Comic Corner

LEARNING LIKE AN ADULT: DO IT RIGHT PLEASE AND THERE IS NO “OR”

By: Aly Diana

Recently, I had the opportunity to revisit the principles of andragogy. While these principles are theoretically sound, applying them in practice is challenging. This brief summary serves as a reminder of the importance of applying adult learning principles in our interactions with adults, including students, community members, and patients. We often default to traditional teaching methods, neglecting the necessity for adult-centered learning approaches in our communication.

Key theories include Knowles’ andragogy, which emphasizes learner autonomy, experience-based learning, and problem-solving; Mezirow’s transformational learning, focusing on critical reflection and perspective transformation; and Brookfield’s self-directed learning, highlighting the learner’s control over their educational journey. Applying these theories in medical education involves creating learning environments that foster autonomy and critical thinking. This means moving beyond traditional didactic methods to interactive, problem-based approaches that leverage learners’ extensive clinical and research experiences. For example, integrating real-world scenarios in teaching reflects the dynamic and complex decision-making processes in medical practice, aligning with Knowles’ assertion that adults learn best when the content is relevant to their professional lives.

Transformational learning is particularly relevant in an era of rapidly evolving medical knowledge. Encouraging professionals to critically analyze and reflect on their beliefs and experiences promotes adaptability and resilience, essential for navigating the challenges of medical research and patient care. Furthermore, fostering a culture of self-directed learning empowers medical professionals to take charge of their learning, aligning with Brookfield’s assertion that adults are capable of, and benefit from, directing their own learning. This approach not only enhances engagement but also ensures continuous professional development, crucial in a field where lifelong learning is vital.

Integrating adult learning involves unique challenges. One major challenge is transitioning from the traditional role of an information provider to a facilitator of learning. This shift requires educators to adopt methods that foster critical thinking and self-directed learning, which may be unfamiliar or uncomfortable for those accustomed to traditional didactic teaching.

Another challenge lies in aligning educational strategies with the varied experiences and expertise levels of adult learners. Medical learners bring diverse clinical experiences and specialties, necessitating tailored teaching approaches. Similarly, adult learners from the community contribute their unique experiences, while patients introduce their personal attributes and habits, adding further dimensions to the learning process. Each group’s distinct background requires educators to adapt and innovate in their teaching methods to effectively communicate new information and concepts.

Furthermore, as educators, we often face time constraints and workload pressures, making it difficult to devote time to developing and implementing innovative educational strategies. Balancing clinical, research, and teaching responsibilities while also keeping up with advancements in both medical science and educational theory is a significant task.

Overall, while adult learning theories provide a robust framework for enhancing medical education, their practical implementation by medical professionals as educators requires overcoming challenges related to role adaptation, learner diversity, and time management. Addressing these challenges is essential for the effective application of adult learning principles in medical education. Although we have shifted from traditional to adult learning theory, one thing remains constant: practice makes perfect.

Reference

  • Horii CV. Teaching insights from adult learning theory. J Vet Med Educ. 2007 Fall;34 (4):369-76. doi: 10.3138/jvme.34.4.369. PMID: 18287460.
  • Mukhalalati BA, Taylor A. Adult Learning The-ories in Context: A Quick Guide for Healthcare Professional Educators. J Med Educ Curric Dev. 2019 Apr 10;6:2382120519840332. doi: 10.1177/2382120519840332. PMID: 31008257; PMCID: PMC6458658.
  • Palis AG, Quiros PA. Adult learning principles and presentation pearls. Middle East Afr J Ophthalmol. 2014 Apr-Jun;21(2):114-22. doi: 10.4103/0974-9233.129748. PMID: 24791101; PMCID: PMC4005174.
  • Reed S, Shell R, Kassis K, Tartaglia K, Wallihan R, Smith K, Hurtubise L, Martin B, Ledford C, Bradbury S, Bernstein HH, Mahan JD. Applying adult learning practices in medical education. Curr Probl Pediatr Adolesc Health Care. 2014 J u l ; 4 4 ( 6 ) : 1 7 0 – 8 1 . d o i : 1 0 . 1 0 1 6 /j. cppeds.2014.01.008. PMID: 24981666.

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