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. 2023 Nov 7;13:269. [Version 1] doi: 10.12688/mep.19723.1

Table 5. Proposed best practices for reporting and use of learning curves in health professions education and research checklist * Adapted with permission from Howard et al., 2021 ( Howard et al., 2021).

Basic learning curve feature Considerations for improved analysis and reporting
Y-axis ○   Show Y-intercept to demonstrate the learners’ starting point(s) and their variability.
○   Show full Y-scale including lowest relevant performance level.
Full path of the learning curve ○   Discuss the shape, which communicates whether the learning is linear or nonlinear.
○   Discuss the efficiency of learning, including comments on the steepness.
Mathematical linking function ○   Include qualitative descriptions.
○   Use parametric linking functions.
○   Take into account the multi-level nature of the data.
X-axis ○   Provide a rationale for the number of data points that are feasible for the task, with spacing clearly reported.
Multiple dimensions of the learning task ○   Show panels of individual learning curves (small multiples, see Figure 4)
○   “Stack” learning curves so that different dimensions can be compared longitudinally, see Table 3
Important thresholds ○   Identify competency or remediation thresholds.
○   Define acceptable individual variations and acknowledge that competence can be redefined as more information is gathered with the learning curve in your setting.
○   Discuss/define the meaning of such thresholds in your educational setting and rationale for use.
○   Use such thresholds as indicators of opportunities to adapt learning when thresholds are not being met.
Asymptote where applicable ○   Include the asymptote, which indicates the maximal learning potential of the system.
Variance in the data ○   Graph data points with corresponding variance.
○   Plot at least a subset of individual learning curves in addition to group curves to demonstrate the variability in paths taken (see Figure 4 & Figure 5).

* Not all of these proposed best practices will be equally relevant in all situations, and in some cases a choice must be made among the options presented.