Department of Medical Education Research, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Emotions are universal in academic and clinical settings. A student is likely to hope for success, maybe be worried about failure, or may feel comfortable after an exam. These feelings undoubtedly affect his/her motivation, effort, academic performance, and progress. This study aimed to investigate the role of emotion in the learning and performance of medical students and its mechanism. This study was a scoping review conducted in 2022 to examine the role of emotions in medical education. The three databases PubMed, ERIC, and Science Direct and the search engine Google Scholar were searched using the following keywords: “emotion,” “medical student,” “teaching,” “learning,” and “medical education.” English articles published from 2010 to 2022 were reviewed, and finally, 34 articles that met the inclusion criteria were reviewed. Review of the selected articles showed that there was a significant relationship between the cognitive system and emotions in the brain. The conceptual framework of the relationship between cognition and emotion can be explained in the form of dimensional and discrete views of emotions and based on cognitive load theory. Emotions affect cognition with the four mechanisms of memory, cognitive resources, cognitive strategies, and motivation and can be effective in learning self‑regulation, clinical reasoning, and academic achievement of medical students. Emotions in medical education is a double‑edged sword. In other words, it is highly recommended to divide emotions into activating and inactivating, instead of dividing them into positive and negative ones. In this context, medical educators can use the positive aspects of nearly all emotions to improve the quality of their teaching.
LeBlanc VR, McConnell MM, Monteiro SD. Predictable chaos: A review of the effects of emotions on attention, memory and decision making. Adv Health Sci Educ 2015;20:265‑82. 2. Sheikhbardsiri H, Sheikhasadi H, Mahani SA, Mohamadi MMD. Emotional intelligence and learning strategies of postgraduate students at Kerman University of Medical Sciences in the southeast of Iran. J Educ Health Promot 2020;9:66. 3. Jennings PA, Greenberg MT. The prosocial classroom: Teacher social and emotional competence inrelation to student and classroom outcomes. Rev Educ Res 2009;79:49. 4. Tyng CM, Amin HU, Saad MNM, Malik AS. The influences of emotion on learning and memory. Front Psychol 2017;8:1454. 5. KremerT, Mamede S, MartinsMA, TempskiP, van den BroekWW. Investigating the impact of emotions on medical students’ learning. Health Prof Educ 2019;5:111‑9. 6. Artino AR Jr, Holmboe ES, Durning SJ. Can achievement emotions be used to better understand motivation, learning, and performance in medical education? Med Teach 2012;34:240‑4. 7. Omid A, Haghani F, Adibi P. Clinical teaching with emotional intelligence: A teaching toolbox. J Res Med Sci 2016;21:27. 8. Keskitalo T, Ruokamo H. Exploring learners’ emotions and emotional profiles in simulation‑based medical education. Australas J Educ Technol 2021;37:15‑26. 9. McConnell MM, Monteiro S, Pottruff MM, Neville A, Norman GR, Eva KW, et al. The impact of emotion on learners’ application of basic science principles to novel problems. Acad Med 2016;91:S58‑63. 10. Artino AR Jr, Naismith LM. ‘But how do you really feel?’Measuring emotions in medical education research. Med Educ 2015;49:140‑2. 11. Gooding H, Mann K, Armstrong E. Twelve tips for applying the science of learning to health professions education. Med Teach 2017;39:26‑31. 12. O’Callaghan A. Emotional congruence in learning and health encounters in medicine: addressing an aspect of the hidden curriculum. Adv Health Sci Educ 2013;18:305‑17. 13. Artino AR Jr, Holmboe ES, Durning SJ. Control-value theory: Using achievement emotions to improve understanding of motivation, learning, and performance in medical education: AMEE Guide No. 64. Med Teach 2012;34:e148‑60. 14. Hayat AA, Salehi A, Kojuri J. Medical student’s academic performance: The role of academic emotions and motivation. J Adv Med Educ Prof 2018;6:168‑75. 15. Crowe S, Clarke N, Brugha R. ‘You do not cross them’: Hierarchy and emotion in doctors’ narratives of power relations in specialist training. Soc Sci Med 2017;186:70‑7. 16. Friedlander MJ, Andrews L, Armstrong EG, Aschenbrenner C, Kass JS, Ogden P, et al. What can medical education learn from the neurobiology of learning? Acad Med 2011;86:415‑20. 17. Mills LM, Boscardin C, Joyce EA, Ten Cate O, O’Sullivan PS. Emotion in remediation: A scoping review of the medical education literature. Med Educ 2021;55:1350‑62. 18. DeMaria S Jr, Bryson EO, Mooney TJ, Silverstein JH, Reich DL, Bodian C, et al. Adding emotional stressors to training in simulated cardiopulmonary arrest enhances participant performance. Med Educ 2010;44:1006‑15. 19. Gifford H, Varatharaj A. The ELEPHANT criteria in medical education: Can medical education be fun? Med Teach 2010;32:195‑7. 20. Jarrell A, Harley JM, Lajoie SP. The link between achievement emotions, appraisals, and task performance: Pedagogical considerations for emotions in CBLEs. J Comput Educ 2016;3:289‑307. 21. Jarrell A, Harley JM, Lajoie S, Naismith L. Success, failure and emotions: Examining the relationship between performance feedback and emotions in diagnostic reasoning. Educ Technol Res Dev 2017;65:1263‑84. 22. Hautz WE, Schröder T, Dannenberg KA, März M, Hölzer H, Ahlers O, et al. Shame in medical education: A randomized study of the acquisition of intimate examination skills and its effect on subsequent performance. Teach Learn Med 2017;29:196‑206. 23. Fraser K, Huffman J, Ma I, Sobczak M, McIlwrick J, Wright B, et al. The emotional and cognitive impact of unexpected simulated patient death: A randomized controlled trial. Chest 2014;145:958‑63. 24. Hayat AA, Shateri K, Amini M, Shokrpour N. Relationships between academic self‑efficacy, learning‑related emotions, and metacognitive learning strategies with academic performance in medical students: A structural equation model. BMC Med Educ 2020;20:1‑11. 25. Lajoie SP, Zheng J, Li S. Examining the role of self‑regulation and emotion in clinical reasoning: Implications for developing expertise. Med Teach 2018;40:842‑4.
26. Kremer T, Mamede S, van den Broek WW, Schmidt HG, do PT Nunes M, Martins MA. Influence of negative emotions on residents’ learning of scientific information: An experimental study. Perspect Med Educ 2019;8:209‑15. 27. McConnell MM, Eva KW. The role of emotion in the learning and transfer of clinical skills and knowledge. Acad Med 2012;87:1316‑22. 28. Bynum WE IV, Artino AR Jr, Uijtdehaage S, Webb AM, Varpio L. Sentinel emotional events: The nature, triggers, and effects of shame experiences in medical residents. Acad Med 2019;94:85‑93. 29. Bynum WE IV, Artino AR Jr. Who am I, and who do I strive to be? Applying a theory of self‑conscious emotions to medical education. Acad Med 2018;93:874‑80. 30. WhelanB, Hjörleifsson S, ScheiE. Shame in medical clerkship:“You just feel like dirt under someone’s shoe”. Perspect Med Educ 2021;10:265‑71. 31. Li S, Zheng J, Lajoie SP. The frequency of emotions and emotion variability in self‑regulated learning: What matters to task performance? Frontline Learn Res 2021;9:76‑91. 32. Jakobsen F, Musaeus P, Kirkeby L, Hansen TB, Mørcke AM. Emotions and clinical learning in an interprofessional outpatient clinic: Afocused ethnographic study. JInterprof Care 2019;33:57‑65. 33. Ghanbari S, Haghani F, Akbarfahimi M. Practical points for brain-friendly medical and health sciences teaching. J Educ Health Promot 2019;8:198. 34. Wijekumar KK. Influence of emotions on digital learning. Educ Technol Res Dev 2021;69:55‑7. 35. Behrens CC, Dolmans DH, Gormley GJ, Driessen EW. Exploring undergraduate students achievement emotions during ward round simulation: A mixed‑method study. BMC Med Educ 2019;19:1‑7. 36. Yu JH, Chang HJ, Kim SS, Park JE, Chung WY, Lee SK, et al. Effects of high‑fidelity simulation education on medical students’ anxiety and confidence. PLoS One 2021;16:e0251078.
Nahid Toufan,.. , Athar Omid,.. and Fariba Haghani,.. (2023). The double‑edged sword of emotions in medical education: A scoping review. Journal of Education and Health Promotion, 13(2), 1-12.
MLA
Nahid Toufan,.. , , Athar Omid,.. , and Fariba Haghani,.. . "The double‑edged sword of emotions in medical education: A scoping review", Journal of Education and Health Promotion, 13, 2, 2023, 1-12.
HARVARD
Nahid Toufan .., Athar Omid .., Fariba Haghani .. (2023). 'The double‑edged sword of emotions in medical education: A scoping review', Journal of Education and Health Promotion, 13(2), pp. 1-12.
CHICAGO
.. Nahid Toufan, .. Athar Omid and .. Fariba Haghani, "The double‑edged sword of emotions in medical education: A scoping review," Journal of Education and Health Promotion, 13 2 (2023): 1-12,
VANCOUVER
Nahid Toufan .., Athar Omid .., Fariba Haghani .. The double‑edged sword of emotions in medical education: A scoping review. J Educ Health Promot, 2023; 13(2): 1-12.