Anatomy of learning: instructional design principles for the anatomical sciences.

Teaching anatomy is becoming increasingly challenging due to the progressive evolution of university teaching missions, student populations, medical and undergraduate curricula, coupled with a paucity of empirically tested evidence-based instructional practices in the anatomical and medical education literature. As a mechanism to confront these pedagogical challenges, recent advances in educational psychology are analyzed for developing a framework to guide educational reform efforts. Extensive research in educational psychology over the last 100 years has resulted in four major theories on human learning that have facilitated a paradigm shift from teacher-centered to learner-centered classrooms and are described here in temporal order of development: behavioral theory, information processing theory, metacognitive theory, and social constructivist theory. Each theory is analyzed in detail and is used to construct instructional design principles for enhancing anatomical education research and practice. An example of a cognitively based learning environment for an undergraduate anatomy course is presented. Preliminary results suggest that intentionally drawing on different theories of learning when making instructional decisions gave students the learning support they needed to be successful and nearly doubled the course's student retention rate over a 3-year period.

[1]  L. Vygotsky Mind in Society: The Development of Higher Psychological Processes: Harvard University Press , 1978 .

[2]  Keith E. Stanovich,et al.  Concepts in developmental theories of reading skill: Cognitive resources, automaticity, and modularity. , 1990 .

[3]  G R Norman,et al.  Issues in cognitive psychology: implications for professional education , 1996, Academic medicine : journal of the Association of American Medical Colleges.

[4]  John Sweller,et al.  Cognitive Load Theory: Instructional Implications of the Interaction between Information Structures and Cognitive Architecture , 2004 .

[5]  J. Sweller,et al.  Reducing cognitive load by mixing auditory and visual presentation modes , 1995 .

[6]  John P. Houston,et al.  Fundamentals of learning and memory , 1976 .

[7]  Diana H. J. M. Dolmans,et al.  The need for evidence in education , 2000 .

[8]  G. A. Miller THE PSYCHOLOGICAL REVIEW THE MAGICAL NUMBER SEVEN, PLUS OR MINUS TWO: SOME LIMITS ON OUR CAPACITY FOR PROCESSING INFORMATION 1 , 1956 .

[9]  Geoffrey B. Saxe,et al.  Culture and cognitive development , 1990 .

[10]  Herbert J. Walberg,et al.  Educational Psychology's First Century , 1992 .

[11]  P. Chandler,et al.  Cognitive Load Theory and the Format of Instruction , 1991 .

[12]  T. Shuell Cognitive Conceptions of Learning , 1986 .

[13]  Sybille K Lechner,et al.  Evaluation of Teaching and Learning Strategies , 2001, Medical education online.

[14]  George Sperling,et al.  The information available in brief visual presentations. , 1960 .

[15]  M. Pressley,et al.  But good strategy instructors are constructivists! , 1992 .

[16]  D. Halpern,et al.  Applying the Science of Learning to the University and Beyond: Teaching for Long-Term Retention and Transfer , 2003 .

[17]  Ann L. Brown Learning, remembering, and understanding , 1982 .

[18]  Richard E. Mayer,et al.  Cognition and Instruction: Their Historic Meeting within Educational Psychology. , 1992 .

[19]  R. Reynolds Selective attention and prose learning: Theoretical and empirical research , 1992 .

[20]  A. Collins,et al.  Situated Cognition and the Culture of Learning , 1989 .

[21]  B. Rogoff Apprenticeship in Thinking: Cognitive Development in Social Context , 1990 .

[22]  A. Collins,et al.  Cognition and learning. , 1996 .

[23]  William Perrotti,et al.  From college to clinic: Reasoning over memorization is key for understanding anatomy , 2002, The Anatomical record.

[24]  J. Sweller Instructional Design Consequences of an Analogy between Evolution by Natural Selection and Human Cognitive Architecture , 2004 .

[25]  L. Resnick,et al.  Knowing, Learning, and Instruction , 2018 .

[26]  Tarek M. Abdelhamid The Multidimensional Learning Model: A Novel Cognitive Psychology-Based Model for Computer Assisted Instruction in Order to Improve Learning in Medical Students , 1999 .

[27]  John W. Thomas Proficiency at academic studying , 1988 .

[28]  E. Thorndike The Principles of Teaching: Based on Psychology , 1999 .

[29]  J. Flavell Speculations about the nature and development of metacognition , 1987 .

[30]  Introduction to Memory Development During Childhood and Adolescence , 1997 .

[31]  P. Winne,et al.  Feedback and Self-Regulated Learning: A Theoretical Synthesis , 1995 .

[32]  Ann L. Brown Knowing When, Where, and How to Remember: A Problem of Metacognition. Technical Report No. 47. , 1977 .

[33]  Gregory Schraw,et al.  Metacognitive theories , 1995 .

[34]  C. Weinstein,et al.  Self-regulated learning: The interactive influence of metacognitive awareness and goal-setting , 1992 .

[35]  Sharon J. Derry,et al.  Cognitive schema theory in the constructivist debate , 1996 .

[36]  William G. Chase,et al.  Visual information processing. , 1977 .

[37]  Jeffrey T Laitman,et al.  The new face of gross anatomy , 2002, The Anatomical record.

[38]  J. Cust,et al.  Recent cognitive perspectives on learning--implications for nurse education. , 1995, Nurse education today.

[39]  Marilla D. Svinicki,et al.  New Directions in Learning and Motivation. , 1999 .

[40]  P. Slade,et al.  Depth of information processing and memory for medical facts , 1995 .

[41]  R. Bruning Cognitive Psychology and Instruction , 1998 .

[42]  Anastasia S. Morrone,et al.  Theoretical Eclecticism in the College Classroom , 2005 .

[43]  B G Breitmeyer,et al.  Implications of sustained and transient channels for theories of visual pattern masking, saccadic suppression, and information processing. , 1976, Psychological review.

[44]  H. Swanson Influence of Metacognitive Knowledge and Aptitude on Problem Solving. , 1990 .

[45]  M. E. Gredler,et al.  Learning and Instruction: Theory into Practice , 1986 .

[46]  Wolfgang Schneider,et al.  Memory Development Between 2 and 20 , 1988 .

[47]  Andy C. Reese,et al.  Implications Of Results From Cognitive Science Research For Medical Education , 1998 .

[48]  Gregory Schraw Promoting general metacognitive awareness , 1998 .

[49]  R. Evans,et al.  Reliability of the "Draw-a-Man" test. , 1975 .

[50]  E. Gagné The cognitive psychology of school learning , 1985 .

[51]  M. Chandler,et al.  The Cognitive Psychology of Knowledge: Basic Research Findings and Educational Implications , 1991 .

[52]  F. Paas,et al.  Cognitive Architecture and Instructional Design , 1998 .

[53]  F. Craik,et al.  Levels of Pro-cessing: A Framework for Memory Research , 1975 .

[54]  Robert L. Greene,et al.  Human Memory: Paradigms and Paradoxes , 1992 .

[55]  L. Gruppen Implications of cognitive research for ambulatory care education , 1997, Academic medicine : journal of the Association of American Medical Colleges.

[56]  J. Sweller,et al.  Cognitive Load Theory and Complex Learning: Recent Developments and Future Directions , 2005 .

[57]  Patrick C. Kyllonen,et al.  Reasoning ability is (little more than) working-memory capacity?! , 1990 .

[58]  N. Cowan Attention and Memory: An Integrated Framework , 1995 .

[59]  R. M. Harden,et al.  Best evidence medical education (BEME): a plan for action , 2000 .

[60]  A. King From Sage on the Stage to Guide on the Side , 1993 .

[61]  J. Tagg,et al.  From Teaching to Learning — A New Paradigm For Undergraduate Education , 1995 .

[62]  Richard E. Mayer,et al.  Learners as information processors: Legacies and limitations of educational psychology's second.. , 1996 .

[63]  Michelene T. H. Chi,et al.  Expertise in Problem Solving. , 1981 .