Academic Journal
Staged-release problem-based learning revitalizes medical students' intrinsic motivation and clinical reasoning.
| Τίτλος: | Staged-release problem-based learning revitalizes medical students' intrinsic motivation and clinical reasoning. |
|---|---|
| Συγγραφείς: | Elhassan YH; School of Health Professions Education (SHE), Maastricht University, Maastricht, Netherlands.; Basic Sciences Department, College of Medicine, Taibah University, Madinah, Saudi Arabia., Sieben JM; Department of Anatomy & Embryology, Faculty of Health, Medicine & Life Sciences, Maastricht University, Maastricht, Netherlands.; Faculty of Health, Medicine & Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands., Köhler SE; School of Health Professions Education (SHE), Maastricht University, Maastricht, Netherlands.; Department of Anatomy & Embryology, Faculty of Health, Medicine & Life Sciences, Maastricht University, Maastricht, Netherlands., Brinke DJ; School of Health Professions Education (SHE), Maastricht University, Maastricht, Netherlands.; Department of Educational Development and Research, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, Netherlands., Dolmans DHJM; School of Health Professions Education (SHE), Maastricht University, Maastricht, Netherlands.; Department of Educational Development and Research, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, Netherlands. |
| Πηγή: | Medical teacher [Med Teach] 2026 Jul; Vol. 48 (7), pp. 1180-1192. Date of Electronic Publication: 2026 Jan 29. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 7909593 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1466-187X (Electronic) Linking ISSN: 0142159X NLM ISO Abbreviation: Med Teach Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: London, Update Publications. |
| Ιατρικοί όροι (MeSH): | Problem-Based Learning*/methods , Problem-Based Learning*/organization & administration , Students, Medical*/psychology , Education, Medical, Undergraduate*/methods , Education, Medical, Undergraduate*/organization & administration , Motivation* , Clinical Reasoning*, Humans ; Male ; Female ; Saudi Arabia ; Personal Autonomy ; Focus Groups |
| Περίληψη: | Introduction: Problem-based learning (PBL) is central to many curricula, yet reports of 'PBL fatigue' and inconsistent gains in clinical reasoning suggest room for improvement. Grounded in Self-Determination Theory, we designed a Staged-Release Model (SRM) to enhance students' intrinsic motivation and refine clinical reasoning. This study evaluated the SRM's initial implementation by examining its association with medical students' intrinsic motivation and perceived clinical reasoning ability. Methods: A mixed-methods study was conducted at the College of Medicine, Taibah University, Saudi Arabia. Third-year medical students (N = 151) participated in the new 7-step model (SRM). Quantitative data were collected using the 24-item Basic Psychological Needs Satisfaction and Frustration Scale (BPNSFS), which assessed, on a 5-point Likert scale, students' basic needs for intrinsic motivation. Qualitative data were collected through semi-structured focus group interviews. Results: Median scores for satisfaction with autonomy, relatedness, and competence were positive, accompanied by very low frustration scores. Qualitative analysis suggested that using the model enhanced students' learning of clinical reasoning, provided effective group interaction and engagement in the clinical context, and offered suggestions for improving consolidation sessions and tutor facilitation. Disscussion: This study suggests that SRM may enhance students' intrinsic motivation, potentially alleviating PBL fatigue, and may support the development of clinical reasoning by meeting students' basic psychological needs. |
| Contributed Indexing: | Keywords: Problem-based learning; clinical reasoning; intrinsic motivation; self-determination theory; staged-release model |
| Entry Date(s): | Date Created: 20260130 Date Completed: 20260623 Latest Revision: 20260623 |
| Update Code: | 20260623 |
| DOI: | 10.1080/0142159X.2025.2610409 |
| PMID: | 41612652 |
| Βάση Δεδομένων: | MEDLINE |
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