Friday, October 11, 2013

Learning and teaching veterinary science in the age of information overload

How do you learn veterinary science well, and how on earth do you teach well, when there is so much information to wrestle with?
As a lecturer I am frequently asked for study tips and strategies by veterinary students. However, earlier this year I was informed by one student that she had found the Holy Grail: a book entitled How to Study in Medical School by Armin Kamyab.

I critiqued this book (read the post here) on the grounds that I felt it placed far too much emphasis on memorising everything taught, leaving little room to acquire experience in what is an overwhelmingly hands-on field.

Kamyab's system is based on several problematic assumptions, one of which is that everything taught in the medical curriculum is worthy of equal consideration, equal revision and hopefully absorption. Discipline, he argues, is the answer.

But if we extend this to the veterinary curriculum, my own experience tells me that discipline is not enough. What happens when we reach capacity, or information overload?

In 1980 – well before the internet, social media and any form of portable telecommunication – Anderson & Graham raised concerns about the impact of information overload on medical education. They performed a loose analysis of the amount of information taught in the medical curriculum and determined that undergraduate medical students had to assimilate 27,000 facts and 25,500 concepts in their clinical or senior years (roughly 9 facts or concepts per hour).

The authors concluded that there was a need to establish the “best and most efficient means of transmitting and assimilating information” (Anderson & Graham, 1980). That was 23 years ago. Surveys of veterinary students at Murdoch University and the University of Queensland identified information overload as a major stressor (Williams et al., 2005; McLennan & Sutton, 2005). But it isn’t just undergraduates suffering under the weight of too much information (read the late Dr Lee Lipsenthal's arguments in this post).

Graduates, too, are struggling with the onslaught of new research, new technologies, new techniques and aggressive marketing of veterinary continuing education (every week there seems to be a new provider springing up somewhere).

An old tree near the Main Quad at the University of Sydney.
According to some, the rate of information overload is no longer relevant. Veterinary educators long ago recognised the inadequacies of the traditional assumptions underpinning undergraduate teaching (Bushby, 1994, see table 1).

Table 1. Rules defining traditional veterinary medical education
Assumptions underpinning curriculum...
Problems with that assumption...
There is a core of information that must be learned.
No two teachers agree on the core;
The core is difficult to refine (one attempt resulted in a program consisting of 216,000 objectives or one fact every six minutes
Teachers will tell the student what they must know.
Assumes that teachers know what needs to be learned;
Assumes students are passive, surface learners.
Teachers must cover the material.
If students don’t learn it is their fault; teachers are dissociated from the learning process.
The teacher determines the organisation of material and method of instruction.
The student plays no role in deciding how the material is organised or learned.
With sufficient knowledge students will learn to think
Students do not feel in control of learning and are only exposed to critical thinking late in the course.
The only valuable information is that which is stored in your head.
Memorisation, superficial understanding and guessing are rewarded; exploration, inquiry, thoroughness and reliability are penalised.
Adapted from Bushby (1994).

The argument against the traditional model is compelling, yet my own experience as a veterinary undergraduate – and feedback from my students – tells me that we have significant attachment to this model.

The most compelling evidence, to me, was interviewing students last semester as part of my Graduate Certificate in Educational Studies (if you're interested in this course visit here). 

When I interviewed veterinary students last semester about learning, 100 per cent stated that they had learned something when they had memorised it. Not when they could explain it, no mention even of applying that morsel of knowledge. On Saljo’s hierarchy of learning, these excellent students only reached the middle. And memorising something is far different from applying it. 

One of my lecturers once said that "vet school is wasted on vet students", i.e. they don't have a context to hang those factoids they are learning, nor an appreciation of their relative importance, so it doesn't make sense til they graduate by which time they've forgotten a large proportion of said factoids. I got what he meant - but does it have to be that way? If we move away from the assumptions that to be a good vet you need to memorise every fact taught in vet school, and good veterinary teachers teach good veterinary facts, what are we left with?

[Sorry for the cliffhanger, but this is a topic I will be posting on further. I am genuinely keen to hear from students, veterinary educators and vets about their take on the problem - is it really a problem? How do you learn? What is a good teacher and how can we teach veterinary science best? Send me an email or post a comment].

References:


Anderson J and Graham A (1980) A problem in medical education: is there an information overload? Medical Education 14:4-7.

Bushby P (1994) Tackling the knowledge explosion without overloading the student. Australian Veterinary Journal 71:372-374.

McLennan MW and Sutton RH (2005) Stress in veterinary science students: a study at the University of Queensland. Journal of Veterinary Medical Education 32(2):213-218.

Trigwell K (2001) Judging university teaching. International Journal for Academic Development 6:1, 65-73.

Viner B (2010) Success in Veterinary Practice: Maximising Clinical Outcomes and Personal Well-Being. Oxford: Wiley & Sons.

Williams SM, Arnold PK, Mills JN (2005) Coping with stress: a survey of Murdoch University Veterinary Students.

1 comment:

  1. Oh god, I wish I could remember all the facts I learned in vet school. But I was told in my first job that "not looking is worse than not knowing" and I still think that's really relevant. NO ONE can know everything, and unless you have a very rare photographic memory, chances are you won't know a lot of things.
    It took years before I felt confident enough to say to a client " you know, i don't know, but I'll consult with a colleague/specialist etc and get back to you", rather than make up a convinent excuse to go out the back and check a book.
    - but it should be something we are taught to always say when we don't know - it's more about knowing where to look, or who to ask and then applying that knowledge intelligently. My 5c

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