Learning in clinical practice: Stimulating and discouraging response to social comparison
Open accessAbstract
BACKGROUND: Social comparison theory is relevant for learning in general. In a clinical context, we examined four hypotheses concerning: preferred other to compare with, preferred direction of comparison, response to social comparison and influence of personal social comparison orientation (SCO). AIM: To investigate the relevance of social comparison for clinical workplace learning. METHOD: Students (n = 437) from nine different hospitals completed two questionnaires measuring their SCO and the direction of and response to their comparisons. t-tests were used to analyse the data. RESULTS: Students substantially did compare. They preferred to compare with peer students more than with residents or staff, and with peers doing better more than with peers doing worse. Their response to social comparison was more often stimulating for learning than discouraging. Students high in SCO reported a stronger stimulating and discouraging response to their comparisons than students low in SCO. CONCLUSION: Social comparison does play a role in clinical workplace learning. The mainly stimulating response to social comparison indicates a positive learning influence. The preferred comparison with peers emphasizes the role of peers in the learning process. Further research should focus on student comparison behaviour and on situations that strengthen the positive effects of social comparison and reduce the negative or obstructing ones.
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Undergraduate medical students can be motivated by and can learn from self-comparison with peers.
“But despite these concerns, some research has suggested value in comparisons: one group showed that undergraduate medical students can be motivated by and can learn from self-comparison with peers [65].”
From Guidelines: The do’s, don’ts and don’t knows of feedback for clinical education. (2015) · cites this paper as [65]
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Cites
Situated Learning: Legitimate Peripheral Participation.
Bloch, M. E. F., Lave, J., & Wenger, É. (1994) · Man · doi:10.2307/2804509 · Cited by 39,323 · see citing works
Lave, J., & Wenger, E. (1991) · Cambridge University Press eBooks · doi:10.1017/cbo9780511815355 · Cited by 33,219 · see citing works
(1999) · Cited by 28,356 · see citing works
Communities of Practice: Learning, Meaning, and Identity
Wenger, E. (1998) · doi:10.1017/cbo9780511803932 · Cited by 23,500 · see citing works
A theory of social comparison processes
Festinger, L. (1954) · Human Relations · doi:10.1177/001872675400700202 · Cited by 20,926 · see citing works
Situated Cognition and the Culture of Learning
Brown, J. S., Collins, A., & Duguid, P. (1989) · Educational Researcher · doi:10.3102/0013189x018001032 · Cited by 13,645 · cited 1× · see citing works
“Workplace learning is grounded in different social-psychological theories such as situated learning theory (Lave & Wenger 1991), the ideas of communities of practice (Wenger 1998), and cognitive apprenticeship (Brown et al. 1989).”
BackgroundGibbons, F. X., & Buunk, B. P. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.76.1.129 · Cited by 1,813 · see citing works
Social comparison activity under threat: Downward evaluation and upward contacts.
Taylor, S. E., & Lobel, M. (1989) · Psychological Review · doi:10.1037/0033-295x.96.4.569 · Cited by 1,296 · see citing works
Social Comparison Processes: Theoretical and Empirical Perspectives.
Pettigrew, T. F., Suls, J. M., & Miller, R. L. (1979) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2066199 · Cited by 1,164 · see citing works
What is social comparison and how should we study it?
Wood, J. V. (1996) · Personality and Social Psychology Bulletin · doi:10.1177/0146167296225009 · Cited by 697 · see citing works
Dornan, T., Boshuizen, H. P. A., KING, N. M., & Scherpbier, A. J. J. A. (2006) · Medical Education · doi:10.1111/j.1365-2929.2006.02652.x · Cited by 625 · see citing works
Perceived stress during undergraduate medical training: a qualitative study
Radcliffe, C., & Lester, H. E. (2003) · Medical Education · doi:10.1046/j.1365-2923.2003.01405.x · Cited by 558 · see citing works
Health, Coping, and Well-being: Perspectives From Social Comparison Theory
Buunk, B. P. (2013) · doi:10.4324/9780203774106 · Cited by 393 · see citing works
Blanton, H., Buunk, B. P., Gibbons, F. X., & Kuyper, H. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.76.3.420 · Cited by 346 · see citing works
Social comparison and Social Psychology : Understanding cognition, intergroup relations and culture.
Guimond, S. (2006) · HAL (Le Centre pour la Communication Scientifique Directe) · Cited by 244 · see citing works
Huguet, P., Dumas, F., Monteil, J. M., & Genestoux, N. (2001) · European Journal of Social Psychology · doi:10.1002/ejsp.81 · Cited by 234 · see citing works
Buunk, A. P., & Gibbons, F. X. (2005) · Cambridge University Press eBooks · doi:10.1017/cbo9780511584329.003 · Cited by 200 · see citing works
Prince, K. J. A. H., van de Wiel, M. W. J., Scherpbier, A. J. J. A., der Vleuten, C. P. M. C., & Boshuizen, H. P. A. (2000) · Advances in Health Sciences Education · doi:10.1023/a:1009873003677 · Cited by 200 · see citing works
Could it happen to you? Predicting the impact of downward comparisons on the self.
Lockwood, P. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.82.3.343 · Cited by 185 · see citing works
Buunk, B. P., Lloréns, R. Z., Silla, J. M. P., Nauta, A., & Gosalvez, I. (2005) · Applied Psychology · doi:10.1111/j.1464-0597.2005.00196.x · Cited by 151 · see citing works
Identifying characteristics that students, interns and residents look for in their role models
Elzubeir, M. A., & Rizk, D. E. E. (2001) · Medical Education · doi:10.1046/j.1365-2923.2001.00870.x · Cited by 146 · see citing works
Social comparison and occupational stress: the identification-contrast model
Buunk, A. P. (1997) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 144 · see citing works
Pre‐registration house officers and ward‐based learning: a `new apprenticeship' model
Bleakley, A. (2002) · Medical Education · doi:10.1046/j.1365-2923.2002.01128.x · Cited by 129 · see citing works
Buunk, B. P., Ybema, J. F., Gibbons, F. X., & Ipenburg, M. (2001) · European Journal of Social Psychology · doi:10.1002/ejsp.41 · Cited by 123 · see citing works
Affective Response to Social Comparison in the Classroom
Buunk, B. P., Kuyper, H., & van der Zee, Y. G. (2005) · Basic and Applied Social Psychology · doi:10.1207/s15324834basp2703_4 · Cited by 110 · see citing works
Hemphill, K. J., & Lehman, D. R. (1991) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.1991.10.4.372 · Cited by 110 · see citing works
Social Comparison and Social Psychology
(2005) · Cambridge University Press eBooks · doi:10.1017/cbo9780511584329 · Cited by 94 · see citing works
Providing physicians with feedback on how they supervise students during patient contacts
Dolmans, D., Wolfhagen, H., Gerver, W., de Grave, W. D., & Scherpbier, A. (2004) · Medical Teacher · doi:10.1080/01421590410001683203 · Cited by 26 · see citing works
When others are doing better or worse : Responses from the heart and the head
Groothof, H. A. K. (2004) · DSpace (Open University in the Netherlands) · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Guidelines: The do’s, don’ts and don’t knows of feedback for clinical education.
Lefroy, J., Watling, C., Teunissen, P. W., & Brand, P. (2015) · Perspectives on Medical Education · doi:10.1007/s40037-015-0231-7 · Cited by 347 · see citing works
Gamification in Action: Theoretical and Practical Considerations for Medical Educators
Rutledge, C., Walsh, C. M., Swinger, N., Auerbach, M. A., Castro, D., Dewan, M. L., Khattab, M. G., Rake, A. J., Harwayne‐Gidansky, I., Raymond, T. T., et al. (2018) · Academic Medicine · doi:10.1097/acm.0000000000002183 · Cited by 254 · see citing works
Structuring Feedback and Debriefing to Achieve Mastery Learning Goals
Eppich, W., Hunt, E. A., Duval‐Arnould, J., Siddall, V. J., & Cheng, A. (2015) · Academic Medicine · doi:10.1097/acm.0000000000000934 · Cited by 179 · see citing works
Tai, J. H.-M., Canny, B. J., Haines, T. P., & Molloy, E. K. (2016) · Advances in Health Sciences Education · doi:10.1007/s10459-015-9659-0 · Cited by 117 · see citing works
How clinical medical students perceive others to influence their self‐regulated learning
Berkhout, J. J., Helmich, E., Teunissen, P. W., van der Vleuten, C. P. M., & Jaarsma, D. A. D. C. (2016) · Medical Education · doi:10.1111/medu.13131 · Cited by 119 · see citing works
Dornan, T. (2012) · Perspectives on Medical Education · doi:10.1007/s40037-012-0005-4 · Cited by 116 · see citing works
Tai, J., Canny, B. J., Haines, T. P., & Molloy, E. (2016) · Teaching and Learning in Medicine · doi:10.1080/10401334.2016.1247000 · Cited by 63 · see citing works
Peer influence on students’ estimates of performance: social comparison in clinical rotations
Raat, A. N. (., Kuks, J. B. M., van Hell, E. A., & Cohen‐Schotanus, J. (2013) · Medical Education · doi:10.1111/medu.12066 · Cited by 36 · see citing works
Self-citationSocial comparison, peer learning and democracy in medical education
Bleakley, A. (2010) · Medical Teacher · doi:10.3109/0142159x.2010.519071 · Cited by 21 · see citing works
Power of Peers: Students’ Perceptions of Pairing in Clinical Dental Education
Mills, D. A., Hammer, C. L., & Murad, A. (2017) · Journal of Dental Education · doi:10.1002/j.0022-0337.2017.81.1.tb06245.x · Cited by 19 · see citing works
Kasai, H., Ito, S., Tajima, H., Takahashi, Y., Sakurai, Y., Kawata, N., Sugiyama, H., Asahina, M., Sakai, I., & Tatsumi, K. (2019) · Medical Teacher · doi:10.1080/0142159x.2019.1656330 · Cited by 17 · see citing works
Ludwig, A. B., Raff, A. C., Lin, J., & Schoenbaum, E. E. (2017) · Medical Teacher · doi:10.1080/0142159x.2017.1332361 · Cited by 16 · see citing works
A Foundation for Vital Academic and Social Support in Clerkships: Learning Through Peer Continuity
Chou, C. L., & Teherani, A. (2017) · Academic Medicine · doi:10.1097/acm.0000000000001661 · Cited by 14 · see citing works
Leveraging Quick Response Code Technology to Facilitate Simulation-Based Leaderboard Competition
Chang, T. P., Doughty, C. B., Mitchell, D., Rutledge, C., Auerbach, M. A., Frisell, K., Jani, P., Kessler, D. O., Wolfe, H. A., MACKINNON, R. J., et al. (2018) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000281 · Cited by 12 · see citing works
Student distress in clinical workplace learning: differences in social comparison behaviours
Raat, A. N. J., Schönrock-Adema, J., van Hell, E. A., Kuks, J. B. M., & Cohen‐Schotanus, J. (2014) · Advances in Health Sciences Education · doi:10.1007/s10459-014-9513-9 · Cited by 12 · see citing works
Self-citationMongwe, R. N. (2009) · Unisa Institutional Repository (University of South Africa) · Cited by 9 · see citing works
Dyad practice and the inevitability of social comparison
Raat, A. N. J., & Cohen‐Schotanus, J. (2014) · Medical Education · doi:10.1111/medu.12425 · Cited by 6 · see citing works
Self-citationLearning with and from Peers in Clinical Education
Tai, J., Penman, M., Chou, C. L., & Teherani, A. (2020) · Springer eBooks · doi:10.1007/978-981-13-6106-7_90-1 · Cited by 5 · see citing works
Goh, N. K., Chan, K. S., Teng, T. Z. J., & Shelat, V. G. (2022) · Surgical Laparoscopy Endoscopy & Percutaneous Techniques · doi:10.1097/sle.0000000000001114 · Cited by 5 · see citing works
Exploring Taiwanese nursing students' lived experiences of paediatric clinical practice
Huang, Y., Chen, Y.-C., Wang, S., Lee, H.-I., & Chen, H.-J. (2012) · RUNE (Research UNE) · doi:10.6615/har.201212.68.05 · Cited by 4 · see citing works
Ruczynski, L. I. A., van de Pol, M. H. J., Hashmi, S., Vos, E. J. H., Fluit, C. R. M. G., & Schouwenberg, B. J. J. W. (2025) · Advances in Health Sciences Education · doi:10.1007/s10459-024-10404-5 · Cited by 3 · see citing works
Germaín, F., & Pérez-Rico, C. (2014) · Educación Médica · doi:10.4321/s2014-98322014000100004 · Cited by 3 · see citing works
Eppich (2018) · doi:10.26481/dis.20181010we · Cited by 2 · see citing works
Chen, S., Smith, H. E., Bartlam, B., Low‐Beer, N., Chow, A., Rosby, L., Shelat, V. G., & Cleland, J. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-061569 · Cited by 1 · see citing works
Learning with and from Peers in Clinical Education
Tai, J., Penman, M., Chou, C. L., & Teherani, A. (2023) · Springer eBooks · doi:10.1007/978-981-15-3344-0_90 · Cited by 1 · see citing works
Raat, A. N. J., Cohen‐Schotanus, J., Deusinglaan, A., van Hell, E. A., & Kuks, J. B. M. (2015)
Self-citationCompetency-based portfolio assessment
Pool, A. O. (2020) · doi:10.26481/dis.20201106ao
- Authors
- Raat, J., Kuks, J., & Cohen-Schotanus, J.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Raat, Janet
- Venue
- Medical Teacher
- Publisher
- Informa UK Limited
- Published
- 2010-11
- Volume
- 32
- Issue
- 11
- Pages
- 899-904
- ISSN
- 0142-159X (ISSN-L)
- 1466-187X
- OpenAlex
- W2117124190
- Cited by
- 27
- References
- 29
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- other-oa
- Locations
- Medical Teacher (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (acceptedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- social comparison theory, medical students, social comparison orientation, peer comparison, peer learning, medical education
- MeSH terms
- Clinical Clerkship, Education, Medical, Undergraduate, Female, Humans, Learning, Male, Netherlands, Surveys and Questionnaires, Social Identification
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