Productive struggle in medical education: what, why, and how?

Clicks: 40
ID: 321362
2026
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Abstract
Abstract Productive struggle may be conceptualized as an educational construct which incorporates mental stress and ‘struggle’ within ongoing instruction to develop perseverance and deepen understanding rather than focus on the solution. Medicine, which involves diagnostic uncertainty and varied clinical presentations, necessitates the development of adaptive reasoning and critical thinking—skills that can be honed by the productive struggle process. In this article, we sought to discuss the concept of productive struggle in medical education, by exploring why it is important to facilitate clinical learning and highlight practical strategies and potential pitfalls such as patient and psychological safety with this pedagogical model. We proposed three strategies to incorporate productive struggle in medical education—namely core tutoring, case-based discussions, and clinical simulations.
Reference Key
openalex_W7169510155 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Jessele S Y Lai, D H Choo, Rachelle S R Lai, Joel Lim, Desmond B. Teo, Li Feng Tan, Norshima Nashi, Isaac K S Ng
Journal the nigerian postgraduate medical journal
Year 2026
DOI
10.1093/postmj/qgag095
URL
Keywords Keywords not found

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