Adult Learning: Evidence Based Approaches to Enhance Teaching & Learning in Sonography

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Jane St. Germain


A post graduate Sonography program has adult students. To have the appropriate teaching and learning, educators should consider adult learning theories as well as different educational methods to design and develop the curriculum to engage the adult learner and have them ready for their clinical practicum. This literature review describes the adult learning theories and introduces two methods of teaching (Simulation based learning & Flipped classroom) to enhance learning and teaching.

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1. Knowles, M.S. (1978). The adult learner: a neglected species (2d ed.). Houston: GulfPub. Co., Book Division

2. Bolton, B. (1985). Andragogy in Action: Applying Modern Principles of Adult Learning(Book). Personnel Psychology, 38(2), 403-406.

3. Boud, D., Keough, R. & Waker, D. (1985). Reflection: Turning experience into learning. London: Kogan Page.

4. Gaberson, K., Oermann, M., & Shellenbarger, T. (2014). Clinical teaching
strategies. (4th ed.). New York: Springer Publishing Company (CH 5 and 13)

5. Benner, P. E. (2001). From novice to expert: excellence and power in clinical nursing
practice. Upper Saddle River, N.J.: Prentice Hall Health, c2001.

6. Shellenbarger, T., & Hagler, D. (2014). Clinical simulation. In K. Gaberson., M.
Oermann., & T. Shellenbarger (ed’s.). 4th ed Clinical Teaching Strategies. New York: Springer Publishing Company

7. Van Merrienboer, Jeroen J. G. & Sweller, John. (2005). Cognitive Load Theory and Complex Learning: Recent Developments and Future Directions. Educational Psychology Review. 17. 147-177. 10.1007/s10648-005-3951-0.

8. Rosen, K. R. (2008). The history of medical simulation. Journal of critical care, 23(2),
157-166. doi:10.1016/j.jcrc.2007.12.004

9. Weller, J.M., Nestel, D., Marshall, S.D., Brooks, P.M., & Conn, J.J. (2012). Simulation in clinical teaching and learning. Medical Journal of Australia, 196(9), DOI: 10.5694/mja10.11.47

10. Hocking, G., Hebard, S., & Mitchell, C. H. (2011). A review of the benefits and pitfalls of phantoms in ultrasound-guided regional anesthesia. Regional anesthesia and pain medicine, 36(2), 162-170.

11. ScanTrainer Professional. (n.d.).Retrieved from

12. Gibbs, V. (2014). An investigation into sonography student experiences of simulation teaching and learning in the acquisition of clinical skills. Ultrasound,
1742271X14528491. doi:10.1177/1742271X14528491

13. Griffith-Griffin, J, (2017). Introduction to Educational Theories [Power point
slides]. Retrieved from

14. Knowles, M. S., Holton, I. E. F., & Swanson, R. A. (2012). Adult learner. Retrieved from

15. Fey, M. K., & Jenkins, L. S. (2015). Debriefing practices in nursing education programs: Results from a national study. Nursing Education Perspectives, 36(6), 361-366.

16. (Chiu, M. (2015). Simulation in health care: Debriefing in healthcare simulation basic
skills. The Royal College of Physicians and Surgeons of Canada. Retrieved from

17. Tierney Konecny, L. (2015). Hybrid, online, and flipped classrooms in health sciences: enhanced learning environments. CH 3 in C. Halupa. Transformative Curriculum Design in Health Sciences Education. Hershey, USA: IGI Global

18. Fawcett, J. (2014). Thoughts about interprofessional education. Nursing Science
Quarterly, 27(2), DOI: 10.1177/0894318414524279

19. Vygotsky, L. S. (1978). Mind in society: the development of higher psychological
processes. trans. M Cole. Harvard University Press, Cambridge

20. Delany, C., & Molloy, E. (2009). Clinical education in the health professions: an
educator's guide. p. 55-59

21. Merriam, S. B., & Bierema, L. L. (2013). Adult learning: linking theory and practice.
Retrieved from

22. Billings, D. M., & Halstead, J. A. (2015). Teaching in nursing: a guide for faculty.
Retrieved from Chapter 13

23. Hunt, D. (2012). New nurse educator: mastering academe. New York, New York:
Springer Publishing Company

24. Canadian Clinical Skills Assessment. (n.d.) Retrieved from

25. Panzavecchia, L. & Pearce, R. (2014). Are preceptors adequately prepared for their role in supporting newly qualified staff? University of Worcester, UK,

26. See, S. & Conry, J.M., (2014). Flip my class! A faculty development demonstration of a flipped classroom. Currents in Pharmacy Teaching and Learning, 6,

27. McDonald, P.L. , Lyons, L.B., Straker, H.O., Barnett., J.S., Schlumpf, K.S., Cotton, L., & Corcoran, M.A. (2014 ) Educational mixology: A pedagogical approach to promoting adoption of technology to support new learning models in health sciences disciplines. Online Learning, 18(4)

28. Telford, M., & Senior, E. (2017). Healthcare students’ experiences when integrating e-learning and flipped classroom instructional approaches. British Journal Of Nursing, 26(11), 617-622.

29. Baepler, P., Walker, J.D., & Driessen, M. (2014). It’s not about seat time: Blending,
flipping and efficiency in active learning classrooms. Computers and Education, 78,

30. McKeachie, Wilbert J., & Svinicki, Marilla. (2014). McKeachie's Teaching Tips (14th ed.). Wadsworth, Cengage Learning, Belmont, CA Chapter 9, p.113

31. Nelson, B. P. ‎, Hojsak, J.,, Dei Rossi, E., Karani, R.‎, & Narula, J. (2017). Seeing IsBelieving: Evaluating a Point-of-Care Ultrasound Curriculum for 1st-Year Medical
Students‎. Teaching and Learning in Medicine, 02 January 2017, Vol.29(1), p.85-92.
32. Kneebone RL. Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. JAMA 2009; 302: 1336-1338.