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Teaching renal physiology through a flipped classroom: integrating active learning and clinical context in an organ system-based curriculum. 通过翻转课堂教授肾脏生理学:在器官系统课程中整合主动学习和临床环境。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1152/advan.00086.2025
Cesar Barrabi, Hayley Derricott

The flipped classroom model is increasingly used in medical education to promote active learning, clinical integration, and student engagement. This report describes the implementation of a revised flipped classroom approach during a renal physiology unit at an international medical school structured around prework, in-class application, and postsession review. Students prepared with concise slides and optional resources and then engaged in group discussions, case-based activities, and instructor-guided annotations to apply physiological concepts in clinical contexts. Postsession quizzes and structured repetition reinforced understanding. Compared to a prior cohort, this revised approach was associated with improved exam performance and more consistent participation. This model suggests that thoughtfully structured flipped classroom instruction can support learning in physiology-intensive units and that it adapts well to the needs of diverse student populations in integrated curricula.NEW & NOTEWORTHY This article describes a structured flipped classroom model implemented during a renal physiology unit at an international medical school. The approach emphasized clinical integration, active learning, and consistent preparation. Compared to a prior cohort, students demonstrated improved exam performance and reported strong engagement and perceived understanding. These findings suggest that thoughtfully designed flipped instruction can enhance learning in physiology-intensive units and may be especially valuable in international or academically diverse medical education settings.

翻转课堂模式越来越多地用于医学教育,以促进主动学习,临床整合和学生参与。本报告描述了在一所国际医学院的肾脏生理学单元中,围绕课前工作、课堂应用和课后复习,实施了一种修订后的翻转课堂教学方法。学生们准备了简明的幻灯片和可选资源,然后进行小组讨论,案例活动和指导注解,将生理概念应用于临床环境。课后测验和结构化的重复强化了理解。与先前的队列相比,这种修订后的方法与考试成绩的提高和更一致的参与有关。该模型表明,经过深思熟虑的翻转课堂教学可以支持生理密集型单元的学习,并能很好地适应综合课程中不同学生群体的需求。
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引用次数: 0
Active learning to improve numeracy skills and confidence using quizzes in first-year biomedical science undergraduates. 主动学习提高生物医学本科生的数学技能和信心。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-05-24 DOI: 10.1152/advan.00199.2024
Stephen M Fitzjohn, Alice M Semenenko, Frances M MacMillan

In response to a decline in the numeracy skills and confidence of first-year biomedical science undergraduate students, a series of quizzes was developed to encourage students to practice their numeracy skills with topic-related problems. The quizzes were created using existing tools in the online learning platform Blackboard (Blackboard, Inc.). The organization of the quizzes included repetition and a gamification element to encourage engagement by students. Analysis of pre- and postassessment data as well as a final subject-related test demonstrate a statistically significant improvement of the test scores in the students who engaged with the quizzes compared to those who did not. The confidence of the students who completed all the quizzes also improved. This strategy and configuration of quizzes could easily be adapted to topics other than numeracy.NEW & NOTEWORTHY Do your students struggle with numeracy skills related to physiology? We have developed a series of online quizzes that have been shown to improve student confidence and ability in numeracy.

为了应对生物医学本科一年级学生计算能力和自信心的下降,我们设计了一系列的小测验,鼓励学生用与主题相关的问题来练习他们的计算能力。这些测验是使用在线学习平台Blackboard (Blackboard Inc .)的现有工具创建的。测试的组织包括重复和游戏化元素,以鼓励学生参与。对评估前后数据以及期末科目相关测试的分析表明,与没有参加测试的学生相比,参加测试的学生的测试成绩在统计学上有显著提高。完成所有测验的学生的信心也有所提高。这种测验的策略和配置可以很容易地适用于除计算以外的主题。
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引用次数: 0
Mindset matters: exploring the link between mindsets, learning intentions, and performance in biomedical science students. 心态重要:探索生物医学学生心态、学习意图和表现之间的联系。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-06-14 DOI: 10.1152/advan.00012.2025
Angus Linklater-Steele, Kay Colthorpe, Louise Ainscough

Students' "mindset" (self-beliefs and attitudes toward their abilities) can impact academic achievement, with those possessing a growth mindset more likely to succeed. It has been postulated that students with a growth mindset, who believe they can improve their abilities through dedication, effort, and learning may have deeper intentions when learning, thereby enabling a deeper understanding. However, the relationship between students' mindset and their learning intentions remains unexplored. Using a mixed-method study we examined the relationship between mindset, learning intentions, and academic performance in second-year biomedical science students (nconsent = 256). Through inductive and deductive thematic analysis of open-ended questions, we determined students' mindsets and learning intentions. Qualitative themes were then quantified to determine theme-response frequencies. Statistical analysis was then conducted to assess the relationship between mindsets, learning intentions, and academic performance. Nearly two-thirds of students held a growth mindset about their bioscience ability. Growth mindset students reported a greater number of deep learning intentions and achieved higher academic performance compared to fixed mindset students. Targeted interventions to further support growth-oriented beliefs and address fixed or mixed mindsets may facilitate positive changes in students' learning intentions.NEW & NOTEWORTHY This study demonstrates that growth mindset students in biomedical science report more deep learning intentions and achieve higher academic performance compared to their fixed mindset peers. Through a mixed-method approach, it highlights the unexplored relationship between mindset, learning intentions, and performance. The findings underscore the role of mindset in shaping learning behaviors and suggest that fostering a growth mindset could improve educational outcomes in science disciplines.

学生的“心态”(自我信念和对自己能力的态度)会影响学业成绩,拥有成长型心态的学生更有可能成功。有一种假设认为,拥有成长型思维的学生,他们相信自己可以通过投入、努力和学习来提高自己的能力,他们在学习时可能有更深刻的意图,从而能够更深入地理解。然而,学生的心态与学习意图之间的关系仍未得到充分的研究。采用混合方法研究,我们检验了二年级生物医学学生的心态、学习意图和学习成绩之间的关系(不同意= 256)。通过对开放性问题的归纳和演绎的主题分析,我们确定了学生的心态和学习意图。然后对定性主题进行量化,以确定主题反应频率。然后进行统计分析,评估心态、学习意图和学习成绩之间的关系。近三分之二的学生对自己的生物科学能力持成长型心态。与固定心态的学生相比,成长型心态的学生报告了更多的深度学习意图,并且取得了更高的学习成绩。有针对性的干预措施进一步支持以成长为导向的信念,解决固定或混合的心态,可能会促进学生学习意图的积极变化。
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引用次数: 0
Building connections: promoting meaningful learning of the human circulatory system through leading questions. 建立联系:通过引导性问题促进对人体循环系统的有意义的学习。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1152/advan.00053.2025
Vimolsri Ittikitpaisarn, Karnyupha Jittivadhna

Teaching cardiovascular physiology to undergraduate students through lectures that lack real-life connections or relevance to professional practice can be problematic, as many students struggle to apply the material. To address this, we recently implemented a leading-question teaching strategy in our undergraduate health science courses. This approach aimed to enhance students' understanding by building on foundational knowledge from previous biology, anatomy, and physiology courses and connecting it to commonly used terms, real-life experiences, and practical concerns. During class, discussions were guided by leading questions, with the instructor facilitating the conversation and providing justifications. The results showed that students found the combination of leading questions, whole class discussion, and instructor guidance helpful in fostering meaningful learning. They expressed satisfaction with this teaching method. Additionally, the key concepts and explanations developed jointly by the students and instructor were beneficial for all students, including those who are typically more reserved.NEW & NOTEWORTHY This article presents the essential concepts of the human parallel circulation system, shedding light on how this knowledge can help clarify the common jargon and practices students encounter in everyday life. The explanation is based on a leading-question teaching strategy, with answers and insights gathered from undergraduate health science students through whole class discussions.

通过缺乏现实生活联系或与专业实践相关的讲座向本科生教授心血管生理学可能会出现问题,因为许多学生很难应用这些材料。为了解决这一问题,我们最近在本科健康科学课程中实施了引导性问题教学策略。这种方法旨在通过建立以往生物学、解剖学和生理学课程的基础知识,并将其与常用术语、现实生活经验和实际问题联系起来,提高学生的理解能力。在课堂上,讨论由引导性问题引导,讲师促进对话并提供理由。结果显示,学生发现引导性问题、全班讨论和教师指导的结合有助于培养有意义的学习。他们对这种教学方法表示满意。此外,由学生和老师共同开发的关键概念和解释对所有学生都有益,包括那些通常比较保守的学生。
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引用次数: 0
The mentor. 的导师。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-07-10 DOI: 10.1152/advan.00103.2025
Andrea Manca, Franca Deriu

The authors present a poem entitled "The Mentor," which deals with the term "mentor" from its early use as an ordinary male name to its semantic evolution into the concept of a guide (thanks to Homer's Odyssey). The poem is essentially an ode to a mentor by one of their mentees. What we can learn from the final lines of the poem is that this is a story of success, both human and professional. Hopefully, this story will inspire aspiring physiology mentors and their mentees. The poem was the subject of a reading, after which several academic colleagues shared with the authors what a good mentor should and should not be. Their reflections and insights generated word clouds that show at a glance the major trends and differences that emerged among the professors and postgraduates who participated in this initiative.NEW & NOTEWORTHY This study used a poem to spark discussion on mentorship, gathering perspectives from professors and postgraduates on what a mentor should and should not be. Professors valued empathy and competence in good mentors, while postgraduates prioritized humanity. For bad mentors, professors cited authoritarianism, but postgraduates highlighted hurriedness. The findings emphasize that mentor's availability and time commitment are crucial for effective and healthy mentorship, suggesting a need to also prioritize and focus on mentee's perspectives.

作者们呈现了一首名为《导师》的诗,这首诗讲述了“导师”一词从早期作为普通男性名字的使用,到其语义演变为向导的概念(多亏了荷马的《奥德赛》)。这首诗本质上是他们的一个学生对导师的颂歌。我们可以从这首诗的最后几行学到的是,这是一个成功的故事,无论是人类还是职业。希望这个故事能激励有抱负的生理学导师和他们的学生。这首诗是一个读书会的主题,之后几位学术同事与作者分享了一个好的导师应该是什么,不应该是什么。他们的思考和见解形成了文字云,一目了然地显示了参与这一倡议的教授和研究生之间出现的主要趋势和差异。这项研究用一首诗引发了关于导师的讨论,从教授和研究生那里收集了关于导师应该是什么和不应该是什么的观点。教授看重好导师的同理心和能力,而研究生则看重人性。对于糟糕的导师,教授们提到了威权主义,而研究生们则强调了匆忙。研究结果强调,导师的可用性和时间承诺对于有效和健康的指导至关重要,这表明还需要优先考虑和关注被指导者的观点。
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引用次数: 0
From virtual to reality: evaluating student attitudes through VR dissection preparations: a use case. 从虚拟到现实:通过VR解剖准备评估学生态度:一个用例。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-04-23 DOI: 10.1152/advan.00170.2024
Sarah Shine, Julia Warznie, Guoli Zhou, John Zubek

Animal dissections have long been central to anatomy and physiology education, despite their costs, safety issues, and ethical concerns. Alternatives like computer-based simulations and synthetic models often fail to replicate the authentic experience of live dissections. Virtual reality (VR) offers an immersive, interactive alternative that simulates hands-on dissections with real-time feedback and skill-building opportunities, while also mitigating ethical and emotional concerns associated with live specimens. We surveyed 118 undergraduate physiology students to assess their attitudes and preferences regarding both VR and live frog dissections, both before and after participating in each method. Although VR was not universally seen as a complete replacement, a large portion of students (80%) still recognized the hands-on value of live dissections in their education. A small cohort viewed them as "neutral" or "unnecessary" postsurvey, although this trend was insignificant (P = 0.093). Notably, 28% of students reported an increased preference for live dissections after the experiment, citing excitement and perceived educational value. In contrast, 15% expressed a preference for VR, highlighting its enhanced comfort and reduced discomfort. Our findings suggest VR as a supplementary tool, particularly for students hesitant about live dissection, and highlight its potential in science education. This research contributes to ongoing discussions on integrating new technologies into the laboratory and clinical education frameworks to improve learning outcomes.NEW & NOTEWORTHY As animal dissection becomes less common in science, technology, engineering, and mathematics (STEM) education, alternative methods like virtual reality (VR) are being explored. With the emphasis on training future healthcare professionals, it's crucial to understand how students perceive these methods. VR may help bridge the gap, but students' attitudes toward dissection and VR's role remain underexplored. We tested VR dissections followed by live dissections to better understand students' learning experiences in these environments.

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引用次数: 0
The graduate school playbook: comparisons to preparing for a professional football career. 研究生院剧本:与准备职业足球生涯的比较。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-06-06 DOI: 10.1152/advan.00078.2025
Marcus T A Jackson, Merry L Lindsey, Pamela M Martin
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引用次数: 0
From compliance to moduli: clarifying basic mechanical properties of biological tissues. 从顺应性到模量:阐明生物组织的基本力学特性。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-05-15 DOI: 10.1152/advan.00032.2025
Nora Laban, Radwa Dawood, Serena Y Kuang

In physiology education, terms such as compliance, distensibility, capacitance, elastance, elasticity, etc. refer to the mechanical properties of biological tissues but are often a source of confusion in teaching and learning. This article identifies three main causes underlying the confusion: 1) inconsistent interpretations of mathematically defined terms, 2) a gap between physiologic and material science terminology, and 3) a lack of illustration of the interrelationships among these terms. To address these problems, we divide these terms into three groups: terms measuring how easily a structure can be deformed, terms measuring the stiffness of a structure (i.e., how resistant a structure is to deformation), and other terms. Through clarifying the terms in groups and introducing two fundamental terms in material science (Young's modulus and bulk modulus) that are often missing in physiology education, the problems above are resolved and a relatively complete picture of the mechanical property-related terms is provided. This article serves as a critical resource for physiology educators, researchers, and clinicians and a robust foundation for improved teaching, research, and clinical applications of tissue mechanics.NEW & NOTEWORTHY This article advances physiology education by clarifying the basic mechanical property-related terms in physiology, introducing two fundamental terms in material science that are often missing in physiology education, and revealing the interrelationships among these terms. It serves as a handy tool kit for physiology educators, researchers, as well as clinicians to select and apply these terms appropriately based on their needs.

在生理学教育中,顺应性、扩张性、电容性、弹性、弹性等术语是指生物组织的力学特性,但往往是教与学的混淆之源。本文确定了造成这种混淆的三个主要原因:1)对数学定义术语的解释不一致,2)生理学和材料科学术语之间的差距,以及3)缺乏对这些术语之间相互关系的说明。为了解决这些问题,我们将这些术语分为三组:测量结构变形的容易程度的术语,测量结构刚度的术语(即结构对变形的抵抗程度),以及其他术语。通过分组澄清术语,引入生理学教学中经常遗漏的材料科学中的两个基本术语(杨氏模量和体积模量),解决了上述问题,并提供了一个相对完整的力学性能相关术语的图像。本文为生理学教育者、研究人员和临床医生提供了重要的资源,并为改进组织力学的教学、研究和临床应用奠定了坚实的基础。
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引用次数: 0
Virtual escape rooms in anatomy education: case studies from two institutions. 解剖学教育中的虚拟逃生室:来自两个机构的案例研究。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-04-03 DOI: 10.1152/advan.00248.2024
Aaron W Beger, Sarah Hannan, Riya Patel, Eva M Sweeney

Virtual escape rooms (ERs) require learners to solve puzzles and answer riddles while trying to "escape" a digital room. Although the educational merit of such gamified learning activities continues to be realized, guides on the development of ERs are lacking, as well as student perceptions on how, if, and where they should be integrated into medical curricula. Therefore, the aim of this study was to describe the experiences of building anatomy-themed virtual ERs of differing formats at two separate institutions, Queen's University Belfast (QUB) and Edward Via College of Osteopathic Medicine (VCOM), focusing on abdominal and upper limb anatomy, respectively. Google Workspace applications served as the primary platform. Three-dimensional (3-D) models were built with photogrammetry techniques or Virtual Human Dissector software (www.toltech.net) and integrated into the ER. Of 69 students and staff invited at QUB, 9 (13%) participated in the in-person virtual ER in teams of two or three (7 medical students, 2 anatomy instructors). Of 27 VCOM medical students invited, 8 (30%) agreed to participate and individually completed VCOM's virtual ER remotely. Anonymous surveys and a focus group revealed the ERs to be enjoyable and engaging and that they encouraged participants to think about material in a new way while helping them to identify knowledge gaps. Strengths and weaknesses of different designs (linear vs. nonlinear), delivery methods (in person vs. remote), and grouping of participants (team based vs. individual) were realized and discussed, revealing opportunities for optimizing the experience. Future studies would benefit from increasing sample sizes to assess the learning gain of such activities.NEW & NOTEWORTHY Virtual escape rooms (ERs) offer an innovative way to expose students to educational material in a creative, engaging way, particularly when they incorporate three-dimensional (3-D) models. Activities can be readily built with Google Workspace. Offering this activity to teams in a physical setting may promote collaboration and maximize the educational utility, whereas having learners complete it remotely on an individual basis may be more convenient, allowing them to fit it in their study schedule at their own convenience.

虚拟逃生室(er)要求学习者在试图“逃离”数字房间的同时解决谜题和回答谜语。虽然这种游戏化学习活动的教育价值继续得到实现,但缺乏关于急诊室发展的指南,以及学生对如何、是否以及在何处将其纳入医学课程的认识。因此,本研究的目的是描述在两个独立的机构:贝尔法斯特女王大学(Queen's University Belfast, QUB)和爱德华维亚骨科医学院(Edward Via College of Osteopathic Medicine, VCOM)建立不同格式的解剖学主题虚拟急诊室的经验,分别关注腹部和上肢解剖。b谷歌工作空间应用程序作为主要平台。使用摄影测量技术或虚拟人体解剖软件(www.toltech.net)建立三维模型并集成到ER中。在昆士兰大学邀请的69名学生和工作人员中,9人(13%)以2-3人一组(7名医科学生,2名解剖学讲师)参加了现场虚拟急诊室。在受邀的27名VCOM医学生中,8名(30%)同意参与并单独远程完成VCOM的虚拟急诊室。匿名调查和焦点小组显示,急诊室是令人愉快和吸引人的,并鼓励参与者以新的方式思考材料,同时帮助他们识别知识差距。不同设计(线性vs非线性)、交付方法(面对面vs远程)和参与者分组(团队vs个人)的优缺点被实现和讨论,揭示了优化体验的机会。今后的研究将受益于增加样本量,以评估这些活动的学习收益。
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引用次数: 0
Educators' experience and guide to scaffolding generative AI applications throughout a physiology and pharmacology undergraduate laboratory course. 教育工作者的经验和指导脚手架基因应用在整个生理和药理学本科实验室课程。
IF 1.7 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 Epub Date: 2025-05-13 DOI: 10.1152/advan.00130.2024
Christine E Bell, Oana Birceanu

One of the identified points of confusion and a barrier to students using generative artificial intelligence (GenAI) is knowing what their professor would consider appropriate use of GenAI in a classroom setting or course framework. This creates points of friction for instructors and students as they try to navigate an ever-changing landscape, while trying to ensure work readiness skills for students. This includes the development of GenAI literacy, prompt engineering as related to physiology and research, and critical thinking skills. In this paper, we suggest an innovative, two-pronged approach that scaffolds the use of GenAI in a third-year physiology and pharmacology course. First, we propose integrating centralized support for GenAI within a course through asynchronous means, demonstrating how GenAI can be used as a tool. Second, we provide a step-by-step guide, with a concrete example of using GenAI for developing a novel experimental question, a hypothesis, legitimate methodology and analysis, and critical evaluation of GenAI outputs. We also provide a general implementation guide and logistical considerations, and adaptations for other courses are discussed.NEW & NOTEWORTHY Exciting innovation in education! We are addressing generative artificial intelligence (GenAI) confusion in higher education classrooms with a two-pronged approach for a third-year physiology and pharmacology lab course. Ensuring GenAI literacy, prompt engineering, and critical thinking while providing an authentic lab experience. We present a scaffolded approach using centralized GenAI support and a step-by-step guide for developing novel experiments and supporting faculty GenAI literacy. Working to support faculty and students alike!

学生使用GenAI的一个明确的困惑点和障碍是,不知道他们的教授会认为在课堂设置或课程框架中如何恰当地使用GenAI。这给教师和学生制造了摩擦点,因为他们试图在不断变化的环境中导航,同时试图确保学生的工作准备技能。这包括基因知识的发展,与生理学和研究相关的快速工程,以及批判性思维技能。在本文中,我们提出了一种创新的、双管齐下的方法,在三年级的生理学和药理学课程中使用GenAI。首先,我们提出了通过异步方式在课程中集成GenAI的集中支持,演示了GenAI如何作为工具使用。其次,我们提供了一个循序渐进的指导,并提供了一个具体的例子,使用GenAI来开发一个新的实验问题,一个假设,合理的方法和分析,以及对GenAI输出的批判性评估。我们还提供了一个通用的实施指南,并讨论了其他课程的后勤考虑和适应。
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引用次数: 0
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Advances in Physiology Education
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