Formed in context: A mixed‐methods study of medical students' mindsets in an Eastern culture.

Introduction: Mindsets have become an important focus in the fields of social and cognitive psychology. When holding a growth mindset, people appear more likely to engage in hard work and effort to foster success, seeing setbacks as necessary for learning. When holding a fixed mindset, in contrast,...

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Publicado en:Medical Education Vol. 59; no. 2; pp. 210 - 226
Autores principales: Tan, Jiaxi, Li, Honghe, Zhang, Pingmei, Hirsh, David A.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
      vid: 59
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Formed in context: A mixed‐methods study of medical students' mindsets in an Eastern culture.
      aug:
        au:
          Tan, Jiaxi
          Li, Honghe
          Zhang, Pingmei
          Hirsh, David A.
        affil: Institute of Health Professions Education Assessment and Reform, China Medical University, Shenyang, China
      sug:
        subj:
          Students, Medical Psychosocial Factors
          Student Attitudes Evaluation
          Cultural Competence
          Self Concept
          Intelligence
          Aptitude
          Human
          Funding Source
          Multimethod Studies
          China
          Focus Groups
          Grounded Theory
          Descriptive Research
          Multiple Regression
          Academic Achievement
          Motivation
          Scales
          Male
          Female
          Male
          Female
      ab: Introduction: Mindsets have become an important focus in the fields of social and cognitive psychology. When holding a growth mindset, people appear more likely to engage in hard work and effort to foster success, seeing setbacks as necessary for learning. When holding a fixed mindset, in contrast, people tend to believe success comes from innate ability, seeing setbacks as evidence of inability. As such, mindsets affect students' learning, resilience and personal development. There is little empirical evidence, however, regarding how medical students perceive mindsets and the fundamental determinants of mindset formation, especially in non‐Western contexts. This study investigated medical students' mindsets and perceptions of mindset formation with the aim of broadening the cross‐cultural understanding of self‐theories. Methods: Using a convergent mixed‐methods approach at a medical school in China, the authors conducted a survey and four focus groups with medical students in first to third years. Quantitatively, we used the Dweck Mindset Scale to describe medical students' mindsets in the domains of intelligence and talent. Qualitatively, we analysed focus group data using a grounded theory approach to develop a descriptive model. Results: Survey results included 464 responses for quantitative analysis. Multivariable regression found that Year 3 students had more fixed mindsets for intelligence and talent (p < 0.05) compared with Year 1 students. Rural students reported a more mixed mindset for intelligence compared to urban students (p < 0.05). Qualitative analysis of focus group data yielded four major categories: beliefs about mindsets, conceptualization of mindsets, achievement motivation and source of mindset formation. We developed a Mindset Basis Model to depict connections among the factors students perceived to influence mindset formation—intra‐ and interindividual factors; contextual factors; and micro‐, meso‐ and macro‐system factors—and students' motivation regarding achievement. Conclusion: The study describes medical students' mindsets for the domains of intelligence and talent and explores how they conceptualised these mindsets. The findings indicate that factors influencing mindsets do not operate in isolation but through intricate interactions among multilevel factors embedded within a context. Tan et al. report on how medical students' mindset is shaped by the context in which they learn in the hope of cultivating a Growth Mindset in clinical contexts
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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