In anatomy education, a key hurdle to engaging in higher-level discussion in the classroom is recognizing and understanding the extensive terminology used to identify and describe anatomical structures. Given the time-limited classroom environment, seeking methods to impart this foundational knowledge to students in an efficient manner is essential. Just-in-Time Teaching (JiTT) methods incorporate pre-class exercises (typically online) meant to establish foundational knowledge in novice learners so subsequent instructor-led sessions can focus on deeper, more complex concepts. Determining how best do we design and assess pre-class exercises requires a detailed examination of learning and retention in an applied educational context. Here we used electroencephalography (EEG) as a quantitative dependent variable to track learning and examine the efficacy of JiTT activities to teach anatomy. Specifically, we examined changes in the amplitude of the N250 and reward positivity event-related brain potential (ERP) components alongside behavioral performance as novice students participated in a series of computerized reinforcement-based learning modules to teach neuroanatomical structures. We found that as students learned to identify anatomical structures, the amplitude of the N250 increased and reward positivity amplitude decreased in response to positive feedback. Both on a retention and transfer exercise when learners successfully remembered and translated their knowledge to novel images, the amplitude of the reward positivity remained decreased compared to early learning. Our findings suggest ERPs can be used as a tool to track learning, retention, and transfer of knowledge and that employing the reinforcement learning paradigm is an effective educational approach for developing anatomical expertise.

Advances in computer visualization enabling both 2D and 3D representation have generated tools to aid perception of spatial relationships and provide a new forum for instructional design. A key knowledge gap is the lack of understanding of how the brain neurobiologically processes and learns from spatially presented content, and new quantitative variables are required to address this gap. The objective of this study was to apply quantitative neural measures derived from electroencephalography (EEG) to examine stereopsis in anatomy learning by comparing mean amplitude changes in N250 (related to object recognition) and reward positivity (related to responding to feedback) event related to potential components using a reinforcement-based learning paradigm. Health sciences students (n = 61) learned to identify and localize neuroanatomical structures using 2D, 3D, or a combination of models while EEG and behavioral (accuracy) data were recorded. Participants learning using 3D models had a greater object recognition (N250 amplitude) compared to those who learned from 2D models. Based on neurological results, interleaved learning incorporating both 2D and 3D models provided an advantage in learning, retention, and transfer activities represented by decreased reward positivity amplitude. Behavioral data did not have the same sensitivity as neural data for distinguishing differences in learning with and without stereopsis in these learning activities. Measuring neural activity reveals new insights in applied settings for educators to consider when incorporating stereoscopic models in the design of learning interventions.

Electroencephalography (EEG) measures the summed electrical activity from pyramidal cells in the brain by using noninvasive electrodes placed on the scalp. Traditional, voltage-based measurements are done with differential amplifiers. Depending on the location of the electrodes used for the differential measurement, EEG can estimate electrical activity from radially (common or average reference) or tangentially (bipolar derivation) oriented neurons. A limitation of the bipolar derivation is that when the electrodes are too close together, the conductive solution used to improve electrode-skin impedance can short-circuit the electrodes. Magnetoencephalography (MEG) also enables measurements from tangentially oriented cells without concerns about short-circuiting the electrodes. However, MEG is a more expensive, and a less available technology. Measuring from both radial and tangential cells can improve the resolution to localize the origin of brain activity; this could be extremely useful for diagnoses and treatment of several neurological disorders. The work presented here builds on previous research that aims to record the electrical activity of the tangentially oriented cells with technology like that of EEG. The design of the device presented here has been improved from previous implementations. Characterization of the electronics, and validation in a saline phantom and with a steady state visually evoked potentials paradigm is presented along with a comparison to a voltage-based (vEEG) amplifier. The current-based (cEEG) amplifier satisfies suggested parameters for EEG amplifiers, and exhibited higher sensitivity to tangential dipoles in the phantom study. It measured brain activity using the same scalp electrodes as vEEG amplifiers with comparable performance.