Characterization of Executive Functions and Academic Performance in Medical Students at Corporación Universitaria Remington, 2021
DOI:
https://doi.org/10.17533/udea.iatreia.284Keywords:
Executive Function, Students, Health Occupations, learning, Neuropsychological TestsAbstract
Introduction: The development of executive functions, as higher-order cognitive activities, is fundamental in students' academic processes. However, results regarding their contribution to medical education are contradictory concerning short- and long-term effects.
Objectives: To characterize a group of executive functions and academic performance of medical students in their second, fifth, and tenth semesters at Corporación Universitaria Remington.
Methods: A descriptive cross-sectional study with a sample of 119 students from the second, fifth, and tenth semesters in 2021–2 at Corporación Universitaria Remington. A set of executive functions was characterized based on academic performance, neurocognitive tests, and sociodemographic variables.
Results: Bilingual students demonstrated better scores in working memory, cognitive flexibility, and inhibitory control. Regarding the semester level, no significant correlation was obtained; however, it was observed that as students progressed through semesters, scores in working memory and inhibitory control tended to improve, while in cognitive flexibility, perseverative error scores tended to decrease. Concerning study habits, it was
found that a greater number of years studied, as well as more time invested in extracurricular study, improved inhibitory control scores.
Conclusions: Bilingualism was associated with better scores in executive functions. Additionally, the number of years studied and time spent on extracurricular study showed a correlation with inhibitory control.
Downloads
References
(1) Olson C, Colby C. The Organization of Cognition. In: Principles of Neural Science. 5th Ed. New York: Mc.Graw.Hill Medical; 2013. p. 392–411.
(2) Friedman NP, Robbins TW. The role of prefrontal cortex in cognitive control and executive function. Neuropsychopharmacology [Internet]. 2022;47(1):72–89. https://doi.org/10.1038/s41386-021-01132-0
(3) Fuster JM. Frontal lobe and cognitive development. J Neurocytol [Internet]. 2002;31(3):373–85. https://doi.org/10.1023/a:1024190429920
(4)Small SA, Heeger DJ. Functional Imaging of Cognition. In: Principles of Neural Science. 5th Ed. New York: Mc.Graw.Hill Medical; 2013. p. 426–41.
(5) Hofmann W, Schmeichel BJ, Baddeley AD. Executive functions and self-regulation. Trends Cogn Sci [Internet]. 2012;16(3):174–80. https://doi.org/10.1016/j.tics.2012.01.006
(6) Diamond A. Executive Functions. Annu Rev Psychol [Internet]. 2013;64(1):135–68. https://doi.org/10.1146%2Fannurev-psych-113011-143750
(7) Fonseca-Estupiñan GP, Rodríguez-Barreto LC, Parra-Pulido JH. Relación entre funciones ejecutivas y rendimiento académico por asignaturas en escolares de 6 a 12 años. Hac Prom Salud [Internet]. 2016;21(2):41–58. https://doi.org/10.17151/hpsal.2016.21.2.4
(8) Peverly ST, Brobst KE, Graham M, Shaw R. College adults are not good at self-regulation: A study on the relationship of self-regulation, note taking, and test taking. J Educ Psychol [Internet]. 2003;95(2):335–46. https://doi.org/10.1037/0022-0663.95.2.335
(9) Safari Y, Meskini H. The Effect of Metacognitive Instruction on Problem Solving Skills in Iranian Students of Health Sciences. Glob J Health Sci [Internet]. 2016;8(1):150–6. https://doi.org/10.5539/gjhs.v8n1p150
(10) Jiménez-Puig E, Broche-Pérez Y, Hernández-Caro A, Diaz-Falcón D. Funciones ejecutivas, cronotipo y rendimiento académico en estudiantes universitarios. Rev Cuba Educ Super [Internet]. 2019;38(2):1–22. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0257-43142019000200015
(11) Barceló-Martínez E, Lewis-Harb S, Moreno-Torres M. Funciones ejecutivas en estudiantes universitarios que presentan bajo y alto rendimiento académico. Psicol desde el caribe [Internet]. 2006;18:109–38. Disponible en: https://www.redalyc.org/articulo.oa?id=21301806
(12) Kaufmann S, Glass Ä, Kropp P, Müller-Hilke B. Semantic fluency including task switching predicts academic success in medical school. PLoS One [Internet]. 2020;15(12):e0244456. https://doi.org/10.1371/journal.pone.0244456
(13) Rodríguez G. Funciones ejecutivas, rasgos de personalidad y rendimiento académico en estudiantes universitarios de ciencias de la salud [Tesis]. Universidad de Salamanca; 2016. Disponible en: https://gredos.usal.es/handle/10366/132835
(14) Schacter D, Wagner A. Learning and Memory. In: Principles of Neural Science. 5th Ed. New York: Mc.Graw.Hill Medical; 2013. p. 1441–60.
(15) Paba-Barbosa C, Paba-Argorte Z, Barrero-Tonce V. Relación entre comprensión lectora y flexibilidad cognitiva en estudiantes de una universidad pública. Duazary [Internet]. 2019;16(2):87–104. https://doi.org/10.21676/2389783X.2944
(16) Soprano AM. Cómo evaluar la atención y las funciones ejecutivas en niños y adolescentes. 1a ed. Buenos Aires, Argentina: Paidós; 2010.
(17) Rodríguez-Barreto LC, Pulido NC, Pineda-Roa CA. Propiedades psicométricas del Stroop, test de colores y palabras en población colombiana no patológica. Univ Psychol [Internet]. 2016;15(2):255–72. https://doi.org/10.11144/Javeriana.upsy15-2.ppst
(18) Henao-Arboleda E, Muñoz C, Aguirre-Acevedo DC, Lara E, Pineda D, Lopera F. Datos normativos de pruebas neuropsicológicas en adultos mayores en una población Colombiana. Rev Chil Neuropsicol [Internet]. 2010;5(3):213–25. Disponible en: https://www.redalyc.org/articulo.oa?id=179318868005
(19) Miles S, Howlett CA, Berryman C, Nedeljkovic M, Moseley GL, Phillipou A. Considerations for using the Wisconsin Card Sorting Test to assess cognitive flexibility. Behav Res Methods [Internet]. 2021;53(5):2083–91. https://doi.org/10.3758/s13428-021-01551-3
(20) Kopp B, Lange F, Steinke A. The Reliability of the Wisconsin Card Sorting Test in Clinical Practice. Assessment [Internet]. 2021;28(1):248–63. https://doi.org/10.1177/1073191119866257
(21) Chan RCK, Shum D, Toulopoulou T, Chen EYH. Assessment of executive functions: Review of instruments and identification of critical issues. Arch Clin Neuropsychol [Internet]. 2008;23(2):201–16. https://doi.org/10.1016/j.acn.2007.08.010
(22) Arango-Lasprilla J, Rivera D, Ramos-Usuga D. Neuropsicología en Colombia: Datos normativos, estado actual y retos a futuro. Manizales: Universidad Autónoma de Manizales; 2015. Disponible en: https://www.psicolibros.com.co/producto/neuropsicologia-en-colombia-datos-normativos-estado-actual-y-retos-a-futuro-2a-ed/
(23) Esquerda M, Yuguero O, Viñas J, Pifarré J. La empatía médica, ¿nace o se hace? Evolución de la empatía en estudiantes de medicina. Aten Primaria [Internet]. 2015;48(1):8–14. https://doi.org/10.1016/j.aprim.2014.12.012
(24) Chen D, Lew R, Hershman W, Orlander J. A Cross-sectional Measurement of Medical Student Empathy. J Gen Intern Med [Internet]. 2007;22(10):1434–8. https://doi.org/10.1007/s11606-007-0298-x
(25) Forguione-Pérez VP. Comunicación entre médico y paciente: más allá de una consulta, un proceso educativo. Medicas UIS [Internet]. 2015;28(1):7-13. Disponible en: https://revistas.uis.edu.co/index.php/revistamedicasuis/article/view/4924
(26) Merchan-Galvis MÁ, Saavedra-López HF, García-Robledo JE, Ospina-Patiño JN, Aragón-Guerrero CC, Martínez JJ. Factores Relacionados con el Rendimiento Académico en Estudiantes de Medicina: Estudio de Casos y Controles. Educ Med Super [Internet]. 2017;31(3):101-109. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412017000300012
(27) Osornio-Castillo L, Valadez-Nava S, Monje-Martínez J. Variables sociodemográficas que influyen en el rendimiento académico de estudiantes de medicina en la FESI-UNAM. Rev Electrónica Psicol Iztacala [Internet]. 2010;11(4):1–14. Disponible en: https://revistas.unam.mx/index.php/repi/article/view/18591
(28) Diamond A. Executive Functions. Annu Rev Psychol [Internet]. 2013;64(1):135–68. https://doi.org/10.1146/annurev-psych-113011-143750
(29) Rochford K. Spatial learning disabilities and underachievement among university anatomy students. Med Educ [Internet]. 1985;19(1):13–26. https://doi.org/10.1111/j.1365-2923.1985.tb01134.x
(30) Arias-Carbonell MM, Ábalos-Fernandez EY, Sánchez-Imbert N. Academic achievement of medical students in the subject Human Morphophysiology I. Medisan [Internet]. 2011;15(8):1107. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1029-30192011000800009&script=sci_abstract&tlng=en
(31) Lopera FJ. Funciones Ejecutivas: Aspectos Clínicos. Rev Neuropsicol Neuropsi Neurocie [Internet]. 2008;8(1):59–76. Disponible en: https://www.researchgate.net/publication/277264929_Funciones_Ejecutivas_Aspectos_Clinicos
(32) Delgado-Mejía ID, Etchepareborda MC. Trastornos de las funciones ejecutivas. Diagnóstico y tratamiento. Rev Neurol [Internet]. 2013;57(SUPPL.1):95–103. https://doi.org/10.33588/rn.57S01.2013236
(33) Cañas-Lucendo M, Roque-Herrera Y, Fuertes-López BN. Relación entre las funciones ejecutivas y el rendimiento académico en estudiantes de psicología. Rev Int Humanidades [Internet]. 2022;12(2):1–10. Disponible en: https://www.journals.eagora.org/revHUMAN/article/view/3930
(34) Montoya-Arenas DA, Bustamante-Zapata EM, Díaz-Soto CM, Pineda DA. Factores de la capacidad intelectual y de la función ejecutiva relacionados con el rendimiento académico en estudiantes universitarios. Med UPB [Internet]. 2021;40(1):10–8. https://doi.org/10.18566/medupb.v40n1.a03
(35) Tirapu-Ustárroz J, García-Molina A, Rios-Lago M, Ardila-Ardila A. Neuropsicología de la corteza prefrontal y las funciones ejecutivas. Barcelona (España): Viguera; 2012.
(36) Vergara M. Funciones ejecutivas y desempeño académico en estudiantes de primer año de psicología de la Corporación Universitaria Minuto de Dios en Bello, Antioquia [Tesis]. Universidad de San Buenaventura; 2011. Disponible en: https://bibliotecadigital.usb.edu.co/entities/publication/054c909e-94e1-4c6b-80c4-276748736db2
(37) Bialystok E, Senman L. Executive processes in appearance-reality tasks: The role of inhibition of attention and symbolic representation. Child Dev [Internet]. 2004;75(2):562–79. https://doi.org/10.1111/j.1467-8624.2004.00693.x
(38) Sadaniowski AB, Marino JC, Bukowski M, Luna FG. Impacto del bilingüismo temprano y nivel socioeconómico sobre las funciones ejecutivas. Rev Neuropsicol Latinoam [Internet]. 2017;9(2):1–9. Disponible en: https://www.redalyc.org/articulo.oa?id=439552509001
(39) Patrick Y, Lee A, Raha O, Pillai K, Gupta S, Sethi S, et al. Effects of sleep deprivation on cognitive and physical performance in university students. Sleep Biol Rhythms [Internet]. 2017;15(3):217–25. https://doi.org/10.1007/s41105-017-0099-5
(40) Alvarado-Fernández V, Arroyo-Sánchez GJ, Castro-Ulloa G, Fuentes-Ocampo F, Marin-Castro JP, Soto-Montero G, et al. Impacto que tiene la falta de sueño sobre las habilidades cognitivas de una población de estudiantes de medicina. Med. leg. Costa Rica [Internet]. 2012;29(2):163–72. Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-00152012000200003
(41) Mota-Albuquerque P, Ribeiro-Franco CM, Rocha-Filho PAS. Assessing the impact of sleep restriction on the attention and executive functions of medical students: a prospective cohort study. Acta Neurol Belg [Internet]. 2023;(0123456789). https://doi.org/10.1007/s13760-023-02250-w
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Iatreia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Papers published in the journal are available for use under the Creative Commons license, specifically Attribution-NonCommercial-ShareAlike 4.0 International.
The papers must be unpublished and sent exclusively to the Journal Iatreia; the author uploading the contribution is required to submit two fully completed formats: article submission and authorship responsibility.