Some factors influencing student performance in laboratory experimental work in physiology with implications for curriculum deliberations and instructional design

A class of 1st-year medical students was divided into a control group who performed a laboratory experiment for themselves, and an experimental group who were given a demonstrationdata interpretation exercise. Prior to the practical session the experimental group were given a programmed text covering the underlying theoretical principles, to use in their private study. The control group were instructed to do their private study in the usual way using only their lecture notes and textbooks. Prior knowledge and the gain resulting from practical instruction were assessed using pre- and post-tests.The conventional laboratory method was ineffective and did not facilitate conceptual understanding. The post-test performance and gain of the experimental group was significantly better than that of the control group, but this result did not appear to be dependent upon greater prior knowledge. The pretest performance of both treatment groups revealed that many students were inadequately prepared for the practical exercise. Many students did not appear to study the programmed text conscientiously, probably because they were accustomed to the traditional method of teaching and adopted a surface, reproductive approach to all learning. Furthermore, the students had difficulty linking their prior knowledge to the experiment, suggesting the need for pre-laboratory exercises designed to achieve closer integration between theory and experimentation.It is clear that in order to achieve more meaningful learning there is a need for the students to change their attitudes and approaches to learning and for active, student-centred teaching-learning experiences to be incorporated into the curriculum.