Cited by 1,176Innovations in Medical EducationAdult and Continuing Education TopicsEducational Leadership and Innovation

The DOI matches its Crossref record; 84 of the 84 references it cites were found in a registry or an index; none of the 86 sources its claims cite is checked for support yet.

Adult learning theories: Implications for learning and teaching in medical education: AMEE Guide No. 83

Open access
Taylor, David C. M., Hamdy, Hossam·2013·Medical Teacher

Abstract

There are many theories that explain how adults learn and each has its own merits. This Guide explains and explores the more commonly used ones and how they can be used to enhance student and faculty learning. The Guide presents a model that combines many of the theories into a flow diagram which can be followed by anyone planning learning. The schema can be used at curriculum planning level, or at the level of individual learning. At each stage of the model, the Guide identifies the responsibilities of both learner and educator. The role of the institution is to ensure that the time and resources are available to allow effective learning to happen. The Guide is designed for those new to education, in the hope that it can unravel the difficulties in understanding and applying the common learning theories, whilst also creating opportunities for debate as to the best way they should be used.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This AMEE Guide reviews major adult learning theories and proposes an integrated five-phase model for medical education that links learner and teacher responsibilities. It argues that no single theory fully explains adult learning and that theory should inform curriculum design, teaching, assessment, and institutional culture.

Key findings

  • The guide clusters adult learning theories into instrumental, humanistic, transformative, social, motivational, and reflective categories, noting that each has strengths but is incomplete without the others.
  • It proposes a five-stage learning cycle—dissonance, refinement, organisation, feedback, and consolidation—with specific roles for learners and teachers at each stage; the cycle can be entered at any point.
  • It draws on Knowles’ six claimed differences between adult and child learners, Kolb’s experiential cycle, Bloom/Anderson’s taxonomy, Miller’s pyramid, the Johari Window, threshold concepts/liminality, and surface versus deep learning.
  • It recommends that institutions align mission, vision, curriculum outcomes, teaching strategies, student assessment, and programme evaluation with adult learning theories, especially in clinical settings.

Methods

  • Conceptual AMEE Guide and narrative review, not an empirical study; no sample, data collection, or statistical analysis is reported.
  • The authors synthesize selected learning theories and their historical development from a broadly constructivist standpoint, then present an integrated model and practical implications for medical education.

Limitations

  • The paper states that individual theories are incomplete on their own, that the Kolb-derived learning style inventory has poor reliability and validity, that self-directed learning may be more accurately directed self-learning and neglects social context, and that the andragogy/pedagogy distinction now seems artificial.
  • The text makes evident that the proposed five-phase model is not empirically tested here, no learner outcomes are reported, and the guide is aimed at newcomers, so it may oversimplify overlapping theories.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3109/0142159x.2013.828153

Cites

84 of 84 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

75 Own interpretation · 59 Not checked yet · 13 No basis given · 1 Own result

Verify all 86 references — free account

Show all 29 claims

  • Probably not a substantial claim. 101
  • It may state two separate claims as one. 49
119 of 119
  • The paper relies on this without support.

    The distinction between adult and child learning is artificial, and andragogical principles apply equally to children.

    “He introduced the term ''andragogy'' to differentiate adult learning from pedagogy; this differentiation now seems to be artificial.Many of the principles of andragogy can be applied equally to children's learning.”
  • The paper relies on this without support.

    Any theoretical model that explains adult learning must include motivation and reflection.

    “Any theoretical model that attempts to explain and relates adult learning to an educational theory must have two critical elementsmotivation and reflection.”
  • The paper relies on this without support.

    The proposed model can be applied at both individual learning and curriculum planning levels.

    “The schema can be used at curriculum planning level, or at the level of individual learning.”
  • The paper relies on this without support.

    Learners must move through the proposed cycle to truly understand and learn.

    “the educator needs to recognise that the learner needs to move through a cycle, in order to truly understand and learn.”
  • The paper relies on this without support.

    Many learners strategically choose surface learning before entering university, so they may appear to prefer surface learning.

    “There are complicating factors, since many learners are strategic in choosing surface learning styles before they enter University courses, so they may appear to show a preference for surface learning.”
  • The paper relies on this without support.

    Students who know they will be tested on facts rather than understanding will choose a surface learning style.

    “Even at graduate level, if students know that they will be tested on their acquisition of facts, rather than their understanding, they will naturally choose a surface learning style.”
  • The paper relies on this without support.

    Lectures can reinforce a state of duality in which the learner accepts what the lecturer says.

    “Lectures can reinforce a state of duality in which the learner accepts what the lecturer says.”
  • The paper relies on this without support.

    Adult learners have a host of competing concerns.

    “Although adult learners are expected to be self-motivated, they will also have a host of competing concerns.”
  • The paper relies on this without support.

    More than half of the outcome domains of medical education are related to attitude.

    “Although knowledge is the easiest, and most public domain, more than half of the outcome domains of medical education are related to attitude e.g.lifelong learning, empathy, utilitarianism, communication with patient and colleagues, ethics and professionalism.”
9 of 9

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 84 references

Research works printed but not linked: 9

  1. Ahlquist R, 1992, Research and multicultural education, 89
  2. Ausubel D, 1968, Educational psychologyy: A cognitive view
  3. Hart R, 1992, Children's participation: From tokenship to citizenship
  4. Kolb D, 1984, Experiental learning
  5. Luft J, 1955, The JoHari window, a graphic model of interpersonal awareness
  6. Mezirow JE, 1995, In defense of the lifeworld, 36
  7. Skinner B, 1954, Harvard Educ Rev, 24, 86
  8. Thorndike E, 1911, Animal intelligence
  9. Wilson AP, 1993, The promise of situated cognitionAn update on adult learning theory

Cited by

Sorted by citations

Items 101–200 of 1,002

Metadata

Authors
Taylor, D. C. M., & Hamdy, H.
Affiliations
  • University of Liverpool (GB)
  • University of Sharjah (AE)
Corresponding author
Taylor, David C. M.
Venue
Medical Teacher
Published
2013-09-04
Volume
35
Issue
11
Pages
e1561-e1572
ISSN
  • 0142-159X (ISSN-L)
  • 1466-187X
OpenAlex
W2170466219
Cited by
1,176
References
84
Citations by year
2026: 82 · 2025: 110 · 2024: 136 · 2023: 119 · 2022: 153 · 2021: 144 · 2020: 163 · 2019: 103 · 2018: 57 · 2017: 41 · 2016: 35 · 2015: 19 · 2014: 10 · 2013: 2
FWCI
22.21
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Medical Teacher (publishedVersion, public-domain)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Education › Innovations in Medical Education
  • Social Sciences › Education › Adult and Continuing Education Topics
  • Social Sciences › Education › Educational Leadership and Innovation
Keywords
andragogy, adult learning, medical education, curriculum development, learning and teaching, student learning, faculty development
MeSH terms
Education, Medical, Humans, Learning, Models, Psychological, Motivation, Self Concept, Students, Medical, Teaching, Models, Educational

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-10-06, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-06 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review