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The Clovid Project: The impact of Cultural Heterogeneity & Homogeneity on the Collaborative Clinical Reasoning (CCR) Argumentation in a synchronous, Computer-Supported Collaborative Learning (CSCL) context

Manoli, Chrysoula (2023) The Clovid Project: The impact of Cultural Heterogeneity & Homogeneity on the Collaborative Clinical Reasoning (CCR) Argumentation in a synchronous, Computer-Supported Collaborative Learning (CSCL) context.

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Abstract:Mastering Collaborative Clinical Reasoning (CCR) can be challenging for medical students because it requires them to effectively argue for their diagnoses to reach collaborative treatment decisions. Computer-supported collaborative learning (CSCL) contexts are considered effective for facilitating CCR. Internationalization in Higher Education introduces additional challenges for medical student teams practising CCR, such as communication barriers, process losses, and conflicts. This quasi-experimental study assessed the CCR argumentative quality in 68 undergraduate medical students (31 Dutch and 36 Finnish), randomly assigned to culturally congruent and mixed groups. Weinberger and Fischer's (2006) coding framework was used to analyze student diagnoses and a questionnaire captured students' CCR experience perceptions. It confirmed higher clinical argumentation quality with data support in homogeneous groups, while argumentation in mixed groups showed non-argumentative moves, hesitation, and conflict. Despite both groups coming from similar, individualistic cultures, Finnish students were more group-oriented and theoretically driven, with data-supported arguments, while Dutch students were more pragmatic, and action-oriented and their arguments lacked qualifiers. To enhance intercultural CCR argumentation in synchronous CSCL contexts, scaffolds like argument maps and collaborative annotation alongside explicit instruction are advised to be implemented
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:81 education, teaching
Programme:Educational Science and Technology MSc (60023)
Link to this item:https://purl.utwente.nl/essays/97693
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