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.