As physician-scientists are able to connect research and practice, they are important to make advancements within medicine. Currently, the medical field is facing a physician-scientist shortage.... Show moreAs physician-scientists are able to connect research and practice, they are important to make advancements within medicine. Currently, the medical field is facing a physician-scientist shortage. Promoting student research engagement could be the solution. Following the need to identify how medical training could contribute to developing future physician-scientists, the general aim of this thesis was to provide insights into the impact early phases of medical training may have on cultivating physician-scientists, by elaborating on the role of motivation for research and extracurricular research programmes. By conducting quantitative and qualitative research, we showed that medical students are motivated for research at the start of medical school and that intrinsic motivation for research is related to actual research involvement. Furthermore, factors contributing to intrinsic motivation for research were identified: research self-efficacy beliefs, positive perceptions of research, curiosity, need for challenge, authentic research experiences, feelings of autonomy and relatedness, feelings of relevance or personal meaning, inspiring role models, and extracurricular research programme participation. Previous studies suggested that student research involvement is related to research involvement in professional practice. This thesis therefore emphasizes that first steps to cultivate physician-scientists could be made early on in medical school – ‘future physician-scientists: let’s catch them young!’ Show less
Film has been used for education ever since educators recognized its powerful potential for learning. But its educational application has been criticized throughout the decades for underuse of the... Show moreFilm has been used for education ever since educators recognized its powerful potential for learning. But its educational application has been criticized throughout the decades for underuse of the distinctive potential of film: to raise interest. To understand more fully film's potential for learning, we propose a dynamic model of viewer interest and its underlying cognitive and emotional mechanisms (film's interest raising mechanisms or FIRM model). In addition, we present an analysis method for assessing the interestingness of films in learning contexts. Our model marries interest theories from cognitive film theory and educational psychology and captures the dynamics of interestingness across a film as depending on a balance between challenge posed and coping potential provided. Show less
Advanced endoscopic imaging is an emerging field in endoscopy practice, especially in optical diagnosis. Current technologies like virtual chromoendoscopy and small-field technologies allow... Show moreAdvanced endoscopic imaging is an emerging field in endoscopy practice, especially in optical diagnosis. Current technologies like virtual chromoendoscopy and small-field technologies allow visualization of subtle changes in mucosal and vascular patterns that are predictive of histology. The limiting factor in broadly utilizing these techniques is training and the need for reliable detection of these subtleties. This review provides the current evidence and limitations of training in advanced endoscopic imaging, and future directions of learning. A literature search was performed on PubMed and Medline through March 2020 with relevant keywords as advanced endoscopic imaging, training, and learning. References of relevant articles were screened for additional literature. Several didactic and web-based education programs are developed for training in virtual chromoendoscopy, autofluorescence imaging, confocal laser endomicroscopy, and volumetric laser endomicroscopy. Studies and post-hoc analysis on learning curves showed relatively steep learning curves after training, and web-based education seems to be as valuable as in-person didactic training for most techniques. However, consistent performance on expert level after training has not yet been demonstrated. Most advanced endoscopic imaging techniques are learned within a reasonable timeframe. Future efforts to enhance training and implementation of these techniques should focus on developing standardized and broadly incorporated training programs. The future role of artificial intelligence-assistance in advanced endoscopy and training has to be elucidated. Show less