaches: Implications for medical education. Med Educ. 1986; 20: 162-75.

· Norman G., Eva K.W., Brooks L., Hamstra S. Expertise in medicine and surgery. In: Ericsson K.A., Charness N., Feltovich P.J., Hoffman R.R., editors. The Cambridge handbook of expertise and expert performance. Cambridge: Cambridge University Press. 2006. P. 339-53.

· Norman G.R. The adult learner: A mythical species. Acad Med. 1999; 74: 886-9.

· Norman G.R., Schmidt H.G. The psychological basis of problem-based learning: A review of the evidence. Acad Med. 1992; 67: 557-65.

· Perry Jr W.G. Forms of ethical and intellectual development in the college years. San Fransisco, CA: Jossey-Bass, 1999.

· Peters R. The concept of motivation. London: Routledge, 1966.

· Piaget J. The origins of intelligence in children. New York: International University Press, 1952.

· Regan-Smith M., Obenshain S., Woodwarth C., Richards B., Zeits H., Small P.J. Rote learning in medical school. J Am Med Assoc. 1994; 272: 1380-1.

· Ryan R.M., Deci E.L. Self-determination theory and facilitation of intrinsic motivation, social development and well being. Am Psychol. 2000; 55: 68-78.

· Schön D. The reflective practitioner: How professionals think in action. London: Temple Smith, 1983.

· Schön D. Educating the reflective practitioner. San Francisco, CA: Jossey-Bass, 1987.

· Skinner B. The science of learning and the art of teaching. Harvard Educ Rev. 1954; 24: 86-97.

· Sobral D.T. What kind of motivation drives medical students’ learning quests? Med Educ. 2004; 38: 950-7.

· Stein B., Littlefield J., Bransford J., Persampieri M. Elaboration and knowledge acquisition. Mem Cogn. 1984; 12: 522-9.

· Sungur S., Tekkaya C. Effects of problem-based learning and traditional instruction on self-regulated learning. J Educ Res. 2006; 99: 307-20.

· Taylor D.C.M., Miflin B. Problem-based learning: Where are we now? Med Teach. 2008; 30: 742-63.

· Ten Cate O.T.J., Kusurkar R.A., Williams G.C. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide No. 59. Med Teach. 2011; 33: 961-73.

· Thorndike E. Animal intelligence. New York: Macmillan, 1911.

· Vygotsky L. Mind in society: The development of higher psychological processes. Cambridge, MA: Harvard University Press, 1978.

· Vygotsky L.S. Interaction between learning and development (1978). In: Gauvin M., Cole M., editors. From Mind and Society. Readings on the development of children. New York, NY: W.H. Freeman and Company, Cambridge, MA; Harvard University Press, 1997. P. 79-91.

· Weiner B. Human motivation: Metaphors, theories, and research. Newbury Park, CA: SAGE, 1992.

· Wenger E. Communities of practice: Learning, meaning, and identity. New York, NY: Cambridge University Press, 1998.

· Wilson A.P. In: Merriam SB, editor. The promise of situated cognition An update on adult learning theory. San Fransisco, CA: Jossey-Bass., 1993.

· Yardley S., Teunissen P.W., Dornan T. Experiential learning: AMEE guide no. 63. Med Teach. 2012; 34: 102-5.

· Zimmerman B.J. Becoming a self-regulated learner: An overview. Theory Pract. 2002; 41: 64-70.

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CHIEF EDITOR
CHIEF EDITOR
Balkizov Zalim Zamirovich
Secretary General of the Russian Society of Medical Education Specialists, Director of the Institute of Training of Medical Education Specialists of the Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russian Federation, Professor of the Department of Vocational Education and Educational Technologies of the N.I. Pirogov RNIMU of the MOH of Russia, CEO of GEOTAR-Med, Advisor President of the National Medical Chamber, Moscow, Russian Federation

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