Med Educ Online. 2022 Dec;27(1):2016357. doi: 10.1080/10872981.2021.2016357.
Use of neuroimaging to measure neurocognitive engagement in health professions education: a scoping review.
Medical education online
Serkan Toy, Dana D Huh, Joshua Materi, Julie Nanavati, Deborah A Schwengel
Affiliations
Affiliations
- Department of Anesthesiology & Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
- The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
- Welch Medical Library, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
PMID: 35012424
DOI: 10.1080/10872981.2021.2016357
Abstract
PURPOSE: To map the current literature on functional neuroimaging use in medical education research as a novel measurement modality for neurocognitive engagement, learning, and expertise development.
METHOD: We searched PubMed, Embase, Cochrane, ERIC, and Web of Science, and hand-searched reference lists of relevant articles on April 4, 2019, and updated the search on July 7, 2020. Two authors screened the abstracts and then full-text articles for eligibility based on inclusion criteria. The data were then charted, synthesized, and analyzed descriptively.
RESULTS: Sixty-seven articles published between 2007 and 2020 were included in this scoping review. These studies used three main neuroimaging modalities: functional magnetic resonance imaging, functional near-infrared spectroscopy, and electroencephalography. Most of the publications (90%, n = 60) were from the last 10 years (2011-2020). Although these studies were conducted in 16 countries, 68.7% (n = 46) were from three countries: the USA (n = 21), UK (n = 15), and Canada (n = 10). These studies were mainly non-experimental (74.6%, n = 50). Most used neuroimaging techniques to examine psychomotor skill development (57%, n = 38), but several investigated neurocognitive correlates of clinical reasoning skills (22%, n = 15).
CONCLUSION: This scoping review maps the available literature on functional neuroimaging use in medical education. Despite the heterogeneity in research questions, study designs, and outcome measures, we identified a few common themes. Included studies are encouraging of the potential for neuroimaging to complement commonly used measures in education research and may help validate/challenge established theoretical assumptions and provide insight into training methods. This review highlighted several areas for further research. The use of these emerging technologies appears ripe for developing precision education, establishing viable study protocols for realistic operational settings, examining team dynamics, and exploring applications for real-time monitoring/intervention during critical clinical tasks.
Keywords: Electroencephalography; functional magnetic resonance imaging; functional near-infrared spectroscopy; health professions education; medical education; neurocognitive engagement; neuroimaging
References
- Med Teach. 2014 May;36(5):434-40 - PubMed
- Minim Invasive Surg. 2018 May 2;2018:2389158 - PubMed
- Appl Opt. 2009 Apr 1;48(10):D280-98 - PubMed
- Brain Behav. 2015 Mar;5(3):e00309 - PubMed
- Eur Surg Res. 2020;61(1):34-50 - PubMed
- Ann Surg. 2017 Feb;265(2):320-330 - PubMed
- J Am Coll Surg. 2011 Jul;213(1):29-34; discussion 34-6 - PubMed
- Am J Surg. 2017 Feb;213(2):336-345 - PubMed
- Surg Endosc. 2014 Jul;28(7):2189-98 - PubMed
- Neuroimage. 2008 Jan 15;39(2):805-13 - PubMed
- Urology. 2015 Oct;86(4):751-7 - PubMed
- Adv Health Sci Educ Theory Pract. 2016 Dec;21(5):953-966 - PubMed
- Br J Surg. 2016 Jan;103(1):35-42 - PubMed
- JAMA Surg. 2016 Jul 1;151(7):682-4 - PubMed
- Brain Connect. 2016 Jun;6(5):375-88 - PubMed
- Surg Endosc. 2021 Feb;35(2):584-592 - PubMed
- Adv Health Sci Educ Theory Pract. 2016 Dec;21(5):921-933 - PubMed
- Surg Endosc. 2016 Jul;30(7):2961-8 - PubMed
- Mil Med. 2015 Apr;180(4 Suppl):129-35 - PubMed
- Surgery. 2017 Nov;162(5):1121-1130 - PubMed
- Neuroreport. 2016 Jan 6;27(1):45-9 - PubMed
- J Surg Educ. 2019 Jul - Aug;76(4):1107-1115 - PubMed
- Med Educ. 2019 Feb;53(2):143-152 - PubMed
- Med Teach. 2013 Sep;35(9):720-6 - PubMed
- Arch Surg. 2012 Jul;147(7):627-32 - PubMed
- Surg Endosc. 2009 Oct;23(10):2296-301 - PubMed
- BJU Int. 2015 Jan;115(1):166-74 - PubMed
- Ann Surg. 2018 Apr;267(4):683-691 - PubMed
- Int J Evid Based Healthc. 2015 Sep;13(3):141-6 - PubMed
- Brain Res. 2019 Dec 15;1725:146445 - PubMed
- Surg Endosc. 2019 Aug;33(8):2485-2494 - PubMed
- Neuroimage. 2004 Apr;21(4):1732-47 - PubMed
- Med Teach. 2016 Jun;38(6):570-7 - PubMed
- J Endourol. 2015 Dec;29(12):1329-33 - PubMed
- Surgery. 2011 Apr;149(4):525-33 - PubMed
- World J Surg. 2008 Feb;32(2):213-6 - PubMed
- Ann Surg. 2008 Mar;247(3):540-3 - PubMed
- J Surg Educ. 2015 Mar-Apr;72(2):198-204 - PubMed
- Adv Health Sci Educ Theory Pract. 2016 Dec;21(5):969-982 - PubMed
- J Neurosci. 2016 Aug 3;36(31):8103-11 - PubMed
- PLoS One. 2011;6(11):e27768 - PubMed
- Behav Brain Funct. 2013 Apr 22;9:14 - PubMed
- Neuroimage. 2001 Dec;14(6):1370-86 - PubMed
- Mil Med. 2012 Sep;177(9 Suppl):72-8 - PubMed
- Ann Intern Med. 2018 Oct 2;169(7):467-473 - PubMed
- Comput Aided Surg. 2008 Nov;13(6):325-39 - PubMed
- J Cogn Neurosci. 2018 Sep;30(9):1323-1329 - PubMed
- Neuroimage. 2002 Oct;17(2):825-41 - PubMed
- Surg Endosc. 2020 Dec;34(12):5604-5615 - PubMed
- Science. 1999 Mar 12;283(5408):1657-61 - PubMed
- Surg Endosc. 2020 Nov;34(11):4837-4845 - PubMed
- Implement Sci. 2010 Sep 20;5:69 - PubMed
- Surg Endosc. 2011 Sep;25(9):2950-5 - PubMed
- Front Psychiatry. 2013 Oct 15;4:131 - PubMed
- Front Hum Neurosci. 2015 Oct 14;9:526 - PubMed
- Surg Technol Int. 2015 May;26:25-30 - PubMed
- Ann Surg. 2010 Dec;252(6):1082-90 - PubMed
- Int J Comput Assist Radiol Surg. 2015 Jun;10(6):783-90 - PubMed
- Front Neurosci. 2019 Dec 12;13:1336 - PubMed
- Behav Brain Funct. 2013 Jan 07;9:1 - PubMed
- Am J Surg. 2007 Apr;193(4):507-10 - PubMed
- JAMA Surg. 2019 Oct 1;154(10):e192552 - PubMed
- NPJ Sci Learn. 2019 Jul 17;4:10 - PubMed
- Neurosci Biobehav Rev. 2009 Jul;33(7):1004-23 - PubMed
- Sci Rep. 2018 Feb 26;8(1):3667 - PubMed
- Front Hum Neurosci. 2019 Mar 05;13:85 - PubMed
- Acta Paediatr. 2016 Jun;105(6):705-13 - PubMed
- Med Educ Online. 2017;22(1):1379345 - PubMed
- BJU Int. 2016 Sep;118(3):429-36 - PubMed
- Eur Surg Res. 2020;61 Suppl 1:1-49 - PubMed
- Magn Reson Med. 2011 Mar;65(3):873-81 - PubMed
- J Am Med Inform Assoc. 2016 Nov;23(6):1113-1120 - PubMed
- Neuroimage. 2019 Apr 1;189:32-44 - PubMed
- J Neurosci Methods. 2004 Mar 15;134(1):9-21 - PubMed
- Front Psychiatry. 2018 Sep 11;9:432 - PubMed
MeSH terms
Publication Types