ArticleAdvances in medical education and practice2026
Contextual Vertical Integration Optimizes the Cognitive Load Profile of Undergraduate Clinical Obstetrics and Gynecology Learners: Evidence from the CONVINCED-OG Cluster-Randomized Crossover Trial.
Article in Advances in medical education and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Article
- Are Baseline Learning Approaches Associated with Cognitive Load, and Do They Moderate the Cognitive Effects of Contextual Vertical Integration? A Prespecified Secondary Analysis of the CONVINCED-OG Trial.Advances in medical education and practice · 2026Article
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Authors and funding
4 authors.
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Abstract
Background: The disjunction between basic sciences and clinical teaching impairs knowledge retention and application. Contextual vertical integration (CVI) embeds basic-science explanations within clinical instruction and may optimize cognitive load by lowering intrinsic cognitive load (ICL) and extraneous cognitive load (ECL), which impede learning and enhance germane cognitive load (GCL) that facilitates learning. The Contextual Vertical Integration in Clinical Education in Obstetrics and Gynecology (CONVINCED-OG) trial evaluates the role of CVI in optimizing the cognitive load. Methods: This cluster-randomized crossover study involved three year-3 undergraduate medical student cohorts from Newcastle University at two teaching units. Each cohort was taught eight topics (four obstetrics, four gynecology). A computer-generated Latin-square schedule assigned two cohorts to CVI and one to standard teaching for each topic, then rotated the pattern, so every cohort received four CVI and four standard sessions. The same teacher delivered all sessions with identical materials at both sites, with students remaining unaware of their randomization status. Perceived cognitive loads (ICL, ECL and GCL) were self-reported using the validated Klepsch's Cognitive Load Questionnaire. Topic-level differences (integrated vs standard) were analyzed with independent Results: Across all eight topics, CVI reduced ICL and ECL, alongside significantly increasing GCL (except one topic where ICL differences were insignificant). Pooled within-subject analyses corroborated these findings, demonstrating consistent cognitive load optimisation with CVI. Conclusion: By demonstrating the role of CVI in optimizing cognitive load across diverse topics within undergraduate clinical obstetrics and gynecology education, CONVINCED-OG trial supports the adoption of CVI in clinical teaching.
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