1. Self-Directed Learning: Is It Really All that We Think it Is? David J. Steele, PhD Assistant Dean for Curriculum and Evaluation & Director, Office of Medical Education Florida State University College of Medicine IAMSE, New Orleans, LA, July 13, 2003

2. Assertion  Medical schools have a moral obligation to prepare graduates who are “expert” self-directed learners;  To do less is an act of educational malpractice!

3. What is Self-Directed Learning?  SDL = A willingness and ability to take charge of one’s own learning 1 “willingness” = motivation “ability” = knowledge, skills “take charge” = personal responsibility

4. Why is expertise in SDL necessary?  Students must learn more than we can teach;  Our graduates will not always have us around to tell them what they need to know;  Our graduates need to keep abreast of changes in their chosen fields;  Students must be prepared to deal effectively with contradictions, puzzles, unknowns;  Society expects its doctors to be effective life-long learners.

5. Benefits Associated with SDL 2,3  Research evidence indicates that self- directed learning is associated with: Heightened curiosity Enhanced critical reasoning skills Better retention of acquired knowledge Enhanced ability to recognize knowledge deficits and needs Greater enthusiasm for learning  More initiative, ask more questions, more reading

6. Knowledge, skills, and attitudes required to be an expert self-directed learner? (K)  Ability to monitor experience and recognize learning needs Self-awareness Accurate “calibration”

7. Knowledge, skills, and attitudes required to be an expert self-directed learner? (S) 1  Learning and Critical Thinking Skills Ability to ask the right questions Ability to select appropriate methods Ability to access appropriate resources Ability to critically appraise resources Ability to assess learning outcomes and self-correct

8. Knowledge, skills, and attitudes required to be an expert self-directed learner? (A) 4,5  Motivation Self-efficacy Sense of control (autonomy) Self-discipline

9. How are students going to acquire knowledge, skills and attitudes needed to be expert SDL?  Deliberate Practice 6 Training activities designed to challenge learner to higher levels of performance Gradual refinement through repetition and feedback

10. Transfer of Learner Control 7 Time High Low Control of Learning Faculty Student

11. Role of teacher in producing expert self-directed, life-long learners 1,8  Role model SDL  Provide “authentic” environment to practice SDL skills  Provide feedback and progressive challenge  Create autonomy supportive environment

12. Creating an autonomy supportive environment 2  Take learner’s perspective into account  Provide opportunities for choice and the information needed to make informed choices  Encourage learners to accept more responsibility

13. Autonomy supportive environments associated with… 2,9  Positive feelings about learning  Preference for being challenged  Enhanced sense of efficacy—perception that one can accomplish one’s goals Greater willingness to preserver through difficulties  Enhanced sense of identification with field  Better learning outcomes

14. References  Candy PC. Self-Direction for Lifelong Learning. Jossey-Bass, 1991  Williams GC, Saizow RB, Ryan RM. The importance of self-determination theory for medical education. Acad. Med. 1999;74:992-995  Shokar GS, et al., Self-directed learning: Looking at outcomes with medical students. Fam Med 2002;34(3):197-200  Bandura A. Self-Efficacy: The Exercise of Control. Freeman, 1997  Ryan RM, Deci EL. Intrinsic and extrinsic motivations: Classic definitions and new directions. Contemporary Educational Psychology 2000; 25:54- 67

15. References 6. Ericsson KA. Attaining excellence through deliberate practice: Insights from the study of expert performance. In: M. Ferrari (ed), The Pursuit of Excellence Through Education. Lawrence Erlbaum Associates, 2002:21-55 7. Boekaerts M. Self-regulated learning: A new concept embraced by researchers, policy makers, educators, teachers, and students. Learning and Instruction 1997;7:161-186 8.Brown JS, Collins A, Duguid P. Situated cognition and the culture of learning. Educational Researcher 1989:32-42 9.Blumberg P. Evaluating the evidence that problem-based learners are self-directed learners: A review of the literature. In: DH Evensen and CE Hmelo (eds) Problem- Based Learning: A Research Perspective on Learning Interactions. Lawrence Erlbaum Associates, 2000:199-226