Motor control, motor learning, and clinical education: Simulation-based learning

Theoretical expertise in human motor control and skill learning underpins a rigorous program of research concerned with understanding educational applications in the context of clinical skill training. This work focuses specifically on understanding the fundamental psychomotor processes that contribute to human expertise at precision movement skills, how these processes underpin mechanisms of skill development, and what this means for  innovations in health professions education.

One purpose of this current work is to inform on the improvement of simulation-based pedagogy in the health professions. Accordingly, this work looks closely at the experience of making certain errors has on the development of movement performance strategies, the way we define simulation fidelity in clinical education, and the unique constraints that technology-enabled clinical tasks, such as minimally-invasive surgery, place on the motor system. This program is reflected in publications in both the theoretical kinesiology literature and the health professions education literature, and involves collaborations with McMaster’s Centre for Simulation-based Learning and Hamilton Health Sciences’s Centre for Minimal Access Surgery.

Recent Publications:

  • Chen R, Grierson LEM, Norman G. Manipulation of Cognitive Load Variables and Impact on Auscultation Test Performance. Advances in Health Sciences Education, 20(4), 935-952, 2015.
  • Chen R, Grierson LEM, Norman G. Evaluating High Fidelity and Low Fidelity Instruction on Auscultation Skill Development. Medical Education, 49(3), 276-285, 2015.
  • Grierson LEM. Information processing, specificity of practice, and the transfer of learning: Considerations for reconsidering fidelity. Advances in Health Sciences Education, 19, 281-289. 2014.
  • Grierson LEM, Lyons J, Dubrowski A. Gaze down endoscopic practice leads to better novice performance on gaze up displays. Medical Education, 47(2):167-172. 2013.
  • Norman GR, Dore KL, Grierson LEM. The Minimal relation between simulation Fidelity and transfer of learning. Medical Education, 46(7):636-47. 2012.
  • Grierson LEM, Melnyk M, Jowlett N, Backstein D, Dubrowski A. Bench model surgical skill training improves novice ability to multitask: A randomized controlled study. Studies in Health Technology and Informatics, 163:192-198. 2011.
  • Elliott D, Grierson LEM, Hayes SJ, Lyons J. Action representations in perception, motor control and learning: Implications for medical education. Medical Education, 45(2): 119-131. 2011.