literature review on teaching methodologies

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Teaching and Learning Research Methodologies in Education: A Systematic Literature Review

Education Sciences

This study aims to contribute to understanding of the state of the art regarding the pedagogical cultures associated with teaching and learning research methods in advanced studies education through the identification of trends and pitfalls. The rationale behind this objective is the recognition that most of the research in education comes from academic programmes, in particular master’s and doctoral programmes, which generally include research methods as components. A systematic literature review was adopted as the research methodology, following the PRISMA model. Three stages of article selection were implemented, resulting in the selection of 68 studies out of an initial set of 3631 articles found in the main journal databases. Three specific dimensions were addressed: (i) methodological knowledge, (ii) research competencies, and (iii) pedagogical practices in teaching research methods in education programmes. The results illustrate the complexity of the subject. Learners are con...

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A Review of the Literature on Teacher Effectiveness and Student Outcomes

Nathan Burroughs 25 ,
Jacqueline Gardner 26 ,
Youngjun Lee 27 ,
Siwen Guo 28 ,
Israel Touitou 29 ,
Kimberly Jansen 30 &
William Schmidt 31
Open Access
First Online: 24 May 2019

143k Accesses

38 Citations

74 Altmetric

Part of the book series: IEA Research for Education ((IEAR,volume 6))

Researchers agree that teachers are one of the most important school-based resources in determining students’ future academic success and lifetime outcomes, yet have simultaneously had difficulties in defining what teacher characteristics make for an effective teacher. This chapter reviews the large body of literature on measures of teacher effectiveness, underscoring the diversity of methods by which the general construct of “teacher quality” has been explored, including experience, professional knowledge, and opportunity to learn. Each of these concepts comprises a number of different dimensions and methods of operationalizing. Single-country research (and particularly research from the United States) is distinguished from genuinely comparative work. Despite a voluminous research literature on the question of teacher quality, evidence for the impact of teacher characteristics (experience and professional knowledge) on student outcomes remains quite limited. There is a smaller, but more robust set of findings for the effect of teacher support on opportunity to learn. Five measures may be associated with higher student achievement: teacher experience (measured by years of teaching), teacher professional knowledge (measured by education and self-reported preparation to teach mathematics), and teacher provision of opportunity to learn (measured by time on mathematics and content coverage). These factors provide the basis for a comparative cross-country model.

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2.1 Defining Teacher Effectiveness

Researchers agree that teachers are one of the most important school-based resources in determining students’ future academic success and lifetime outcomes (Chetty et al. 2014 ; Rivkin et al. 2005 ; Rockoff 2004 ). As a consequence, there has been a strong emphasis on improving teacher effectiveness as a means to enhancing student learning. Goe ( 2007 ), among others, defined teacher effectiveness in terms of growth in student learning, typically measured by student standardized assessment results. Chetty et al. ( 2014 ) found that students taught by highly effective teachers, as defined by the student growth percentile (SGPs) and value-added measures (VAMs), were more likely to attend college, earn more, live in higher-income neighborhoods, save more money for retirement, and were less likely to have children during their teenage years. This potential of a highly effective teacher to significantly enhance the lives of their students makes it essential that researchers and policymakers properly understand the factors that contribute to a teacher’s effectiveness. However, as we will discuss in more detail later in this report, studies have found mixed results regarding the relationships between specific teacher characteristics and student achievement (Wayne and Youngs 2003 ). In this chapter, we explore these findings, focusing on the three main categories of teacher effectiveness identified and examined in the research literature: namely, teacher experience, teacher knowledge, and teacher behavior. Here we emphasize that much of the existing body of research is based on studies from the United States, and so the applicability of such national research to other contexts remains open to discussion.

2.2 Teacher Experience

Teacher experience refers to the number of years that a teacher has worked as a classroom teacher. Many studies show a positive relationship between teacher experiences and student achievement (Wayne and Youngs 2003 ). For example, using data from 4000 teachers in North Carolina, researchers found that teacher experience was positively related to student achievement in both reading and mathematics (Clotfelter et al. 2006 ). Rice ( 2003 ) found that the relationship between teacher experience and student achievement was most pronounced for students at the secondary level. Additional work in schools in the United States by Wiswall ( 2013 ), Papay and Kraft ( 2015 ), and Ladd and Sorenson ( 2017 ), and a Dutch twin study by Gerritsen et al. ( 2014 ), also indicated that teacher experience had a cumulative effect on student outcomes.

Meanwhile, other studies have failed to identify consistent and statistically significant associations between student achievement and teacher experience (Blomeke et al. 2016 ; Gustaffsson and Nilson 2016 ; Hanushek and Luque 2003 ; Luschei and Chudgar 2011 ; Wilson and Floden 2003 ). Some research from the United States has indicated that experience matters very much early on in a teacher’s career, but that, in later years, there were little to no additional gains (Boyd et al. 2006 ; Rivkin et al. 2005 ; Staiger and Rockoff 2010 ). In the first few years of a teacher’s career, accruing more years of experience seems to be more strongly related to student achievement (Rice 2003 ). Rockoff ( 2004 ) found that, when comparing teacher effectiveness (understood as value-added) to student test scores in reading and mathematics, teacher experience was positively related to student mathematics achievement; however, such positive relationships leveled off after teachers had gained two years of teaching experience. Drawing on data collected from teachers of grades four to eight between 2000 and 2008 within a large urban school district in the United States, Papay and Kraft ( 2015 ) confirmed previous research on the benefits experience can add to a novice teacher’s career. They found that student outcomes increased most rapidly during their teachers’ first few years of employment. They also found some further student gains due to additional years of teaching experience beyond the first five years. The research of Pil and Leana ( 2009 ) adds additional nuance; they found that acquiring teacher experience at the same grade level over a number of years, not just teacher experience in general (i.e. at multiple grades), was positively related to student achievement.

2.3 Teacher Professional Knowledge

A teacher’s professional knowledge refers to their subject-matter knowledge, curricular knowledge, and pedagogical knowledge (Collinson 1999 ). This professional knowledge is influenced by the undergraduate degrees earned by a teacher, the college attended, graduate studies undertaken, and opportunities to engage with on-the job training, commonly referred to as professional development (Collinson 1999 ; Rice 2003 ; Wayne and Youngs 2003 ). After undertaking in-depth quantitative analyses of the United States’ 1993–1994 Schools and Staffing Survey (SASS) and National Assessment of Educational Progress (NAEP) data sets, Darling-Hammond ( 2000 ) argued that measures of teacher preparation and certification were by far the strongest correlates of student achievement in reading and mathematics, after controlling for student poverty levels and language status.

As with experience, research on the impact of teacher advanced degrees, subject specializations, and certification has been inconclusive, with several studies (Aaronson et al. 2007 ; Blomeke et al. 2016 ; Hanushek and Luque 2003 ; Harris and Sass 2011 ; Luschei and Chudgar 2011 ) suggesting weak, inconsistent, or non-significant relationships with student achievement. However, several international studies comparing country means found that teacher degrees (Akiba et al. 2007 ; Gustaffsson and Nilson 2016 ; Montt 2011 ) were related to student outcomes, as did Woessman’s ( 2003 ) student-level study of multiple countries.

2.3.1 Undergraduate Education

In their meta-analysis of teacher effectiveness, Wayne and Youngs ( 2003 ) found three studies that showed some relationship between the quality of the undergraduate institution that a teacher attended and their future students’ success in standardized tests. In a thorough review of the research on teacher effectiveness attributes, Rice ( 2003 ) found that the selectivity of undergraduate institution and the teacher preparation program may be related to student achievement for students at the high school level and for high-poverty students.

In terms of teacher preparation programs, Boyd et al. ( 2009 ) found that overall these programs varied in their effectiveness. In their study of 31 teacher preparation programs designed to prepare teachers for the New York City School District, Boyd et al. ( 2009 ) drew from data based on document analyses, interviews, surveys of teacher preparation instructors, surveys of participants and graduates, and student value-added scores. They found that if a program was effective in preparing teachers to teach one subject, it tended to also have success in preparing teachers to teach other subjects as well. They also found that teacher preparation programs that focused on the practice of teaching and the classroom, and provided opportunities for teachers to study classroom practices, tended to prepare more effective teachers. Finally, they found that programs that included some sort of final project element (such as a personal research paper, or portfolio presentation) tended to prepare more effective teachers.

Beyond the institution a teacher attends, the coursework they choose to take within that program may also be related to their future students’ achievement. These associations vary by subject matter. A study by Rice ( 2003 ) indicated that, for teachers teaching at the secondary level, subject-specific coursework had a greater impact on their future students’ achievement. Similarly Goe ( 2007 ) found that, for mathematics, an increase in the amount of coursework undertaken by a trainee teacher was positively related to their future students’ achievement. By contrast, the meta-analysis completed by Wayne and Youngs ( 2003 ) found that, for history and English teachers, there was no evidence of a relationship between a teacher’s undergraduate coursework and their future students’ achievement in those subjects.

2.3.2 Graduate Education

In a review of 14 studies, Wilson and Floden ( 2003 ) were unable to identify consistent relationships between a teacher’s level of education and their students’ achievement. Similarly, in their review of data from 4000 teachers in North Carolina, Clotfelter et al. ( 2006 ) found that teachers who held a master’s degree were associated with lower student achievement. However, specifically in terms of mathematics instruction, teachers with higher degrees and who undertook more coursework during their education seem to be positively related to their students’ mathematics achievement (Goe 2007 ). Likewise, Harris and Sass ( 2011 ) found that there was a positive relationship between teachers who had obtained an advanced degree during their teaching career and their students’ achievement in middle school mathematics. They did not find any significant relationships between advanced degrees and student achievement in any other subject area. Further, using data from the United States’ Early Childhood Longitudinal Study (ECLS-K), Phillips ( 2010 ) found that subject-specific graduate degrees in elementary or early-childhood education were positively related to students’ reading achievement gains.

2.3.3 Certification Status

Another possible indicator of teacher effectiveness could be whether or not a teacher holds a teaching certificate. Much of this research has focused on the United States, which uses a variety of certification approaches, with lower grades usually having multi-subject general certifications and higher grades requiring certification in specific subjects. Wayne and Youngs ( 2003 ) found no clear relationship between US teachers’ certification status and their students’ achievement, with the exception of the subject area of mathematics, where students tended have higher test scores when their teachers had a standard mathematics certification. Rice ( 2003 ) also found that US teacher certification was related to high school mathematics achievement, and also found that there was some evidence of a relationship between certification status and student achievement in lower grades. Meanwhile, in their study of grade one students, Palardy and Rumberger ( 2008 ) also found evidence that students made greater gains in reading ability when taught by fully certified teachers.

In a longitudinal study using data from teachers teaching grades four and five and their students in the Houston School District in Texas, Darling-Hammond et al. ( 2005 ) found that those teachers who had completed training that resulted in a recognized teaching certificate were more effective that those who had no dedicated teaching qualifications. The study results suggested that teachers without recognized US certification or with non-standard certifications generally had negative effects on student achievement after controlling for student characteristics and prior achievement, as well as the teacher’s experience and degrees. The effects of teacher certification on student achievement were generally much stronger than the effects for teacher experience. Conversely, analyzing data from the ECLS-K, Phillips ( 2010 ) found that grade one students tended to have lower mathematics achievement gains when they had teachers with standard certification. In sum, the literature the influence of teacher certification remains deeply ambiguous.

2.3.4 Professional Development

Although work by Desimone et al. ( 2002 , 2013 ) suggested that professional development may influence the quality of instruction, most researchers found that teachers’ professional development experiences showed only limited associations with their effectiveness, although middle- and high-school mathematics teachers who undertook more content-focused training may be the exception (Blomeke et al. 2016 ; Harris and Sass 2011 ). In their meta-analysis of the effects of professional development on student achievement, Blank and De Las Alas ( 2009 ) found that 16 studies reported significant and positive relationships between professional development and student achievement. For mathematics, the average effect size of studies using a pre-post assessment design was 0.21 standard deviations.

Analyzing the data from six data sets, two from the Beginning Teacher Preparation Survey conducted in Connecticut and Tennessee, and four from the United States National Center for Education Statistics’ National Assessment of Educational Progress (NAEP), Wallace ( 2009 ) used structural equation modeling to find that professional development had a very small, but occasionally statistically significant effect on student achievement. She found, for example, that for NAEP mathematics data from the year 2000, 1.2 additional hours of professional development per year were related to an increase in average student scores of 0.62 points, and for reading, an additional 1.1 h of professional development were related to an average increase in student scores of 0.24 points. Overall, Wallace ( 2009 ) identified professional development had moderate effects on teacher practice and some small effects on student achievement when mediated by teacher practice.

2.3.5 Teacher Content Knowledge

Of course, characteristics like experience and education may be imperfect proxies for teacher content knowledge; unfortunately, content knowledge is difficult to assess directly. However, there is a growing body of work suggesting that teacher content knowledge may associated with student learning. It should be noted that there is an important distinction between general content knowledge about a subject (CK) and pedagogical content knowledge (PCK) specifically related to teaching that subject, each of which may be independently related to student outcomes (Baumert et al. 2010 ).

Studies from the United States (see for example, Chingos and Peterson 2011 ; Clotfelter et al. 2006 ; Constantine et al. 2009 ; Hill et al. 2005 ; Shuls and Trivitt 2015 ) have found some evidence that higher teacher cognitive skills in mathematics are associated with higher student scores. Positive associations between teacher content knowledge and student outcomes were also found in studies based in Germany (Baumert et al. 2010 ) and Peru (Metzler and Woessman 2012 ), and in a comparative study using Programme for the International Assessment of Adult Competencies (PIAAC) data undertaken by Hanushek et al. ( 2018 ). These findings are not universal, however, other studies from the United States (Blazar 2015 ; Garet et al. 2016 ; Rockoff et al. 2011 ) failed to find a statistically significant association between teacher content knowledge and student learning.

The studies we have discussed all used some direct measure of teacher content knowledge. An alternative method of assessing mathematics teacher content knowledge is self-reported teacher preparation to teach mathematics topics. Both TIMSS and IEA’s Teacher Education and Development Study in Mathematics (TEDS-M, conducted in 2007–2008) have included many questions, asking teachers to report on their preparedness to teach particular topics. Although Luschei and Chudgar ( 2011 ) and Gustafsson and Nilson ( 2016 ) found that these items had a weak direct relationship to student achievement across countries, other studies have suggested that readiness is related to instructional quality (Blomeke et al. 2016 ), as well as content knowledge and content preparation (Schmidt et al. 2017 ), suggesting that instructional quality may have an indirect effect on student learning.

2.4 Teacher Behaviors and Opportunity to Learn

Although the impact of teacher characteristics (experience, education, and preparedness to teach) on student outcomes remains an open question, there is much a much more consistent relationship between student achievement and teacher behaviors (instructional time and instructional content), especially behaviors related instructional content. Analyzing TIMSS, Schmidt et al. ( 2001 ) found an association between classroom opportunity to learn (OTL), interpreted narrowly as student exposure to instructional content, and student achievement. In a later study using student-level PISA data, Schmidt et al. ( 2015 ) identified a robust relationship between OTL and mathematics literacy across 62 different educational systems. The importance of instructional content has been recognized by national policymakers, and has helped motivate standards-based reform in an effort to improve student achievement, such as the Common Core in the United States (Common Core Standards Initiative 2018 ). However, we found that there was little research on whether teacher instructional content that aligned with national standards had improved student learning; the only study that we were able to identify found that such alignment had only very weak associations with student mathematics scores (Polikoff and Porter 2014 ). Student-reported data indicates that instructional time (understood as classroom time on a particular subject) does seem to be related to mathematics achievement (Cattaneo et al. 2016 ; Jerrim et al. 2017 ; Lavy 2015 ; Rivkin and Schiman 2015 ; Woessman 2003 ).

2.5 Conclusion

This review of the literature simply brushes the surface of the exceptional body of work on the relationship between student achievement and teacher characteristics and behaviors. Whether analyzing US-based, international, or the (limited) number of comparative studies, the associations between easily measurable teacher characteristics, like experience and education, and student outcomes in mathematics, remains debatable. In contrast, there is more evidence to support the impact of teacher behaviors, such as instructional content and time on task, on student achievement. Our goal was to incorporate all these factors into a comparative model across countries, with the aim of determining what an international cross-national study like TIMSS could reveal about the influence of teachers on student outcomes in mathematics. The analysis that follows draws on the existing body of literature on teacher effectiveness, which identified key teacher factors that may be associated with higher student achievement: teacher experience, teacher professional knowledge (measured by education and self-reported preparation to teach mathematics), and teacher provision of opportunity to learn (time on mathematics and content coverage).

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Burroughs, N. et al. (2019). A Review of the Literature on Teacher Effectiveness and Student Outcomes. In: Teaching for Excellence and Equity. IEA Research for Education, vol 6. Springer, Cham. https://doi.org/10.1007/978-3-030-16151-4_2

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J Adv Med Educ Prof
v.4(4); 2016 Oct

Effective Teaching Methods in Higher Education: Requirements and Barriers

Nahid shirani bidabadi.

1 Psychology and Educational Sciences School, University of Isfahan, Isfahan, Iran;

AHMMADREZA NASR ISFAHANI

Amir rouhollahi.

2 Department of English, Management and Information School, Isfahan University of Medical Science, Isfahan, Iran;

ROYA KHALILI

3 Quality Improvement in Clinical Education Research Center, Education Development Center, Shiraz University of Medical Sciences, Shiraz, Iran

Introduction:

Teaching is one of the main components in educational planning which is a key factor in conducting educational plans. Despite the importance of good teaching, the outcomes are far from ideal. The present qualitative study aimed to investigate effective teaching in higher education in Iran based on the experiences of best professors in the country and the best local professors of Isfahan University of Technology.

This qualitative content analysis study was conducted through purposeful sampling. Semi-structured interviews were conducted with ten faculty members (3 of them from the best professors in the country and 7 from the best local professors). Content analysis was performed by MAXQDA software. The codes, categories and themes were explored through an inductive process that began from semantic units or direct quotations to general themes.

According to the results of this study, the best teaching approach is the mixed method (student-centered together with teacher-centered) plus educational planning and previous readiness. But whenever the teachers can teach using this method confront with some barriers and requirements; some of these requirements are prerequisite in professors' behavior and some of these are prerequisite in professors’ outlook. Also, there are some major barriers, some of which are associated with the professors’ operation and others are related to laws and regulations. Implications of these findings for teachers’ preparation in education are discussed.

Conclusion:

In the present study, it was illustrated that a good teaching method helps the students to question their preconceptions, and motivates them to learn, by putting them in a situation in which they come to see themselves as the authors of answers, as the agents of responsibility for change. But training through this method has some barriers and requirements. To have an effective teaching; the faculty members of the universities should be awarded of these barriers and requirements as a way to improve teaching quality. The nationally and locally recognized professors are good leaders in providing ideas, insight, and the best strategies to educators who are passionate for effective teaching in the higher education. Finally, it is supposed that there is an important role for nationally and locally recognized professors in higher education to become more involved in the regulation of teaching rules.

Introduction

Rapid changes of modern world have caused the Higher Education System to face a great variety of challenges. Therefore, training more eager, thoughtful individuals in interdisciplinary fields is required ( 1 ). Thus, research and exploration to figure out useful and effective teaching and learning methods are one of the most important necessities of educational systems ( 2 ); Professors have a determining role in training such people in the mentioned field ( 3 ). A university is a place where new ideas germinate; roots strike and grow tall and sturdy. It is a unique space, which covers the entire universe of knowledge. It is a place where creative minds converge, interact with each other and construct visions of new realities. Established notions of truth are challenged in the pursuit of knowledge. To be able to do all this, getting help from experienced teachers can be very useful and effective.

Given the education quality, attention to students’ education as a main product that is expected from education quality system is of much greater demand in comparison to the past. There has always been emphasis on equal attention to research and teaching quality and establishing a bond between these two before making any decision; however, studies show that the already given attention to research in universities does not meet the educational quality requirements.

Attention to this task in higher education is considered as a major one, so in their instruction, educators must pay attention to learners and learning approach; along with these two factors, the educators should move forward to attain new teaching approaches. In the traditional system, instruction was teacher-centered and the students’ needs and interests were not considered. This is when students’ instruction must change into a method in which their needs are considered and as a result of the mentioned method active behavior change occurs in them ( 4 ). Moreover, a large number of graduated students especially bachelor holders do not feel ready enough to work in their related fields ( 5 ). Being dissatisfied with the status quo at any academic institution and then making decision to improve it require much research and assistance from the experts and pioneers of that institute. Giving the aforementioned are necessary, especially in present community of Iran; it seems that no qualitative study has ever been carried out in this area drawing on in-depth reports of recognized university faculties; therefore, in the present study the new global student-centered methods are firstly studied and to explore the ideas of experienced university faculties, some class observations and interviews were done. Then, efficient teaching method and its barriers and requirements were investigated because the faculty ideas about teaching method could be itemized just through a qualitative study.

The study was conducted with a qualitative method using content analysis approach. The design is appropriate for this study because it allows the participants to describe their experiences focusing on factors that may improve the quality of teaching in their own words. Key participants in purposeful sampling consist of three nationally recognized professors introduced based on the criteria of Ministry of Science, Research and Technology (based on education, research, executive and cultural qualifications) and seven other locally recognized professors according to Isfahan University of Technology standards and students votes. The purposive sampling continued until the saturation was reached, i.e. no further information was obtained for the given concept. All the participants had a teaching experience of above 10 years ( Table 1 ). They were first identified and after making appointments, they were briefed about the purpose of the study and they expressed their consent for the interview to be performed. The lack of female nationally recognized professors among respondents (due to lack of them) are restrictions of this research.

The participants’ characteristics

The data were collected using semi-structured in-depth interviews. Interviews began with general topics, such as “Talk about your experiences in effective teaching” and then the participants were asked to describe their perceptions of their expertise. Probing questions were also used to deeply explore conditions, processes, and other factors that the participants recognized as significant. The interview process was largely dependent on the questions that arose in the interaction between the interviewer and interviewees.

In the process of the study, informed consent was obtained from all the participants and they were ensured of the anonymity of their responses and that the audio files will be removed after use; then, after obtaining permission from the participants, the interview was recorded and transcribed verbatim immediately. The interviews were conducted in a private and quiet place and in convenient time. Then, verification of documents and coordination for subsequent interviews were done. The interviews lasted for one hour on average and each interview was conducted in one session with the interviewer’s notes or memos and field notes. Another method of data collection in this study was an unstructured observation in the educational setting. The investigator observed the method of interactions among faculty members and students. The interviews were conducted from November 2014 to April 2015. Each participant was interviewed for one or two sessions. The mean duration of the interviews was 60 minutes. To analyze the data, we used MAXQDA software (version 10, package series) for indexing and charting. Also, we used qualitative content analysis with a conventional approach to analyze the data. The data of the study were directly collected from the experiences of the study participants. The codes, categories and themes were explored through an inductive process, in which the researchers moved from specific to general. The consequently formulated concepts or categories were representative of the participants’ experiences. In content analysis at first, semantic units should be specified, and then the related codes should be extracted and categorized based on their similarities. Finally, in the case of having a high degree of abstraction, the themes can be determined. In the conventional approach, the use of predetermined classes is avoided and classes and their names are allowed to directly come out of the data. To do so, we read the manuscripts and listened to the recorded data for several times until an overall sense was attained. Then, the manuscript was read word by word and the codes were extracted. At the same time, the interviews were continued with other participants and coding of the texts was continued and sub-codes were categorized within the general topics. Then, the codes were classified in categories based on their similarities ( 6 ). Finally, by providing a comprehensive description about the topics, participants, data collection and analysis procedures and limitations of the study, we intend to create transferability so that other researchers clearly follow the research process taken by the researchers.

To improve the accuracy and the rigor of the findings, Lincoln and Cuba’s criteria, including credibility, dependability, conformability, and transferability, were used ( 7 ). To ensure the accuracy of the data, peer review, the researchers’ acceptability, and the long and continuing evaluation through in-depth, prolonged, and repeated interviews and the colleague’s comments must be used ( 8 ). In addition, the findings were repeatedly assessed and checked by supervisors (expert checking) ( 9 ). In this research, the researcher tried to increase the credibility of the data by keeping prolonged engagement in the process of data collection. Then, the accuracy of data analysis was confirmed by one specialist in the field of qualitative research and original codes were checked by some participants to compare the findings with the participants’ experiences. To increase the dependability and conformability of data, maximum variation was observed in the sampling. In addition, to increase the power of data transferability, adequate description of the data was provided in the study for critical review of the findings by other researchers.

Ethical considerations

The aim of the research and interview method was explained to the participants and in the process of the study, informed consent was obtained from all the participants and they were ensured of the anonymity of their responses and that audio files were removed after use. Informed consent for interview and its recording was obtained.

The mean age of faculty members in this study was 54.8 years and all of them were married. According to the results of the study, the best teaching approach was the mixed method one (student-centered with teacher-centered) plus educational planning and previous readiness. Meaning units expressed by professors were divided into 19 codes, 4 categories and 2 themes. In the present study, regarding the Effective Teaching Method in Higher Education, Requirements and Barriers, the experiences and perceptions of general practitioners were explored. As presented in Table 2 , according to data analysis, two themes containing several major categories and codes were extracted. Each code and category is described in more details below.

Examples of extracting codes, categories and themes from raw data

New teaching methods and barriers to the use of these methods

Teachers participating in this study believed that teaching and learning in higher education is a shared process, with responsibilities on both student and teacher to contribute to their success. Within this shared process, higher education must engage the students in questioning their preconceived ideas and their models of how the world works, so that they can reach a higher level of understanding. But students are not always equipped with this challenge, nor are all of them driven by a desire to understand and apply knowledge, but all too often aspire merely to survive the course, or to learn only procedurally in order to get the highest possible marks before rapidly moving on to the next subject. The best teaching helps the students to question their preconceptions, and motivates them to learn, by putting them in a situation in which their existing model does not work and in which they come to see themselves as authors of answers, as agents of responsibility for change. That means, the students need to be faced with problems which they think are important. Also, they believed that most of the developed countries are attempting to use new teaching methods, such as student-centered active methods, problem-based and project-based approaches in education. For example, the faculty number 3 said:

“In a project called EPS (European Project Semester), students come together and work on interdisciplinary issues in international teams. It is a very interesting technique to arouse interest, motivate students, and enhance their skills (Faculty member No. 3).”

The faculty number 8 noted another project-based teaching method that is used nowadays especially to promote education in software engineering and informatics is FLOSS (Free/Liber Open Source Software). In recent years, this project was used to empower the students. They will be allowed to accept the roles in a project and, therefore, deeply engage in the process of software development.

In Iran, many studies have been conducted about new teaching methods. For example, studies by Momeni Danaie ( 10 ), Noroozi ( 11 ), and Zarshenas ( 12 ), have shown various required methods of teaching. They have also concluded that pure lecture, regardless of any feedback ensuring the students learning, have lost their effectiveness. The problem-oriented approach in addition to improving communication skills among students not only increased development of critical thinking but also promoted study skills and an interest in their learning ( 12 ).

In this study, the professors noted that there are some barriers to effective teaching that are mentioned below:

As to the use of new methods of training such as problem-based methods or project-based approach, faculty members No. 4 and 9 remarked that "The need for student-centered teaching is obvious but for some reasons, such as the requirement in the teaching curriculum and the large volume of materials and resources, using these methods is not feasible completely" (Faculty member No. 9).

"If at least in the form of teacher evaluation, some questions were allocated to the use of project-based and problem-based approaches, teachers would try to use them further" (Faculty member No. 2).

The faculty members No. 6 and 7 believed that the lack of motivation in students and the lack of access to educational assistants are considered the reasons for neglecting these methods.

"I think one of the ways that can make student-centered education possible is employing educational assistants (Faculty member No. 6).”

"If each professor could attend crowded classes with two or three assistants, they could divide the class into some groups and assign more practical teamwork while they were carefully supervised (Faculty member No. 7).”

Requirements related to faculty outlook in an effective teaching

Having a successful and effective teaching that creates long-term learning on the part of the students will require certain feelings and attitudes of the teachers. These attitudes and emotions strongly influence their behavior and teaching. In this section, the attitudes of successful teachers are discussed.

Coordination with the overall organizational strategies will allow the educational system to move toward special opportunities for innovation based on the guidelines ( 13 ). The participants, 4, 3, 5 and 8 know that teaching effectively makes sense if the efforts of the professors are aligned with the goals of university.

"If faculty members know themselves as an inseparable part of the university, and proud of their employment in the university and try to promote the aim of training educated people with a high level of scientific expertise of university, it will become their goal, too. Thus, they will try as much as possible to attain this goal" (Faculty member No.9).

When a person begins to learn, according to the value of hope theory, he must feel this is an important learning and believe that he will succeed. Since the feeling of being successful will encourage individuals to learn, you should know that teachers have an important role in this sense ( 14 ). The interviewees’ number 1, 2, 3 and 10 considered factors like interest in youth, trust in ability and respect, as motivating factors for students.

Masters 7 and 8 signified that a master had a holistic and systematic view, determined the position of the teaching subject in a field or in the entire course, know general application of issues and determines them for students, and try to teach interdisciplinary topics. Interviewee No. 5 believed that: "Masters should be aware of the fact that these students are the future of the country and in addition to knowledge, they should provide them with the right attitude and vision" (Faculty member No.5).

Participants No. 2, 4 and 8 considered the faculty members’ passion to teach a lesson as responsible and believed that: "If the a teacher is interested in his field, he/she devotes more time to study the scriptures of his field and regularly updates his information; this awareness in his teaching and its influence on students is also very effective" (Faculty member No. 8).

Requirements related to the behavior and performance of faculty members in effective teaching

Teachers have to focus on mental differences, interest, and sense of belonging, emotional stability, practical experience and scientific level of students in training. Class curriculum planning includes preparation, effective transition of content, and the use of learning and evaluating teaching ( 15 ).

Given the current study subjects’ ideas, the following functional requirements for successful teaching in higher education can be proposed.

According to Choi and Pucker, the most important role of teachers is planning and controlling the educational process for students to be able to achieve a comprehensive learning ( 16 ).

"The fact that many teachers don’t have a predetermined plan on how to teach, and just collect what they should teach in a meeting is one reason for the lack of creativity in teaching" Faculty member No.4).

Klug and colleagues in an article entitled “teaching and learning in education” raise some questions and want the faculty members to ask themselves these questions regularly.

1- How to increase the students' motivation.

2- How to help students feel confident in solving problems.

3- How to teach students to plan their learning activities.

4- How to help them to carry out self-assessment at the end of each lesson.

5- How to encourage the students to motivate them for future work.

6- How I can give feedback to the students and inform them about their individual learning ( 14 ).

Every five faculty members who were interviewed cited the need to explain the lessons in plain language, give feedback to students, and explain the causes and reasons of issues.

"I always pay attention to my role as a model with regular self-assessment; I'm trying to teach this main issue to my students" (Faculty member No. 9).

Improving the quality of learning through the promotion of education, using pre-organizers and conceptual map, emphasizing the student-centered learning and developing the skills needed for employment are the strategies outlined in lifelong learning, particularly in higher education ( 17 ).

"I always give a five to ten-minute summary of the last topic to students at first; if possible, I build up the new lesson upon the previous one" (Faculty member No. 4).

The belief that creative talent is universal and it will be strengthened with appropriate programs is a piece of evidence to prove that innovative features of the programs should be attended to continually ( 18 ). Certainly, in addition to the enumerated powers, appropriate fields should be provided to design new ideas with confidence and purposeful orientation. Otherwise, in the absence of favorable conditions and lack of proper motivations, it will be difficult to apply new ideas ( 19 ). Teacher’s No. 3, 5 and 7 emphasized encouraging the students for creativity: "I always encourage the students to be creative when I teach a topic; for example, after teaching, I express some vague hints and undiscovered issues and ask them what the second move is to improve that process" (Faculty member No.3).

Senior instructors try to engage in self-management and consultation, tracking their usage of classroom management skills and developing action plans to modify their practices based on data. Through consultation, instructors work with their colleagues to collect and implement data to gauge the students’ strengths and weaknesses, and then use protocols to turn the weaknesses into strengths. The most effective teachers monitor progress and assess how their changed practices have impacted the students’ outcomes ( 20 ).

"It is important that what is taught be relevant to the students' career; however, in the future with the same information they have learned in university, they want to work in the industry of their country" (Faculty member No.1).

Skills in documenting the results of the process of teaching-learning cannot only facilitate management in terms of studying the records, but also provides easier access to up to date information ( 21 ). Faculty members No. 7 and 3 stressed the need for documenting learning experiences by faculty.

"I have a notebook in my office that I usually refer to after each class. Then, I write down every successful strategy that was highly regarded by students that day" (Faculty member No.3).

Developing a satisfactory interaction with students

To connect with students and impact their lives personally and professionally, teachers must be student-centered and demonstrate respect for their background, ideologies, beliefs, and learning styles. The best instructors use differentiated instruction, display cultural sensitivity, accentuate open communication, offer positive feedback on the students’ academic performance ( 20 ), and foster student growth by allowing them to resubmit assignments prior to assigning a grade ( 22 ).

"I pay attention to every single student in my class and every time when I see a student in class is not focused on a few consecutive sessions, I ask about his lack of focus and I help him solve his problem" (Faculty member No. 5).

The limitation in this research was little access to other nationally recognized university faculty members; also their tight schedule was among other limitations in this study that kept us several times from interviewing such faculties. To overcome such a problem, they were briefed about the importance of this study and then some appointments were set with them.

This study revealed the effective teaching methods, requirements and barriers in Iranian Higher Education. Teachers participating in this study believed that teaching and learning in higher education is a shared process, with responsibilities on both student and teacher to contribute to their success. Within this shared process, higher education must engage the students in questioning their preconceived ideas and their models of how the world works, so that they can reach a higher level of understanding. They believed that to grow successful people to deal with the challenges in evolving the society, most developed countries are attempting to use new teaching methods in higher education. All these methods are student-centered and are the result of pivotal projects. Research conducted by Momeni Danaei and colleagues also showed that using a combination of various teaching methods together will lead to more effective learning while implementing just one teaching model cannot effectively promote learning ( 10 ). However, based on the faculty member’s experiences, effective teaching methods in higher education have some requirements and barriers.

In this study, barriers according to codes were divided two major categories: professor-related barriers and regulation-related ones; for these reasons, the complete use of these methods is not possible. However, teachers who are aware of the necessity of engaging the student for a better understanding of their content try to use this method as a combination that is class speech presentation and involving students in teaching and learning. This result is consistent with the research findings of Momeni Danaei and colleagues ( 10 ), Zarshenas et al. ( 12 ) and Noroozi ( 11 ).

Using student-centered methods in higher education needs some requirements that according to faculty members who were interviewed, and according to the codes, such requirements for effective teaching can be divided into two categories: First, things to exist in the outlook of faculties about the students and faculties' responsibility towards them, to guide them towards effective teaching methods, the most important of which are adaptation to the organizational strategies, interest in the students and trust in their abilities, systemic approach in higher education, and interest in their discipline.

Second, the necessary requirements should exist in the faculties’ behavior to make their teaching methods more effective. This category emerged from some codes, including having lesson plan; using appropriate educational strategies and metacognition training and self-assessment of students during teaching; using concept and pre-organizer maps in training, knowledge; and explaining how to resolve problems in professional career through teaching discussion, documenting of experience and having satisfactory interaction with the students. This result is consistent with the findings of Klug et al., Byun et al., and Khanyfr et al. ( 14 , 17 , 18 ).

In addition and according to the results, we can conclude that a major challenge for universities, especially at a time of resource constraints, is to organize teaching so as to maximize learning effectiveness. As mentioned earlier, a major barrier to change is the fact that most faculty members are not trained for their teaching role and are largely ignorant of the research literature on effective pedagogy. These findings are in agreement with the research of Knapper, indicating that the best ideas for effective teaching include: Teaching methods that focus on the students’ activity and task performance rather than just acquisition of facts; Opportunities for meaningful personal interaction between the students and teachers; Opportunities for collaborative team learning; More authentic methods of assessment that stress task performance in naturalistic situations, preferably including elements of peer and self-assessment; Making learning processes more explicit, and encouraging the students to reflect on the way they learn; Learning tasks that encourage integration of information and skills from different fields ( 23 ).

In the present study, it was illustrated that a good teaching method helps the students to question their preconceptions, and motivates them to learn, by putting them in a situation in which they come to see themselves as the authors of answers and the agents of responsibility for change. But whenever the teachers can teach by this method, they are faced with some barriers and requirements. Some of these requirements are prerequisite of the professors' behavior and some of these are prerequisite of the professors’ outlook. Also, there are some major barriers some of which are associated with the professors’ behavior and others are related to laws and regulations. Therefore, to have an effective teaching, the faculty members of universities should be aware of these barriers and requirements as a way to improve the teaching quality.

Effective teaching also requires structural changes that can only be brought about by academic leaders. These changes include hiring practices reward structures that recognize the importance of teaching expertise, quality assurance approaches that measure learning processes, outcomes in a much more sophisticated way than routine methods, and changing the way of attaining university accreditation.

The nationally and locally recognized professors are good leaders in providing ideas, insight, and the best strategies to educators who are passionate for effective teaching in the higher education. Finally, it is supposed that there is an important role for nationally and locally recognized professors in higher education to become more involved in the regulation of teaching rules. This will help other university teachers to be familiar with effective teaching and learning procedures. Therefore, curriculum planners and faculty members can improve their teaching methods.

Acknowledgement

The authors would like to thank all research participants of Isfahan University of Technology (faculties) who contributed to this study and spent their time to share their experiences through interviews.

Conflict of Interest: None declared.

Review of teaching methods and critical thinking skills

Affiliation.

1 Radiologic Sciences Department, The Ohio State University, Columbus, USA. [email protected]
PMID: 22106387

Background: Critical information is needed to inform radiation science educators regarding successful critical thinking educational strategies. From an evidence-based research perspective, systematic reviews are identified as the most current and highest level of evidence. Analysis at this high level is crucial in analyzing those teaching methods most appropriate to the development of critical thinking skills.

Objectives: To conduct a systematic literature review to identify teaching methods that demonstrate a positive effect on the development of students' critical thinking skills and to identify how these teaching strategies can best translate to radiologic science educational programs.

Methods: A comprehensive literature search was conducted resulting in an assessment of 59 full reports. Nineteen of the 59 reports met inclusion criteria and were reviewed based on the level of evidence presented. Inclusion criteria included studies conducted in the past 10 years on sample sizes of 20 or more individuals demonstrating use of specific teaching interventions for 5 to 36 months in postsecondary health-related educational programs.

Results: The majority of the research focused on problem-based learning (PBL) requiring standardized small-group activities. Six of the 19 studies focused on PBL and demonstrated significant differences in student critical thinking scores.

Conclusion: PBL, as described in the nursing literature, is an effective teaching method that should be used in radiation science education.

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Published: 09 April 2024

Preparing medical students for their educational task as physicians: important, desirable and unexplored territory

Bas PH ter Brugge 1 ,
Lena Sophia Fegg 2 &
Marjo Wijnen-Meijer 2 , 3

BMC Medical Education volume 24 , Article number: 391 ( 2024 ) Cite this article

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Physicians engage in educational activities in daily practice and take over an important role in providing information and transferring knowledge to patients and medical students. Therefore, it is important to focus on methods to develop teaching skills during medical school. Peer-teaching is a teaching method that is connected to different positive learning outcomes. This study aims to investigate the perspective of medical students regarding teaching as a core competency of physicians and peer-teaching as an opportunity to acquire educational skills. The study also aims to examine to what extent medical students are prepared for their teaching role at medical schools.

This cross-sectional study was performed by an online survey amongst Dutch medical students from all medical schools across all years of study. In total, 2666 medical students filled out the survey. The survey was part of the annual online survey of the Dutch medical advocacy group (DeGeneeskundestudent) amongst all medical students in the fall of 2017. The data were analysed with descriptive statistics and statistical tests (chi-squared-test and binomial test).

The results show that 49% of medical students see teaching as one of the core tasks of a physician. However, only 25% feel well prepared by their medical school for this teaching role. Instead, there are many students who gain experiences and teaching skills on their own outside medical schools. 64% of the respondents agrees that senior medical students can educate junior medical students well.

Conclusions

Implementing peer-teaching in the curricular of medical schools could be an effective teaching method to prepare medical students for their future teaching role. It is important that medical schools focus on enhancing educational quality and designing learning environments for best learning outcomes to better prepare medical students for professional life.

Peer Review reports

The teaching role of physicians is a core competency in the new Dutch Medical Training Framework: “Physicians contribute as academics to the application, spread, translation and proliferation of knowledge in practice through lifelong learning, training others, evaluating evidence and contributing to scientific research” [ 1 ]. Every physician must be able to “create a safe learning environment”, “provide a teaching activity” and “constructively evaluate teaching activities to improve education” [ 1 ]. After all, every physician engages in educational activities in one way or another. It has been shown that a general practitioner spends up to 20% of his consultation time on patient education and a medical specialist up to 10% of his time on supervising residents or medical students [ 2 , 3 ]. Physicians play an important role in providing information and transferring knowledge to patients and medical students. Therefore, parallel to clinical skills the acquisition of educational skills should begin in medical school and continue throughout postgraduate training [ 4 ].

Educational skills are best developed by doing it yourself [ 5 , 6 ]. Peer-teaching, i.e. students teaching other students, is a method for medical students to practice teaching in a controlled environment [ 6 ]. In some medical faculties, both in the Netherlands and other countries, peer-teaching is a regular part of medical school [ 7 , 8 ]. To develop medical students’ teaching skills, peer-teaching programmes, teaching workshops, and community outreach programmes are used [ 9 ]. Many medical schools in the United States offer formal students-as-teachers (SAT) programmes, where students are assigned educational roles such as peer mentors, teaching assistants or contributing to the development of a curriculum design. These programmes benefit the students’ teaching skills, improve their clinical knowledge and communication- and professional skills. Peer-teachers can benefit from peer-teaching experiences in many ways. Teaching offers a chance to identify personal strengths and weaknesses by preparing complex medical knowledge, organizing classes, enhancing public speaking skills, giving- and receiving feedback, working in a team and leading near-peer students [ 6 , 7 , 8 , 10 , 11 ]. By actively participating in their training the medical students’ intrinsic motivation is improved [ 12 , 13 ].

In a recent non-randomized controlled trial by Veloso et al. (2019), it was shown that medical students who taught Basic Life Support skills to community health professionals had a better theoretical and practical performance in Basic Life Support, than medical students who didn’t teach these skills [ 14 ]. Peer-teaching is further supported by studies that have found no difference in medical students’ academic achievements when taught by peer-teachers or faculty staff. While peer-teachers are considered less knowledgeable than faculty staff, students actually feel more at ease asking questions and, due to peer-teachers being regarded as more approachable, they are better understood and guided in comprehending difficult topics [ 11 , 14 , 15 , 16 ]. A final reason for implementation of peer -teaching programmes is the rise in student numbers. Peer-teachers offer a solution to overcome the strained teaching capacity of faculty staff [ 11 , 17 ].

There is evidence that former peer-teaching physicians become more engaged in educational activities. A study by Kloek et al. (2016) indicated that these physicians themselves highly appreciated the teaching internship and are likely committed to building an educational career in their future professional life [ 18 ].

Unfortunately, little is known about the perspective of medical students regarding teaching as a physician and peer-teaching. This perspective is relevant to facilitate the introduction of peer-teaching by medical schools and better prepare medical students for their future teaching role as a physician. It is relevant to assess medical students’ perspective on the teaching role of physicians and their educational activities during medical school. Therefore, this study aims to gain insight into medical students´ opinion on teaching as a physician and peer teaching by answering the following research questions:

To what extent do medical students consider teaching a core competency of a physician?

How and to what extent are medical students prepared for teaching as a physician during medical school?

Study design and participants

This study has a cross-sectional design and is performed by an online survey amongst medical students.

The research population comprised of Dutch medical students from all medical schools across all years of study. In the Netherlands, there are eight medical schools that offer a six-year undergraduate medical training. The undergraduate program is divided in a three year Bachelor, with mostly theoretical education, and a three year Master, with both theoretical educations and clerkships.

The survey started with a general section on gender, university and study-phase. Next, five questions asked for the participants view regarding (the preparation for) teaching as a physician and peer-teaching (see Tables 1 and 2 ). The questions were grounded in literature [ 17 ]. Four questions were answered on a five-point Likert scale (strongly agree- strongly disagree), in which answer option 3 means “neutral” and for the question “older students can teach younger year medical students well” also “no experience”. The final question was a binary question (yes/no).

The survey was part of the annual online survey of the Dutch medical advocacy group (DeGeneeskundestudent) amongst all medical students in the fall of 2017. Participants voluntarily filled out the questionnaire and informed consent was given for anonymous use of the data.

Data analysis

Before data-analysis we excluded the following participants. Participants with an abbreviated medical study were excluded because they had already finished a wide range of different previous bachelor-studies. Participants who had not filled out the general section were excluded as well. The results were analysed with SPSS version 25. The general section was analysed with descriptive statistics. The study population was compared with available national data on medical students regarding gender, study-phase and university [ 19 , 20 ]. The questions on the participants view answered on a Likert scale were dichotomised to agree (strongly agree-agree) and disagree (strongly disagree-disagree). In the analysis, we left out the responses to category 3 to get an impression of students’ positive or negative attitude towards peer-teaching and, regarding question 2, to avoid bias from people who have no experience with it giving an opinion. The results were analysed with descriptive statistics. The participants view according to different gender, study-phase or university was analysed with a chi-squared-test or binomial test. The binary question on the participants view was analysed with descriptive statistics. The participants view according to different gender, study-phase or university was analysed with a chi-squared-test. The outcome of all tests was significant if p < 0.05.

Respondents´ characteristics

The respondents´ characteristics are shown in Table 3 . A total of 2666 medical students filled out the survey. The percentage of male respondents was lower than the national average, 23% versus 34%, as well as the percentage of master students, 47% versus 53%. The percentage of respondents from the University of Amsterdam (UvA), Vrije Universiteit (VU) and Rotterdam was slightly lower than the national average, while the percentage of respondents from Groningen, Leiden and Nijmegen was higher than the national average. The distribution of respondents across years of study is similar to the distribution in the overall population.

View on teaching as a physician and peer-teaching

The results on teaching as a physician and peer-teaching are shown in Tables 1 and 2 . Significant results are highlighted in the paragraph below.

Teaching as a physician

49% of the respondents agrees that teaching is a core responsibility of a physician, while 22% of the respondents disagrees. Male respondents agree more often than female respondents, 58% versus 47%, as well as respondents in the master phase than respondents in the bachelor phase, 64% versus 35%. Agreement of respondents from different universities was between 43% and 56%.

Peer-teaching

64% of the respondents agrees that senior medical students can educate junior medical students well, while 13% of the respondents disagrees. Respondents in the master phase disagree more often than respondents in the bachelor phase, 13% versus 11%. Agreement of respondents from different universities was between 53% and 75%.

View on preparation for teaching as a physician

The results on preparation for teaching as a physician by the formal education and respondents’ own experience are shown in Tables 1 and 2 . Table 4 shows the respondents own experience with teaching. Significant results are highlighted in the paragraph below.

Formal education

27% of the respondents agrees that the medical education prepares them well for teaching as a physician, while 39% disagrees. Male respondents agree more often than female respondents, 36% versus 24%. Respondents in the master phase disagree more often than respondents in the bachelor phase, 46% versus 33%. Agreement of respondents from different universities was between 19% and 33%.

Own experience

48% of the respondents agrees that their own experience with teaching prepares them well for teaching as a physician, while 22% disagrees. Male respondents agree more often than female respondents, 62% versus 44%. Respondents in the master phase agree more often than respondents in the bachelor phase, 56% versus 40%. Agreement of respondents from different universities was between 39% and 56%.

52% of the respondents have teaching experience. Male respondents more often have experience than female respondents, 59% versus 51%, as well as respondents in the master phase than the bachelor phase, 63% versus 42%. The percentage of respondents from different universities with teaching experience varies between 44% and 60%.

Of the respondents with teaching experience, 13% have experience as peer-teacher, 11% as part of the formal education and 37% outside the formal education. Male respondents have more experience than female respondents with teaching outside the formal education, 42% versus 36%, and as peer-teacher, 16% versus 12%. Respondents in the master phase have more experience in all manners of teaching than respondents in the bachelor phase. The percentage of respondents from different universities with teaching experience varies, as peer-teacher (4 − 17%), as part of the curriculum (6 − 21%) and outside the formal education (33-45%).

Half of medical students feel that teaching is one of the core tasks of a physician. Unfortunately, only 25% feel well prepared by their medical school for this teaching role. This is in line with the literature that students would benefit from more preparation in this area [ 21 , 22 ]. It is striking that students who are more advanced in their studies feel less prepared than students who are at the beginning of medical school. The explanation for this may be that older students have more insight into the complexity of the teaching task because they have more experience with the physicians who teach or have had some experience of this themselves. It is contradictory that on the one hand students are aware of their later teaching role and responsibility but on the other hand do not feel adequately prepared for this role. A core task of physicians is to provide knowledge, experiences and skills to different learning groups, e.g. to medical students, patients and other professionals and should therefore be a relevant part of medical education programs.

Almost half of the students feel well prepared for their later teaching role from their own experience. They look for teaching opportunities themselves in anatomy or skills courses or as a secondary job [ 23 ]. They agree that their own experience with teaching prepares them well for teaching as a physician. This finding highlights the importance of providing appropriate learning opportunities during medical education. Students engaging as peer-teachers have the chance to gain extracurricular experiences that are relevant not only for professional practice but also to strengthen soft skills and interdisciplinary competencies. Teaching experiences are beneficial in many ways, increase teaching skills, intensify knowledge, increase organizational and communication skills and enhance leading and speaking skills that are relevant for daily practice [ 6 , 7 , 8 , 10 , 11 , 24 ].

A large majority of medical students think that older students are good at teaching younger ones. At some universities, students have a more positive image of peer-teaching than at others. It is useful to find out whether these faculties use peer-teaching more as a teaching method.

Thus, medical students’ own views on peer-teaching do not seem to be an impediment to using peer-teaching to learn the role of a teacher. This is also in line with the literature on peer-teaching showing different advantages of learning from other students [ 11 , 25 ]. First, peer-teachers are closer to the student in experience. Therefore, they can better understand what the students find difficult and they also understand the knowledge level of the students better, compared to, for example, medical specialists [ 15 ]. In addition, peer-teachers can create a safe educational climate in which mistakes are allowed and questions can be asked, because peer-teacher are perceived as less threatening [ 15 ]. Peer-teachers and students both can profit from peer-teaching settings.

The use of students as teachers can improve teaching capacities and is also connected to economic aspects. To secure high standards in the quality of education in medical schools, peer-teaching programs should be accompanied by training and supervision [ 11 , 17 ].

A strength of this research project is that it is a cross-section of all Dutch universities and all study years. Therefore, the results give a good picture of the opinion of Dutch medical students. Furthermore, the study focuses on the perspective of medical students. This perspective can be beneficial for gaining insights into medical students’ opinions and for designing adequate learning environments in medical schools. A limitation is that due to the nature of the survey, questionnaires with multiple choice questions, it only provides a global picture. Furthermore, male and bachelor students participated significantly less, which may distort the results. Future research can focus on a comparison between universities with and without formal education in the study program in the area of teaching skills. Furthermore, follow-up research should focus on assessing gender differences. Interviews or focus groups can also provide insight into the motivation and argumentation of the students to gain deeper insights into students’ perceptions. Additionally, further research should also include medical teachers, professionals at medical schools, experts and physicians to gain multiple perspectives. It is also important to focus on the effectiveness of peer-teaching programs in comparison to other learning methods, particularly from a long-term perspective. As teaching skills are a core competence of physicians for daily practice, assessing learning opportunities and methods for physicians in the context of continuing education should also be taken into account.

Many medical students see teaching as a core task of physicians and are aware of their later teaching role. However, a large proportion of them, especially the students in the last phase of their studies, feel that their medical school program has not adequately prepared them for this role. Instead, there are many students who gain experiences and teaching skills on their own initiative outside medical schools. Preparing medical students for their educational tasks and supporting them in the acquisition of teaching skills should be an essential part of their education. The majority of medical students think that senior students can educate junior medical students well. Therefore, implementing peer-teaching in the curricular of medical schools could be an effective teaching method for learning success. In a broader context, preparing medical students for their teaching role can be beneficial for the patient-medicine relationship and the provision of knowledge and health competency for patients. This study and the literature show that peer teaching, combined with good supervision and feedback, is a good way to prepare medical students for the future teaching role. It is important that medical schools focus on enhancing educational quality and designing beneficial and positive learning environments for best learning outcomes to better prepare medical students for professional life.

Data availability

The datasets generated and/or analysed during the current study are not publicly available due to data protection guidelines of the institution but are available from the corresponding author on reasonable request.

Abbreviations

students-as-teachers

Universiteit van Amsterdam

Vrije Universiteit

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Acknowledgements

The authors would like to thank all the students who participated in the survey.

Author information

Authors and affiliations.

Vilente, Doorwerth, Netherlands

Bas PH ter Brugge

School of Medicine and Health, Technical University of Munich, TUM Medical Education Center, Munich, Germany

Lena Sophia Fegg & Marjo Wijnen-Meijer

Institute of Medical Education, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany

Marjo Wijnen-Meijer

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Contributions

BtB, LSF and MWM designed and run the study and collected the data. BtB and MWM analysed the data and drafted the manuscript. All authors contributed to the critical revision of the manuscript and read and approved the submitted version.

Corresponding author

Correspondence to Marjo Wijnen-Meijer .

Ethics declarations

Ethics approval and consent to participate.

The survey was anonymous and voluntary. All students received information on the nature, purpose and procedure of the survey and their right to withhold or revoke their consent at any time. Participants voluntarily filled out the questionnaire and informed consent was given for anonymous use of the data. Ethical approval was obtained in 2017 from the Ethical Review Board of the Dutch Association for Medical Education.

All methods were carried out in accordance with Declaration of Helsinki.

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Not applicable.

Competing interests

The authors declare no competing interests.

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ter Brugge, B.P., Fegg, L.S. & Wijnen-Meijer, M. Preparing medical students for their educational task as physicians: important, desirable and unexplored territory. BMC Med Educ 24 , 391 (2024). https://doi.org/10.1186/s12909-024-05328-y

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Teaching and Learning Research Methodologies in Education: A Systematic Literature Review

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Effective Teaching Methods in Higher Education: Requirements and Barriers

AHMMADREZA NASR ISFAHANI

ROYA KHALILI

Introduction:

Conclusion:

Introduction

Ethical considerations

New teaching methods and barriers to the use of these methods

Requirements related to faculty outlook in an effective teaching

Requirements related to the behavior and performance of faculty members in effective teaching

Developing a satisfactory interaction with students

Acknowledgement

Review of teaching methods and critical thinking skills

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A Systematic Literature Review of Science and Physics Education Teaching Regarding Oscillations

Preparing medical students for their educational task as physicians: important, desirable and unexplored territory

Conclusions

Study design and participants

Data analysis

Respondents´ characteristics

View on teaching as a physician and peer-teaching

Teaching as a physician

View on preparation for teaching as a physician

Formal education

Own experience

Data availability

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