Digital flashcards and medical physiology performance: a dose-dependent effect

Data de publicação: 01/01/2024 Data Ahead of Print: 30/11/2023

Autores da FMUP

Joaquim Adelino Correia Ferreira Leite Moreira

Autor

Participantes de fora da FMUP

Santos-Ferreira D.
Guimarães B.
Ladeiras-Lopes R.
Gonçalves-Teixeira P.
Diaz S.O.
Ferreira P.
Gonçalves F.
Cardoso R.G.
Ferreira M.A.
Chaves P.C.
Fontes-Carvalho R.

Unidades de investigação

Cirurgia e Fisiologia
Laboratório Associado RISE- Rede de Investigação em Saúde

Investigador

Fernando Carlos De Landér Schmitt
RISE-Health

Investigador

Fernando Carlos De Landér Schmitt

Abstract

Use of digital flashcards promotes active recall, spaced repetition, and self-assessment academic principles. This work explores the association and dose-dependent effect of this study method and locomotor (LP) and cardiovascular physiology (CP) grades. A single-faculty cohort study of medical LP and CP students was conducted, and 155 and 676 flashcards, respectively, were created through Moodle. An exploratory analysis examined three exam results (2019), and a confirmatory study used a fourth exam (2021) in another CP cohort. Of 685 students enrolled, 558 participated in the exploratory analysis: 319 (69%) for LP and 311 (84%) for CP, of which 203 LP and 267 CP students were flashcard users. Median grades were higher among flashcard users, and the number of cards reviewed was positively correlated with grades (r = 0.275 to 0.388 for LP and r = 0.239 to 0.432 for CP, P < 0.001). Multiple linear regression models confirmed a positive dose-dependent association between results and the number of flashcards studied: for every 100 LP cards reviewed, exam grades increased 0.44–0.75 on a 0–20 scale range (P < 0.001), and for every 1,000 CP flashcards, results raised 0.81–1.08 values (P < 0.05). These findings were confirmed in the 2021 CP cohort of 269 participants, of whom 67% were flashcard users. Digital flashcard revision has a consistent positive dose-dependent association on LP and CP grades. NEW & NOTEWORTHY Implementing flashcard-based strategies is a feasible way to promote active recall, spaced repetition, and self-assessment, and students are highly adherent to these initiatives. There is a positive dose-dependent association between the number of flashcards reviewed and physiology grades. These results are consistent across different physiology subjects, under different cohorts, over short and medium terms. © 2024 the American Physiological Society.

Dados da publicação

ISSN/ISSNe:: 1043-4046, 1522-1229
Tipo:: Article
Páginas:: 80-87
DOI:: 10.1152/advan.00138.2023
Link para outro recurso:: www.scopus.com

Documentos

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Métricas

Filiações

Santos-Ferreira D.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Cardiology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal
Guimarães B.:: Physical Medicine and Rehabilitation Department, Centro Hospitalar de Entre Douro e Vouga, Santa Maria da Feira, Portugal
Ladeiras-Lopes R.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal
Gonçalves-Teixeira P.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Cardiology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal
Diaz S.O.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal
Ferreira P.:: Faculty of Medicine of the University of Porto, Porto, Portugal
Gonçalves F.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal

Nephrology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
Cardoso R.G.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal

Anesthesiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
Ferreira M.A.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal
Chaves P.C.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal

Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
Fontes-Carvalho R.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Cardiology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal
Leite-Moreira A.:: UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal

Faculty of Medicine of the University of Porto, Porto, Portugal

Cardiothoracic Surgery Department, Centro Hospitalar Universitário de São João, Porto, Portugal

Keywords

adult; article; cardiovascular function; cohort analysis; controlled study; female; human; locomotion; major clinical study; male; multiple linear regression analysis; recall; self evaluation; spacing effect; surgery

Financiamento

European Regional Development Fund

FMUP

North Regional Operational Program ((NORTE-01–0145-FEDER-000039))