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    The Higher Education Academy

    Critical thinkingMedicine, Dentistry and VeterinaryMedicine

    Defining the concept promoting thepractice

    Dr. Susan Jamieson Faculty of

    Medicine University of Glasgow

    www.medev.ac.uk

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    Barnett (1997):

    defining concept of Western University

    The Scottish Doctor' (2000):

    'critical thinking' is a level 3' learning

    outcome

    GMC Medical Education Conference (2005):

    "...we want... [students] ... to be criticalthinkers" (P. McCrorie, p15)

    420 hits on Glasgow University website!

    [20.03.07]

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    Definitions (i)"As an intellectual virtue it includes skills andunderstanding - including but not restricted to:

    an ability to formulate and assess arguments,

    sensitivity to language, a sense for the importanceof context, and

    an ability to apply and also critically reflect on theappropriate criteria of judgment.

    As a virtue of character it includes the habit of

    critical reflection on one's own and others'problematic assumptions and the valuing ofreasoned support for beliefs and actions".

    Blair, in Fisher. 1988 (p25)

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    Definitions (ii)

    Critical thinking is the consideration of

    alternative arguments in light of their

    evidence.

    Missimer. 1995. p 108

    An argument is "a combination of two forms of

    statement: a conclusion and the reasons

    allegedly supporting it.

    Browne & Keeiey, 2007, p26

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    Definitions (iii)

    "Learning to think critically means:

    Learning how to question, when toquestion and what questions to ask

    Learning how to reason, when to use

    reasoning and what reasoning

    methods to use.

    Fisher, 2006. p53

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    Common elements in definitionsCritical thinking requires:

    a questioning mind

    a willingness to question one's own views

    and beliefs

    an ability to reason an ability to detect strengths and flaws in

    arguments (including one's own)

    an ability to makejudgments aboutstatements, evidence, arguments, using

    specific criteria

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    1. Q

    2. W

    3. R

    4. D

    5. J

    Common elementsIn definitions 12 aspects ct

    1. M

    2. A

    3. C

    4. F5. A

    6. S

    7. R

    8. W

    9.

    I10. A

    11. A

    12. A

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    12 aspects of critical thinking (Ennis)1. Grasping the meaning of a statement2. Judging whether there is ambiguity in

    reasoning3. Judging whether statements contradict each

    other4. Judging whethera conclusion followsnecessarily

    5. Judging whether a statement applies aprinciple

    6. Judging whether a statement is specific

    enough7. Judging whether an observation statement isreliable

    8. Judging whether an inductive conclusion iswarranted

    9. Judging whether the problem has been

    identified

    10.Judging whether something is an assumption11.Judging whether a definition is adequate12.Judging whether a statement taken on

    authority is acceptableEnnis. 1962 (cited by Fisher. 2006. p55-56)

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    Paul & Elder's "Intellectual

    standards

    1. Clarity2. Accuracy

    3. Precision

    4. Relevance

    5. Depth

    6. Breadth

    7. Logic

    8. Significance9. Fairness (KEADILAN)

    Paul & Elder. 2004

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    Evaluation

    Synthesis

    Analysis

    Application

    Comprehension

    Knowledge

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    How can we promote criticalthinking ability?

    1. Encourage the habit of (self-

    )questioning2. Provide teaching and learning activities

    that call for critical thinking/higher

    cognitive skills

    3. Encourage the use of criteria that may

    be used to form judgments about themerit of statements, evidence,

    arguments

    4. Encourage a 'safe' environment

    5.

    Be a role model

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    Promoting critical thinking: asking

    questions

    I keep six honest serving men(They taught me all I knew);

    Their names are What and Why and When

    And HoW and Where and Who.

    Rudyard Kipling

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    ACTIVITY 3:Ask questions employing intellectual standards

    Exemplars

    Clarity Will you elaborate, please?Accuracy How can we check if that's true?

    Precision Could you give me more details?

    RelevanceHow does that relate to the question?

    Depth What are the underlying issues, here?

    Breadth

    Is there another perspective?Logic Does that follow from your first point?

    Significance Which is the most important aspect?

    Fairness Do you have a conflict of interest here?

    www.niGdev.ac.uk

    Paul & Elder. 2004

    ACTIVITY 3:Ask questions employing intellectual standards

    Exemplars

    Clarity Will you elaborate, please?Accuracy How can we check if that's true?

    Precision Could you give me more details?

    RelevanceHow does that relate to the question?

    Depth What are the underlying issues, here?

    Breadth

    Is there another perspective?Logic Does that follow from your first point?

    Significance Which is the most important aspect?

    Fairness Do you have a conflict of interest here?

    www.niGdev.ac.uk

    Paul & Elder. 2004

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    Questioning

    Socratic approach-Focus on asking students questions

    Pause! Index card technique/'deck of cards'

    'engaged lecture'involves all studentscombine with active listening

    Pyramid teaching-Involves all students

    Critical reflection-Self-questioning

    Demonstrations or other stimuli

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    Learning activities to promotecritical thinking/higher cognitiveskills

    S

    tudy questions Pre-Quiz Charts Discussion objects Role play/argue opponent's

    view Creating order (biochemical

    pathways, clinical procedures) False analogies

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    Creating a framework for critical

    thinking

    gives students ownership may be used for critical appraisal of

    literature

    may be used for students' self-

    assessment of their work may be used to generate criteria for

    Summative assessment of

    students' work

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    Frameworks for critical thinking (i)

    1. Purpose

    2. Information

    3. Inferences/conclusions

    4. Concepts

    5. Assumptions

    6. Implications/consequences

    7. Points of view

    8. QuestionsPaul & Elder. 2004

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    Frameworks for critical thinking (ii)

    SEADS:

    What is the source?What is the evidence?What assumptions are being made or

    implied?

    What definitions of key terms are being

    used?What is that slant, bias, orspecial interest

    reflected in the statement?

    Barell. 2003

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    Frameworks for critical thinking (iii)

    What is the issue and the conclusion?What are the reasons?What words or phrases are ambiguous?What are the value conflicts andassumptions?What are the descriptive assumptions?Are there any fallacies in the reasoning?How good is the evidence?Are there rival causes?Are the statistics deceptive?What significant information is omitted?What reasonable conclusions arepossible?

    Browne & Keeley, 2007

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    How can we promote critical

    thinking ability?

    Encourage a 'safe' environment

    Be a role model !!!!

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    Selected References

    Barell.J

    .(2003) Developing more curious minds. Virginia: Association for

    Supervision & Curriculum Development.

    Barnett, R. (1997) Higher education: a critical business. Bucks: Open

    University Press.

    Blair, J.A. (1988) Current issues in informal logic and critical thinking. In

    Fisher, A. (Ed.) Critical

    thinking: Proceedings of the firstBritish conference on informal logic and

    critical thinking

    (pp15-29).University of East Anglia

    .Bloom

    .B

    .S.et al(1956) Taxonomy ofeducational objectives, handbook I: Cognitive domain.

    New York: David MacKay.

    Browne. M.N. & Keeley, S.M (2007)Asking the right questions. New

    Jersey: Pearson Prentice

    Hall. Cottrell, S (2005) Critical thinking skills: Developing effective

    analysis and argument.

    Hampshire: Palgrave Macmillan.

    Fisher. R. (200

    6) Teaching children to think. 2nd. Ed. Cheltenham: Stanley

    Thornes Publishers.

    McCrorie, P. (2005) In From here to where: GMC Medical Education

    Conference. http://www.amc-uk.org/education/med ed/9 mav 2005

    education conference.pdf [accessed 20.03.07]

    Missimer, C.A. (1995).Good arguments: An introduction to critical

    thinking. 3rd edition.

    New Jersey: Prentice-Hall.

    Paul, R.& Elder. L. (2004) The miniature guide to critical thinking: Tools

    and concepts. California: The Critical Thinking Foundation. ill, R. & Elder.

    L. (2006) How to improve student learning: 30 practical ideas. California:

    mLti^ Critical Thinking Foundation.