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Effective Use of Questioning

Bloom's Taxonomy of Thinking Skills

Techniques of Effective Questioning


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greybtn2.gif (273 bytes)Effective Use of Questioning

Effective Use of Questioning

Questioning can.....

  • arouse curiosity
  • stimulate interest in the topic
  • clarify concepts
  • emphasize key points
  • enhance problem-solving ability
  • encourage students to think at higher cognitive levels
  • motivate student to search for new information
  • ascertain students’ knowledge level to aid in modifying instruction

                                                                                         

greybtn2.gif (273 bytes)Bloom's Taxonomy

Derived from Bloom, B.S. (Ed.). (1956).Taxonomy of educational objectives. Handbook I: Cognitive domain. New York: McKay.

The types of questions and the manner in which questions are asked have a direct impact on the effectiveness of the questioning.

Bloom's Taxonomy of Thinking Skills

Knowledge Students are required to recall the information learned and repeat it to the teacher.

Example: What are the major causes of fistula?
Comprehension Students must explain topics, review items, and discuss issues; this includes translation, interpretation, extrapolation, and focuses on the meaning and intent of the material.

Example: What study would you order to confirm the diagnosis of myocardial infarction in a patient with a left bundle branch block?

Application Students must use an abstraction (principle, theory, etc.) brought from other experiences. It requires that students apply previously learned knowledge and skills to new situations and necessitates the use of abstractions in specific situations.

Example: A 35-year-old woman presents to your office with a 1-month history of polyarthritis, rash, pleuritic pain, and low grade fever. What is the most likely diagnosis?

Analysis Students must break down material into its component parts and then use a systematic process to reach a logical conclusion.

Example: How would you distinguish between polymyositis and viral myositis in a 42-year-old man with weakness and a rash?

Synthesis Students must hypothesize, predict, and use the available information to arrive at a generalization---putting together elements or parts from many sources to constitute a new pattern or structure.

Example: If the blood culture were negative of the patient with echocardiographic valvular vegetations, how would you proceed with the antibiotic treatment?

Evaluation Students must use specific criteria to assess situations or to justify previous responses.

Example: Explain your rationale for using combination drug therapy instead of mono therapy to treat a patient with pulmonary tuberculosis.

                                                                                         

greybtn2.gif (273 bytes)Techniques of Effective Questioning:    

  1. Establish an appropriate environment. Only certain questions should be posed in front of the patient; bedside questions should focus principally on knowledge and recall and to a lesser extent on comprehension.

  2. Create a climate conducive to learning. A happy facial expression, nod, or verbal acknowledgement of a correct response encourages other students to participate in the discussion. Pose questions in a non-threatening way and receive answers in a supportive fashion. A harsh tone, especially when used to interrupt a response from the student, can be devastating for both the student and his or her peers.

  3. Prepare the students for the questioning session and discussion. Explain to students the format, expectations, and how this knowledge will help them.

  4. Use both pre-planned and emerging questions. Pre-planned questions are those incorporated into the educational plan prospectively that are asked during the teaching session to introduce new concepts, focus the discussion on certain items, steer the discussion in specific directions, or identify student knowledge level on the topic. Emerging questions derive from the discussion itself and the specific answers given to previous questions. Think quickly and act decisively to phrase these questions accurately and pose them at appropriate times in the discussion.

  5. Use an appropriate variety and mix of questions. One good strategy is to start with convergent questions and then continue with divergent questions, perhaps asking questions in hierarchical sequence and building from the recall of facts to higher levels of thinking and problem-solving. If a question requiring a higher level thinking skill stymies the student, go down to a question requiring a lower-level thinking skills and then work up the hierarchy.

  6. Avoid trick questions and those that require only a YES or NO response. Trick questions should be avoided, as they frustrate students and tend to encourage frivolous responses. YES or NO questions encourage students to respond without fully understanding or thinking through the issue. When used, such questions should be followed by other questions to determine the thinking process of the student.

  7. Phrase the questions carefully, concisely, and clearly. Improper phrasing and the use of multiple questions related to the same topic may result in unintentional cueing and inability to accurately assess student understanding.

  8. Address questions to the group, versus the individual. Pose the question to the entire group and wait before identifying a student to respond. The wait time encourages all students to think about the response, as they do not know who is going to be called upon to answer the question. Select students at random to answer questions, as it tends to keep everyone attentive and involved.

  9. Select both volunteers and non-volunteers to answer questions.

  10. Adapt questions to the needs of the learners. Assess the students’ needs and tailor questions to maximize the number of correct answers while moving toward more and more difficult questions. Remember, no two groups of students will be alike or at the same level.

  11. Use sufficient wait time. The teacher can significantly enhance the analytic and problem-solving skills of students by allowing sufficient wait times before responding, both after posing a question and after the answer is given. This allows everyone to think about not only the question but also the response provided by the student. Three to five seconds in most cases; longer in some, maybe up to 10 seconds for higher-order questions.

  12. Respond to answers given by students. Listen carefully to the answers given by students; do not interrupt students while they are responding to questions unless they are straying far off course, are totally unfocused, or are being disruptive. Acknowledge correct answers and provide positive reinforcement. Do not use sarcasm, reprimands, accusations, and personal attacks. Repeat answers only when the other students have not heard the answers; other repeats waste time. Keep questioning until the learning objectives for the session have been achieved; this may be the best opportunity to teach a particular concept. Handle incomplete answers by reinforcing what is correct and then asking probing questions.

  13. Types of probing questions:

    Extension Require students to elaborate on the response given to an earlier question. Such questions indicate to the learner that the original response was in the right direction but was not adequate.
    Clarification Useful when the student’s response is unclear or incomplete.
    Justification Require the learner to provide rationale for the previously-given response. Useful in providing insights into thinking and reasoning processes of students and revealing errors in these processes.
    Prompting Useful when students do not respond to the original question
    Redirection Used to elicit a variety of opinions during problem-solving sessions or discussions.

  14. Use questions to identify learning objectives for follow-up self-study. Pose questions towards the end of the teaching session to identify specific areas for additional learning opportunities that students can pursue on their own time.

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