Objectives. To develop, implement, and assess a learner-centered approach to teaching a third-year pharmacotherapy course in a doctor of pharmacy (PharmD) program. Methods. The pharmacotherapy course was restructured according to the learner-centered approach. The Motivated Strategies for Learning Questionnaire (MSLQ) was administered to students before and after taking the course, and changes in MSLQ subscales from baseline were evaluated. Students' response to the learner-centered approach and characteristics associated with MSLQ scores were also evaluated.Results. Compared to baseline, students' intrinsic goal orientation control of learning beliefs, selfefficacy, critical thinking, and metacognitive self-regulation improved after taking the course. Students responded positively to the learner-centered approach. Additionally, students with a clinical practice career orientation or who prepared frequently for classes scored higher on several MSLQ domains. Conclusions. The learner-centered approach was effective in promoting several domains of motivation and learning strategies in a third-year pharmacotherapy course.Keywords: learner-centered teaching, pharmacotherapy, motivation, learning, Motivated Strategies for Learning Questionnaire, therapeutics
INTRODUCTIONGiven the rapid development of new technology and drugs, doctor of pharmacy (PharmD) students must be motivated to become lifelong learners rather than allowed to learn ''just what is necessary to pass the test'' if they are to provide quality care to their future patients.1 Numerous factors influence student motivation. While some research findings suggest that as students progress in their curriculum, they become more intrinsically motivated (ie, they are more interested in increasing understanding and achieving competence), 2 others suggest that during their first year, PharmD students' motivation shifts from a mastery orientation (defined as a ''desire to develop competence'' 3 ) to academic alienation (defined as ''no desire to develop or demonstrate competence'' 3 ). 1 In large classes, teacher attitudes and behavior, course structure, intrinsic factors, learning environment, and course content influence motivation. 4 However, whether specific education strategies affect students' motivation has not been studied extensively.Learner-centered teaching is an approach in which students have control over the learning process.5 With the learner-centered approach, instructors function as facilitators of learning rather than lecturers. In this way, ''teachers do less telling; students do more discovering. '' 5 The roles of the teacher in the learner-centered approach are to design the course such that it creates a climate for optimal learning; model the appropriate expected behavior for the students; encourage students to learn from and with each other; and provide more feedback throughout the process.5 Usually a menu of optional activities or assignments is presented to the students. In this way, the learner-centered method also gives students more...