This study investigates the ways in which medical students' achievement goal orientations (AGO) affect their perceptions of learning and actual learning from an online problem-based learning environment, Calibrated Peer Review tM . First, the tenability of a four-factor model (Elliot & McGregor, 2001) of AGO was tested with data collected from medical students (N = 137). Then, a structural regression model relating the factors of AGO to students' perceptions of grading fairness, judgments of learning, and scoring accuracy was tested. The results indicate that student engagement and success in diagnosing a patient's presentation using a peer feedback-rich web-based PBL environment is somewhat dependent on student motivation. Theoretical and practical implications, in terms of problem-based learning environments in medical education, are discussed.Keywords: medical education, achievement goal orientation, mastery goals, performance goals, judgments of learning, grading fairness, PBL, patient notes, structural equation modeling, Calibrated Peer Review
IntroductionThe motivation for learning in problem-based learning (PBL) has been well researched at the level of the tutorial group where students are motivated to learn by interactive discussion of an interesting problem (Dolmans & Schmidt, 2006). This study looks at individual motivation to achieve in a PBL setting using an electronic learning platform. Calibrated Peer Review tM (CPR) is a web-based, writing-centered learning and peer-evaluation system that can be adapted for use in any discipline (Chapman & Fiore, 2001). The use of CPR in the current study engaged students in the learning processes characteristic of problem-based learning (PBL), including providing an authentic simulated experience modeling professional practice with high-fidelity, engagement in ill-defined problem solving, and reflection (Barrows, 1996). CPR is an example of how PBL can be used in an online context; additionally, since it provides an electronic record, it has the potential to provide insight into both the learning processes and achievement outcomes of PBL.In this study, CPR was used for medical students' note writing about patients during an Objective Structured Clinical Exam (OSCE). Research suggests that the way that students approach PBL environments might be affected by motivational characteristics, such as achievement goal orientation (Crommelinck & Anseel, 2013;Scott, 2014; teunissen et al., 2009). The purpose of this investigation was to test whether achievement goal orientation is predictive of motivational and learning processes occurring during CPR cases, including perceptions of grade fairness, judgments of learning, and scoring accuracy.
Problem-Based Learning and Calibrated Peer ReviewProblem-based learning (PBL) has been utilized in medical education for nearly a half-century, in order to provide a more student-centered learning environment compared to the traditional lecture-based curricula (Barrows, 1996); and although results are mixed, some research indicates th...