importance of socratic method to critical thinking

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College of business, teaching tips, the socratic method: fostering critical thinking.

"Do not take what I say as if I were merely playing, for you see the subject of our discussion—and on what subject should even a man of slight intelligence be more serious? —namely, what kind of life should one live . . ." Socrates

By Peter Conor

This teaching tip explores how the Socratic Method can be used to promote critical thinking in classroom discussions. It is based on the article, The Socratic Method: What it is and How to Use it in the Classroom, published in the newsletter, Speaking of Teaching, a publication of the Stanford Center for Teaching and Learning (CTL).

The article summarizes a talk given by Political Science professor Rob Reich, on May 22, 2003, as part of the center’s Award Winning Teachers on Teaching lecture series. Reich, the recipient of the 2001 Walter J. Gores Award for Teaching Excellence, describes four essential components of the Socratic method and urges his audience to “creatively reclaim [the method] as a relevant framework” to be used in the classroom.

What is the Socratic Method?

Developed by the Greek philosopher, Socrates, the Socratic Method is a dialogue between teacher and students, instigated by the continual probing questions of the teacher, in a concerted effort to explore the underlying beliefs that shape the students views and opinions. Though often misunderstood, most Western pedagogical tradition, from Plato on, is based on this dialectical method of questioning.

An extreme version of this technique is employed by the infamous professor, Dr. Kingsfield, portrayed by John Houseman in the 1973 movie, “The Paper Chase.” In order to get at the heart of ethical dilemmas and the principles of moral character, Dr. Kingsfield terrorizes and humiliates his law students by painfully grilling them on the details and implications of legal cases.

In his lecture, Reich describes a kinder, gentler Socratic Method, pointing out the following:

• Socratic inquiry is not “teaching” per se. It does not include PowerPoint driven lectures, detailed lesson plans or rote memorization. The teacher is neither “the sage on the stage” nor “the guide on the side.” The students are not passive recipients of knowledge.
• The Socratic Method involves a shared dialogue between teacher and students. The teacher leads by posing thought-provoking questions. Students actively engage by asking questions of their own. The discussion goes back and forth.
• The Socratic Method says Reich, “is better used to demonstrate complexity, difficulty, and uncertainty than to elicit facts about the world.” The aim of the questioning is to probe the underlying beliefs upon which each participant’s statements, arguments and assumptions are built.
• The classroom environment is characterized by “productive discomfort,” not intimidation. The Socratic professor does not have all the answers and is not merely “testing” the students. The questioning proceeds open-ended with no pre-determined goal.
• The focus is not on the participants’ statements but on the value system that underpins their beliefs, actions, and decisions. For this reason, any successful challenge to this system comes with high stakes—one might have to examine and change one’s life, but, Socrates is famous for saying, “the unexamined life is not worth living.”
• “The Socratic professor,” Reich states, “is not the opponent in an argument, nor someone who always plays devil’s advocate, saying essentially: ‘If you affirm it, I deny it. If you deny it, I affirm it.’ This happens sometimes, but not as a matter of pedagogical principle.”

Professor Reich also provides ten tips for fostering critical thinking in the classroom. While no longer available on Stanford’s website, the full article can be found on the web archive:  The Socratic Method: What it is and How to Use it in the classroom

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The Socratic Method: Engaging Students in Critical Thinking and Dialogue

Most educators would agree that effectively engaging students in critical thinking and dialogue is a fundamental yet challenging aspect of quality teaching.

The Socratic method provides a structured approach to questioning that fosters critical thinking skills, analytical abilities, and confident participation among students of all ages.

In this article, we will explore the origin, core components, and practical classroom applications of the Socratic method to equip teachers with strategies to meaningfully engage students in rich dialogue and self-directed inquiry.

Introduction to the Socratic Method

The Socratic method is a form of philosophical inquiry and debate developed by the Greek philosopher Socrates in the 5th century BCE. At its core, the method uses probing questions to expose contradictions, test hypotheses, and stimulate critical thinking .

Origin and Definition

The Socratic method is named after its creator, Socrates, who lived in ancient Athens. He would engage fellow philosophers and citizens in thoughtful dialogue to encourage them to reflect critically on commonly held beliefs.

The Socratic method can be defined as a cooperative argumentative dialogue between individuals with opposing viewpoints. The purpose is to stimulate critical thinking and draw out ideas and underlying presuppositions.

Core Components of the Socratic Method

The key elements of the Socratic method include:

• Asking open-ended questions that do not suggest an answer
• Identifying contradictions in thinking
• Considering alternate perspectives
• Testing hypotheses and challenging assumptions

The method aims to clarify concepts, distinguish ideas, and eliminate egocentric tendencies through reasoned discourse.

Understanding the Socratic Method Definition

The Socratic method is more than just asking questions. Its definition focuses on cooperative critical inquiry that analyzes knowledge and questions beliefs, assumptions, and viewpoints held by participants. This process of intellectual exchange illuminates ideas and enables discovery of new insights.

In essence, the Socratic method uses inquiry, debate, and open discussion to stimulate analytical thinking and bring ideas to the forefront of conscious awareness.

What is the Socratic Method of critical thinking?

The Socratic method is a form of cooperative argumentative dialogue between individuals, based on asking and answering questions to stimulate critical thinking and to draw out ideas and underlying presumptions.

It is named after the Greek philosopher Socrates and is introduced by him in Plato's Theaetetus as midwifery (maieutics) because it brings ideas to light.

Key aspects of the Socratic method

• It centers on asking open-ended questions and answering them – each answer giving rise to further questions.
• It is intended to challenge ideas, reveal underlying assumptions, and lead to new conclusions.
• It focuses on seeking clarity, evidence, and critical assessment.
• It aims to stimulate analytical thinking skills.
• It establishes context and tests viewpoints for consistency.
• It can foster dialectic learning through discourse.

The Socratic method encourages critical thinking, invokes thoughtful reflection, and aims to reveal irrational or illogical thinking in order to make way for more reasoned and robust ideas. Through this process of continual inquiry, participants can identify inconsistencies in their own beliefs or knowledge.

Ultimately, the Socratic method employs systematic questioning to develop critical awareness, analyze problems, uncover potential solutions, and empower individuals to reason their way to knowledge.

How does the Socratic style of dialogue promote learning?

The Socratic method of teaching is based on Socrates' style of questioning his students to draw out their existing knowledge and challenge their assumptions. This method promotes active learning and critical thinking in several key ways:

Fosters Student Participation

• The Socratic method relies on a back-and-forth dialogue between teacher and students.
• By posing thoughtful questions, the teacher prompts students to articulate their ideas, analyze concepts, and make connections.
• This participatory style boosts student engagement and motivation to learn.

Develops Critical Thinking Skills

• Students learn to carefully evaluate their beliefs and form reasoned arguments to build or defend a viewpoint.
• As students analyze others' logic and provide counterexamples, this strengthens their higher-order thinking abilities.
• The exploratory questioning teaches students to identify gaps in their knowledge.

Promotes Deeper Understanding

• Challenging students' assumptions pushes them to think more deeply about what they know and how they know it.
• Articulating their mental models out loud enables students to refine their knowledge.
• The dialogue format helps students gain nuanced perspectives on complex topics.

In summary, the Socratic questioning approach promotes an inquisitive, collaborative environment ideal for developing critical thought and gaining multilayered understanding. By tackling ideas together through dialogue, students and teachers embark on a shared journey of insight.

What is the primary purpose of the Socratic Method?

The primary purpose of the Socratic method is to engage students in critical thinking and dialogue. By asking a series of probing questions, the Socratic method aims to get students to think more deeply about the topic at hand, question their own assumptions, evaluate the strength of arguments, and arrive at reasoned conclusions.

Some key objectives and benefits of using the Socratic method include:

Teaching students to think critically rather than passively accept arguments. The questioning process requires them to examine claims more closely.

Identifying inconsistencies in thinking. By going through the questioning process, flaws in logic or reasoning often become exposed.

Drawing out ideas and perspectives. Asking the right questions prompts students to articulate their thoughts and brings differing viewpoints to light.

Instilling intellectual humility. Students learn that the purpose is not to "win" arguments but to cooperatively seek truth through examination of ideas.

Developing communication skills. Responding to questions requires students to improve how they articulate thoughts.

Encouraging active learning. The dialogue format requires all students to participate rather than sitting passively.

The Socratic method develops critical thinking skills that serve students well both inside and outside the classroom. It teaches them to carefully evaluate arguments and claims as responsible citizens and thinkers.

What is the point of Socratic dialogue?

The goal of Socratic dialogue in the classroom is to engage students in critical thinking and ethical reasoning on complex topics. The teacher takes on the role of facilitator, using a series of probing questions to guide students towards examining issues from multiple perspectives and evaluating their own beliefs.

Some key benefits of Socratic dialogue include:

Promotes critical thinking skills: By responding to thought-provoking questions, students learn how to think logically, question assumptions, and construct reasoned arguments.

Encourages moral reasoning: Wrestling with ethical dilemmas in a collaborative setting helps students develop stronger capacities for moral judgment.

Fosters deeper understanding: Challenging students' initial opinions leads to self-reflection and a more nuanced grasp of complex subjects.

Teaches listening and communication abilities: Dialogic participation calls for patience, empathy and tolerance of different viewpoints from peers.

Creates an engaging classroom dynamic: The teacher takes on a guiding role, while students drive the discovery process through discussion.

The goal is not to arrive at definitive answers, but to achieve broader understanding on issues through collaborative inquiry. Students sharpen their thinking and communication abilities while gaining appreciation of multiple perspectives on meaningful topics.

The Three Steps of the Socratic Method

The Socratic method is a technique for stimulating critical thinking and analysis through a series of systematic questions. It involves three key steps:

Elenchus: The Art of Questioning

The first step in the Socratic method is elenchus, which refers to the back-and-forth questioning between teacher and students. The teacher poses thoughtful, probing questions to clarify beliefs, challenge assumptions, and reveal logical contradictions. Sample elenchus questions include:

• What evidence supports this claim?
• How does this relate to our earlier conclusion?
• What ambiguities need to be addressed?

Elenchus enables students to carefully reflect on the strength of an argument, rather than accepting it at face value.

Inductive Reasoning

The second step involves inductive reasoning to move from specific examples to broader generalizations. Through elenchus questioning, students analyze individual cases and phenomena. The teacher then guides them to make connections and identify patterns leading to tentative hypotheses.

For instance, by examining multiple legal cases, students induce core principles of justice. Or by analyzing poetic devices across poems, they generalize structures of metaphor and syntax.

Hypothesis Formation

In the final step, students form new hypotheses and conclusions based on the questioning and analysis. These hypotheses explain the examples covered in the dialogue and can be tested further through additional questioning.

The end goal is for students to construct knowledge by critically examining evidence, distilling insights from examples, and forming defensible conclusions. The Socratic method develops transferable skills in analysis, evaluation, and creative problem solving.

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Importance of the socratic method in education.

The Socratic method is a discussion-based teaching approach that promotes critical thinking, analytical reasoning, and thoughtful dialogue. By systematically questioning ideas, principles, and assumptions, students learn to carefully scrutinize beliefs, uncover assumptions, and build rational arguments. This develops essential skills for higher education and beyond.

Engaging Students in Critical Thinking

The Socratic method actively engages students in the learning process through inquiry, debate, and group discussion. Instead of passively receiving information, students are prompted to think critically about what they know and challenge their own assumptions. This promotes active learning and higher-order thinking skills like analysis, evaluation, and synthesis. Through dialogue and questioning, students also improve communication abilities.

Fostering Analytical Skills in 6-8 Middle School

Middle school is an ideal time to develop analytical habits of mind through the Socratic method. Open-ended Socratic questioning teaches students to carefully evaluate concepts from multiple perspectives, identify logical fallacies, and construct well-reasoned arguments. This builds essential skills for detecting bias, assessing credibility, and making sound judgments.

Preparing 9-12 High School Students for Higher Education

In high school, the Socratic method helps students develop the advanced reasoning skills needed for college-level critical analysis. By formulating logical arguments, justifying claims, and considering counterarguments, students build proficiency in skills like inference, deduction, inductive reasoning, and logical problem solving. This level of analytical sophistication prepares them to excel in higher education across disciplines.

The Role of the Socratic Method in Philosophy Education

As a foundational pedagogy in philosophy, the Socratic method builds skills in conceptual analysis, ethical reasoning, and epistemology. By examining the logical soundness of belief systems, students learn to construct philosophically rigorous arguments and critically analyze schools of thought. This develops conceptual clarity, intellectual humility, rational skepticism, and an understanding of complex philosophical ideas that is essential to the discipline.

Practical Application of the Socratic Method in Classrooms

Socratic method steps for teachers.

Here are the key steps for teachers to implement the Socratic method:

• Pose an open-ended question or present a scenario that requires critical thinking
• Call on students and ask them to share their initial thoughts and analysis
• Ask probing follow-up questions to get students to evaluate their assumptions and logic
• Let students debate each other, playing devil's advocate when needed
• Draw out any contradictions in thinking; challenge students to resolve inconsistencies
• Synthesize key learning and insights that emerged from the dialogue

Following this process engages students in critical dialogue while uncovering deeper meaning.

Questioning Techniques to Engage Critical Thinking

Types of questions to spark rich discussion:

• Clarification questions to better understand students' positions
• Probing questions that push students to examine their underlying premises
• Hypotheticals scenarios to check the consistency of arguments
• Devil's advocate questions to encourage debate between positions
• Linking questions to find connections between ideas

Managing the Dialogue for Effective Learning

Strategies to facilitate respectful exchanges:

• Set ground rules for dialogue and reiterate the goals of mutual understanding
• Ensure balanced participation so all voices are heard
• Guide discussion and pose follow-up questions to move the analysis forward
• Correct misunderstandings and summarize key insights
• Wrap up each session by synthesizing critical takeaways

Encouraging Participation from Every Student

Getting all students engaged:

• Think-pair-share activities to promote idea exchange
• Assign roles like "devil's advocate" or "discussion leader"
• Solicit alternative perspectives, including dissenting ones
• Scaffold questions from basic clarifications to deeper analysis
• Praise thoughtful contributions regardless of "right" answers
• Follow up privately with shy students to include them

Following these practical tips will lead to vibrant intellectual dialogue that unlocks students' critical thinking potential.

Applying the Socratic Method Beyond Philosophy

The Socratic method, developed by the Greek philosopher Socrates, is a form of cooperative argumentative dialogue between individuals that aims to stimulate critical thinking and draw out ideas and underlying presuppositions. Initially devised as a philosophical teaching technique, the method has since been adapted for use in various other fields beyond philosophy.

Socratic Method in Law School

The Socratic method is widely used in American law schools to train students to think like lawyers. By engaging students in a series of questions that reveal the strengths and weaknesses of their arguments, professors encourage the development of critical analysis skills crucial for legal practice. Students learn to swiftly evaluate scenarios, weigh multiple perspectives, and articulate reasoned defenses of their positions. This aims to prepare them to argue cases in courtrooms after graduation.

Law professors modify the technique by focusing the dialogue on legal principles and precedents rather than abstract ideas. Questions probe the rationales behind existing laws and judicial rulings, pressing students to justify established doctrine. This forces them to think within the structures of the legal system while still questioning assumptions. The method equips students with the capacity for the critical yet grounded analysis required of legal professionals.

Interdisciplinary Teaching Strategies

While devised as a philosophical approach, the questioning nature of the Socratic method aligns with constructivist learning theories that emphasize active student participation over passive absorption of information. Educators across disciplines have adapted the technique to engage students, facilitate comprehension through teaching dialogues, and promote the higher-order thinking skills required for success in the 21st century.

In subjects like English literature, Socratic questioning guides students in interpreting themes and literary devices in texts. Scientific fields use the method to lead students toward conceptual understanding by scaffolding principled questioning. Mathematics and programming instructors employ technique to foster logical reasoning skills. Across disciplines, the approach centers critical analysis, evaluation of ideas, and thoughtful dialogue.

When applied broadly, the Socratic method equips students with transferable critical and creative thinking abilities. Questioning techniques teach structured evaluation of claims, evidence, differing viewpoints, and underlying assumptions. This builds the intellectual values that form the foundation of lifelong learning across academic and professional careers. The method can elevate classroom discourse beyond rote fact delivery toward the development of analytical thought and communication excellence.

Benefits for Students' Development

Promotes critical thinking and problem-solving.

The Socratic method requires students to evaluate arguments, identify logical fallacies, and reconsider beliefs. By repeatedly probing the reasoning behind ideas, it pushes students to think critically rather than accept claims at face value. This builds essential problem-solving skills that students can apply to academic work and real-world issues.

Develops Communication Abilities and Confidence

Through dialogue and debate, the Socratic method offers opportunities for students to improve public speaking, listening, and reasoning abilities. Having to clearly articulate and defend ideas builds confidence and communication skills. Students learn to craft persuasive arguments, integrate different viewpoints, and identify weaknesses in thinking.

Deepens Understanding and Facilitates Lifelong Learning

Questioning and explaining concepts cements students' comprehension of material, versus just passively receiving information. By articulating their knowledge, identifying gaps, and resolving misconceptions through discussion, students gain clearer and deeper mastery of content. This self-reflection promotes metacognition and skills for self-directed learning beyond school.

Challenges and Responses in Socratic Teaching

Classroom management during socratic dialogues.

The free-flowing nature of Socratic dialogues can present classroom management challenges. Here are some tips:

Set clear expectations and ground rules for respectful discussion from the start. Reinforce these regularly.

Use methods like talking sticks or balls to designate speakers. This prevents multiple students from speaking at once.

Have students sit in a circle or horseshoe shape. This encourages active listening and participation.

Give specific positive feedback when students demonstrate good dialogue habits. This reinforces productive behaviors.

If chaos ensues, pause the dialogue. Regain student attention, then reflect on what went wrong before restarting.

Assessment Techniques for Critical Thinking Skills

Assessing critical thinking development requires going beyond traditional tests. Recommended methods include:

Student self-assessments - Have students rate their understanding before and after Socratic lessons using short surveys. Compare results over time.

Dialogue observations - Take notes on student reasoning exhibited during dialogues. Are they asking probing questions? Justifying positions logically? Identify growth areas.

Reflective writing - Assign regular journaling on lesson topics. Analyze skills like reasoning, questioning assumptions, considering multiple perspectives.

Debate analyses - Have students debate controversial issues in small groups. Evaluate their argumentation techniques against a rubric.

Concept maps - Ask students to create visual maps of lesson concepts, linking ideas. Assess organization, connections made, insights demonstrated.

No single approach can fully capture critical thinking progress. Using a combination of complementary techniques helps provide a comprehensive picture of each student's development in this complex skill domain.

Conclusion: Embracing the Socratic Method for Educational Excellence

The Socratic method is a powerful teaching technique that focuses on asking questions to stimulate critical thinking and dialogue. By embracing this method, teachers can reap immense benefits in developing students' higher-order abilities.

Here are some key advantages of using the Socratic method:

Promotes critical thinking: The method's reliance on probing questions forces students to thoroughly analyze concepts, evaluate perspectives, and articulate reasoned judgments. This builds critical analysis skills.

Develops communication abilities: By having to explain their rationale through dialogue, students learn how to present thoughts logically, make persuasive arguments, and articulate ideas effectively.

Encourages intellectual humility: The non-confrontational question-based format requires open-mindedness in considering different viewpoints. This creates an intellectually humble learning culture.

Energizes classroom engagement: The stimulating back-and-forth conversation makes learning interactive and engaging, keeping students intellectually invested.

Allows customized learning: Teachers can tailor questions to each student's level, helping scaffold understanding and achieve personalized breakthroughs.

Adopting the Socratic method takes practice - both for teachers learning how to artfully form questions and guide discussion, as well as for students adjusting to this intellectually demanding format. But the long-term dividends make it profoundly worthwhile, as seen in students developing into discerning thinkers and skilled communicators. By embracing this method, schools can nurture the foundational higher-order abilities that are vital for future success.

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Socratic Questioning in Psychology: Examples and Techniques

Condemned to death in 399 BC and leaving no written works, we rely extensively on the writings of his pupil, philosophical heavyweight Plato (Honderich, 2005).

Perhaps Socrates’ most significant legacy is his contribution to the art of conversation, known as Socratic questioning. Rather than the teacher filling the mind of the student, both are responsible for pushing the dialogue forward and uncovering truths (Raphael & Monk, 2003).

And yet, what could a 2500-year old approach to inquiry add to the toolkit of the teacher, psychotherapist, and coach?

Well, it turns out, quite a lot.

In this article, we explore the definition of Socratic questioning and how we apply it in education, Cognitive Behavioral Therapy, and coaching. We then identify techniques, examples of good questions, and exercises that promote better, more productive dialogue.

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This Article Contains

Socratic questioning defined, what is socratic questioning in cbt and therapy, how to do socratic questioning, 15 examples of socratic questioning, using socratic questioning in coaching, applications in the classroom: 2 examples, 3 helpful techniques, 4 exercises and worksheets for your sessions, 5 best books on the topic, a take-home message, frequently asked questions.

Many of us fail to recognize questioning as a skill. And yet, whether in education or therapy, vague, purposeless questions have a rather aimless quality, wasting time and failing to elicit useful information (Neenan, 2008).

The Socratic method, often described as the cornerstone of Cognitive Behavioral Therapy (CBT) , solves this inadequacy by asking a series of focused, open-ended questions that encourage reflection (Clark & Egan, 2015). By surfacing knowledge that was previously outside of our awareness, the technique produces insightful perspectives and helps identify positive actions.

“I know you won’t believe me, but the highest form of human excellence is to question oneself and others.”

Socratic questioning involves a disciplined and thoughtful dialogue between two or more people. It is widely used in teaching and counseling to expose and unravel deeply held values and beliefs that frame and support what we think and say.

By using a series of focused yet open questions, we can unpack our beliefs and those of others.

In education, we can remove, albeit temporarily, the idea of the ‘sage on the stage.’ Instead, the teacher plays dumb, acting as though ignorant of the subject. The student, rather than remaining passive, actively helps push the dialogue forward.

Rather than teaching in the conventional sense, there is no lesson plan and often no pre-defined goal; the dialogue can take its path, remaining open ended between teacher and student.

The Socratic method is used in coaching, with, or without, a clear goal in mind, to probe our deepest thoughts. A predetermined goal is useful when there are time pressures but can leave the client feeling that the coach has their own agenda or nothing to learn from the discussion (Neenan, 2008).

In guided discovery , the absence of a clear goal leads to questions such as “ can you be made to feel inferior by someone else’s laughter?”  asked with genuine curiosity. Here, the coach gently encourages the client to look at the bigger picture and see other options for tackling an issue.

Ultimately, both approaches have the goal of changing minds. One is coach led, and the other is client led; the coach or therapist may need to move on a continuum between the two.

Indeed, in CBT, where the focus is on modifying thinking to facilitate emotional and behavioral change, the technique is recognized as helping clients define problems, identify the impact of their beliefs and thoughts, and examine the meaning of events (Beck & Dozois, 2011).

The use of the Socratic method by CBT therapists helps clients become aware of and modify processes that perpetuate their difficulties. The subsequent shift in perspective and the accompanying reevaluation of information and thoughts can be hugely beneficial.

It replaces the didactic, or teaching-based, approach and promotes the value of reflective questioning. Indeed, several controlled trials have demonstrated its effectiveness in dealing with a wide variety of psychological disorders.

While there is no universally accepted definition of the Socratic method in CBT, it can be seen as an umbrella term for using questioning to “ clarify meaning, elicit emotion and consequences, as well as to gradually create insight or explore alternative action ” (James, Morse, & Howarth, 2010).

It is important to note that the approach, when used in CBT, must remain non-confrontational and instead guide discovery, in an open, interested manner, leading to enlightenment and insight (Clark & Egan, 2015).

You will find that Socratic questions usually have the following attributes (modified from Neenan, 2008):

Above all else, it is essential to remember that Socratic questioning should be confusion-free.

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A fruitful dialogue using Socratic questioning is a shared one, between teachers and students or therapists and clients.

Each participant must actively participate and take responsibility for moving the discussion forward.

The best environment, according to professor Rob Reich, is one of ‘productive discomfort,’ but in the absence of fear and panic (Reis, 2003).

There should be no opponents and no one playing ‘devil’s advocate’ or testing the other.

Instead, it is best to remain open minded and prepared to both listen and learn.

Some guidance is suggested to perform Socratic questioning effectively.

For a student or client, it is useful to understand what is expected.

To be the ideal companion for Socratic questioning, you need to be genuinely curious, willing to take the time and energy to unpack beliefs, and able to logically and dispassionately review contradictions and inconsistencies.

When used effectively, Socratic questioning is a compelling technique for exploring issues, ideas, emotions, and thoughts. It allows misconceptions to be addressed and analyzed at a deeper level than routine questioning.

You will need to use several types of questions to engage and elicit a detailed understanding.

Students and clients should be encouraged to use the technique on themselves to extend and reinforce the effect of Socratic questioning and promote more profound levels of understanding.

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Coaching is “ the art of facilitating the performance, learning, and development of another” (Downey, 2003). To reach a deeper understanding of a client’s goals, core values , and impediments to change, a coach must elicit information that is relevant, insightful, and ultimately valuable.

And yet, not all questions are equally useful in coaching.

Vague or aimless questions are costly in terms of time and will erode the client’s confidence in the coaching process (Neenan, 2008).

Asking open-ended questions helps clients reflect and generate knowledge of which they may have previously been unaware. Such insights result in clients reaching new or more balanced perspectives and identifying actions to overcome difficulties.

Coaches should avoid becoming ‘stuck’ entirely in the Socratic mode. Complete reliance on Socratic questions will lead to robotic and predictable sessions. Indeed, at times, the therapist may require closed questions to push a point and offer some direction (Neenan, 2008).

The student is asked to account for themselves, rather than recite facts, including their motivations and bias upon which their views are based.

Discussion is less about facts or what others think about the facts, and more about what the student concludes about them. The underlying beliefs of each participant in the conversation are under review rather than abstract propositions.

And according to science, it works very well. Research has confirmed that Socratic questioning provides students with positive support in enhancing critical thinking skills (Chew, Lin, & Chen, 2019).

1. Socratic circles

Socratic circles can be particularly useful for gaining an in-depth understanding of a specific text or examine the questioning technique itself and the abilities of the group using it:

• Students are asked to read a chosen text or passage.
• Guidance is given to analyze it and take notes.
• Students are arranged in two circles – an inner one and an outer one.
• The inner circle is told to read and discuss the text with one another for the next 10 minutes.
• Meanwhile, the outer circle is told to remain silent and observe the inner circle’s discussion.
• Once completed, the outer circle is given a further 10 minutes to evaluate the inner circle’s dialogue and provide feedback.
• The inner circle listens and takes notes.
• Later the roles of the inner and outer circles are reversed.

Observing the Socratic method can provide a valuable opportunity to learn about the process of questioning.

2. Socratic seminars

Socratic seminars are the true embodiment of Socrates’ belief in the power of good questioning.

• The teacher uses Socratic questions to engage discussion around a targeted learning goal, often a text that invites authentic inquiry.
• Guidelines are provided to the students to agree to fair participation, including example questions and behaviors for thinking, interacting, and listening within the group.
• Learning is promoted by encouraging critical analysis and reasoning to find deep answers to questions.
• The teacher may define some initial open-ended questions but does not adopt the role of a leader.
• Once over, a review of the techniques and the group’s effectiveness at using them should be performed and learnings fed into future seminars.

It takes time to learn and use the Socratic method effectively and should be considered a necessary part of the group’s overall journey.

1. The five Ws

At times we all need pointers regarding the questions to ask. The misleadingly named  five Ws – who, what, when, where, why, and how – are widely used for basic information gathering, from journalism to policing.

The five Ws (and an H) provide a useful set of open questions, inviting the listener to answer and elaborate on the facts.

2. Socratic method steps

Simply stated, Socratic questioning follows the steps below.

• Understand the belief. Ask the person to state clearly their belief/argument.
• Sum up the person’s argument. Play back what they said to clarify your understanding of their position.
• Upon what assumption is this belief based?
• What evidence is there to support this argument?
• Challenge their assumptions. If contradictions, inconsistencies, exceptions, or counterexamples are identified, then ask the person to either disregard the belief or restate it more precisely.
• Repeat the process again, if required. Until both parties accept the restated belief, the process is repeated.

The order may not always proceed as above. However, the steps provide an insight into how the questioning could proceed. Repeat the process to drill down into the core of an issue, thought, or belief.

3. Best friend role-play

Ask the client to talk to you as though they were discussing similar experiences to a friend (or someone else they care about.)

People are often better at arguing against their negative thinking when they are talking to someone they care about.

For example, “ Your best friend tells you that they are upset by a difficult conversation or situation they find themselves in. What would you tell them? Talk to me as though I am that person .”

1. Socratic question types

The Socratic method relies on a variety of question types to provide the most complete and correct information for exploring issues, ideas, emotions, and thoughts.

Use a mixture of the following question types for the most successful engagement.

2. Cognitive restructuring

Ask readers to consider and record answers to several Socratic questions to help challenge their irrational thoughts.

3. Life coaching questions

Refer to the 100 Most Powerful Life Coaching Questions on our blog for in-depth examples of open-ended questions for use as a coach.

4. Art of Socratic questioning checklist

While observing others leading Socratic discussions, use this questioning checklist to capture thoughts and provide feedback.

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To learn more about Socratic questioning and good questioning in general, check out these five books available on Amazon:

• The Socratic Method of Psychotherapy – James Overholser ( Amazon )
• The Thinker’s Guide to Socratic Questioning – Richard Paul and Linda Elder ( Amazon )
• Thinking Through Quality Questioning: Deepening Student Engagement – Elizabeth D. Sattes and Jackie A. Walsh ( Amazon )
• Techniques for Coaching and Mentoring – Natalie Lancer, David Clutterbuck, and David Megginson  ( Amazon )
• The Art of Interactive Teaching: Listening, Responding, Questioning – Selma Wassermann ( Amazon )

Socratic questioning provides a potent method for examining ideas logically and determining their validity.

Used successfully, it challenges (possibly incorrect) assumptions and misunderstandings, allowing you to revisit and revise what you think and say.

However, like any tool, it is only as good as the person who uses it.

Socratic questioning requires an absence of ego and a level playing field for all who take part. If you are willing to use logical, open questions without a fixed plan, and are prepared to practice, the technique is an effective way of exploring ideas in depth.

The theory, techniques, and exercises we shared will help you to push the boundaries of understanding, often into uncharted waters, and unravel and explore assumptions and misunderstandings behind our thoughts.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Psychology Exercises for free .

Socratic questioning is a method of inquiry that seeks to explore complex ideas, concepts, and beliefs by asking questions that challenge assumptions, clarify meaning, and reveal underlying principles.

The five Socratic questions are:

• What do you mean by that?
• How do you know?
• Can you give me an example?
• What are the consequences of that?
• What is the counterargument?

The Socratic method is a form of inquiry that involves asking questions to stimulate critical thinking and expose the contradictions in one’s own beliefs.

The method involves a dialogue between two or more people in which the participants seek to understand each other’s beliefs and uncover the truth through a process of questioning and examination.

• Beck, A. T., & Dozois, D. J. (2011). Cognitive therapy: Current status and future directions. Annual Review of Medicine, 62 , 397–409. https://doi.org/10.1146/annurev-med-052209-100032
• Chew, S. W., Lin, I. H., & Chen, N. S. (2019). Using Socratic questioning strategy to enhance critical thinking skills of elementary school students. Paper presented at the 2019 IEEE 19th International Conference on Advanced Learning Technologies (ICALT), Maceió, Brazil. https://doi.org/10.1109/ICALT.2019.00088
• Clark, G. I., & Egan, S. J . (2015). The Socratic method in cognitive behavioural therapy: A narrative review. Cognitive Therapy and Research, 39 (6), 863–879. https://doi.org/10.1007/s10608-015-9707-3
• Downey, M. (2003). Effective coaching: Lessons from the coach’s coach (2nd ed.). Thomson/ Texere. https://www.amazon.com/dp/1587991721/
• Honderich, T. (2005). The Oxford companion to philosophy. Oxford University Press. https://www.amazon.com/dp/0199264791/
• James, I. A., Morse, R., & Howarth, A. (2010). The science and art of asking questions in cognitive therapy. Behavioural and Cognitive Psychotherapy, 38 (1), 83–93. https://doi.org/10.1017/S135246580999049X
• Lancer, N., Clutterbuck, D., & Megginson, D. (2016).  Techniques for coaching and mentoring  (2nd ed.). Routledge. https://www.amazon.com/dp/113891374X/
• Neenan, M. (2008). Using Socratic questioning in coaching. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 27 (4), 249–264. https://doi.org/10.1007/s10942-007-0076-z
• Overholser, J. (2018).  The Socratic method of psychotherapy . Columbia University Press. https://www.amazon.com/dp/0231183291/
• Paul, R., & Elder, L. (2016).  The thinker’s guide to the art of Socratic questioning.  The Foundation for Critical Thinking. https://www.amazon.com/dp/0944583318/
• Raphael, F., & Monk, R. (2003). The great philosophers. Routledge. https://www.amazon.com/dp/B00DIL3NIO/
• Reis, R. (2003). The Socratic method: What it is and how to use it in the classroom. Tomorrow’s Professor Postings. Retrieved June 10, 2020, from https://tomprof.stanford.edu/posting/810
• Walsh, J. A., & Sattes, E. D. (2011). Thinking through quality questioning: Deepening student engagement (1st ed.). Corwin. https://www.amazon.com/dp/1412989027/
• Wasserman, S. (2017). The art of interactive teaching: Listening, responding, questioning (1st ed.). Routledge. https://www.amazon.com/dp/1138041173/

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Understanding Socratic Questioning: A Comprehensive Guide

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What Is Socratic Questioning?

• Socratic Questioning in History
• The 4 Stages
• The 6 Types

Examples of Socratic Questions

• Practical Guidelines

Some people leave a very long mark on the world, and Socrates is definitely one of those people. He was a Greek philosopher from the 5th century BC, but still today, we use some of his teachings.

Socratic questioning is one example of how Socrates lives on. What exactly is it, and why is it still so widely used in our world?

At a Glance

You may remember Socratic questioning from past or current school days—and not fondly. It's the method of communication by which someone intentionally challenges others—such as their students—through open-ended questioning.

Often, there is no clear answer to the line of questioning, and no clear answer is intended. Frustrating, right? But the goal is ultimately to stimulate deep thoughts and to explore what we know—and don't know—about ourselves or about a given subject of study. It may be used by teachers, therapists, or even by us in the course of our daily lives.

Clinical and forensic psychologist Dr. Leslie Dobson tells us that Socratic questioning is a communication style that allows a person to stimulate another person's thinking through open-ended questions.

The questions are meant to push someone "slightly outside of their comfort level, so that they have to think about their thoughts, behaviors and feelings, building their awareness, and in turn allow them to feel more in control." By asking thought provoking questions, we can have deeper interactions. This is helpful in settings both clinical and casual.

The History and Philosophy Behind Socratic Questioning

Socratic questioning is a part of the Socratic method, the broader style of teaching and communication that Socrates introduced. There is debate over whether we have continued to use the teachings of Socrates nonstop since his time, or if they left and were reintroduced in more recent years. One thing we can be certain of, though, is that Socrates' work has played a role in modern communication.

The philosophy behind Socratic questioning is both to help us understand others better and to help people understand themselves better. Says Dobson, "Once we are able to name what is going on in us (i.e., emotions, thoughts, behaviors), we have the ability to take the reins and lead our lives." A deeper style of questioning that opens up our minds more than casual conversation could benefit everyone, including the asker.

What Are the 4 Stages of Socratic Questioning?

The four stages of Socratic questioning are also known as "guided discovery." As you may expect, this practice has four stages.

• Asking questions centered around receiving information
• Attentively listening and reflecting back what you've heard
• Providing a summary of the information you've heard
• Asking more questions, specifically with the intent of applying the answers you heard to the person's original thoughts

What Are the Six Types of Socratic Questioning?

In order to probe further into a subject, there are different question styles used. These get people thinking in bigger ways than other questions might.

• Clarification : You may ask why a person gave the response they did, or how it relates to the topic at hand.
• Challenge assumptions : Someone may be asked how what they've said proves their initial assumptions to be true, or disproves them.
• Look for evidence : You'll ask questions that help prove a point, such as requesting examples or looking for causes.
• Perspective : These questions make someone step back and see a situation from a differing point of view.
• Discover consequences : Asking how something ties into a different topic, or what the ramifications of what's been asserted are, help someone think more deeply about an issue.
• Question the question: Further attempting to add depth, you may ask what the other person thinks the point of your questions are, or what the situation at large really means.

It may seem like an abstract concept, but in reality we use Socratic questions in many different areas of day to day life. Here are some examples.

Socratic questioning is a valuable psychotherapeutic tool. "Socratic questioning is very helpful when a client is new and closed off, when a client is stuck in their thought process or memory, and also when a client is stuck in an emotion ," explains Dobson. She uses Socratic questioning right at the start of a new client relationship, employing the questions to discern why someone is seeking therapy and what the purpose of it will be for them.

This questioning style can be used throughout therapy, and offers a way to facilitate communication and forward progression. "When a client is stuck in their thought process or memory, Socratic questioning is very helpful to help them think about other aspects of their memory," says Dobson. "For example, when somebody is having recurring visual flashbacks of a trauma and severe emotional reactions, Socratic questioning is very helpful to start grounding the reality of the memory by exploring our thoughts around it and the emotions that come up."

Socratic questioning is particularly useful in therapy when other methods have stalled and a client is having trouble moving through an issue. "Socratic questioning allows us to explore assumptions around how we think we should feel and the evidence that lends to how we determine it's okay to feel this way and to stay this way," says Dobson.

News Interviews

We tune into the news to not just hear about what's going on in the world, but also to gain an understanding of it. Dobson explains, "the reporter will ask an open ended question to an individual, "How did you feel when that happened?" and then follow up with questions that clarify the answer, probe for more details, explore the areas of the person's reaction, push alternative viewpoints or perspectives (commonly seen in high profile interview guests), and then take a moment to reflect on the conversation and offer closure." This is the entirety of the Socratic questioning method, step by step.

The legal system is an arena that's full of Socratic questioning. "A great example is when a lawyer asked me, "So Dr. Dobson, can you explain to the jury how trauma forms? Can you provide an example? How do you know this is true? Do you have data? If this is true, what does it mean for a person who also has anxiety? If it is not trauma, what else could it be? Why does talking about trauma matter in this case?" recalls Dobson.

Benefits of Applying Socratic Questioning

As you can see, Socratic questioning has a variety of uses. It also has numerous benefits in the world. In therapy, it helps people move through challenging issues. In media , it is used to give us deeper understanding of important events and the mindsets of the people involved in them.

Additionally, it allows everyone to better understand their own thoughts and feelings. By asking probing questions that force us to think more thoroughly through why we feel and behave the ways we do, we're able to gain more understanding of ourselves and others.

Potential Challenges with Socratic Questioning

Socratic questioning isn't perfect, and it can't necessarily solve all problems or help everyone through every challenge. The biggest problem with it is that it relies on a person being able to clearly articulate their thoughts and feelings, and some people have a hard time with that.

It could also lead a person to feel attacked, if the questions are too probing. And sometimes, people aren't ready to think of a situation from someone else's perspective, or able yet to gain understanding of what the implications or consequences are of an event. Socratic questioning needs to be used at the right time, and in appropriate situations, for it to be useful.

Practical Guidelines for Using Socratic Questioning

If you find yourself interested in this method of communication, you can begin employing it at any time. Here are some guidelines for adding Socratic questioning into your day to day life.

• Listen and reflect : Pay attention to what others tell you, and validate their voice by reflecting their words back to them.
• Ask better questions : Rather than just asking someone what happened in a situation, delve deeper by asking for their feelings about it and motivations .
• Get outside your own mind : Think of situations from others' perspectives, and encourage those you know to do the same.
• Look for evidence: Challenge your assumptions and those of others by seeking evidence for why someone holds the perspective they do.

Therapy Tip

Dobson reminds us that when using Socratic questioning in therapy, "it is important to check in with your client verbally and also pay attention to their behavioral cues." That's because "you may be coming off as too assertive , or the client may not have the cognitive capacity to grasp your questions." She reminds us that Socratic questioning is a communication style, not a therapeutic modality, and should be used accordingly.

Schneider J. Remembrance of things past: a history of the socratic method in the united states.   Curriculum Inquiry . 2013;43(5):613-640.

Guided_Therapy.

By Ariane Resnick, CNC Ariane Resnick, CNC is a mental health writer, certified nutritionist, and wellness author who advocates for accessibility and inclusivity.

Socratic Method 

By Jaafar Bouhlal   Updated on March 03, 2023

Introduction

Historical Significance

Process of Inquiry

Critical Thinking

Legal Practice

Limitations

Contemporary Relevance

The Socratic Method is a method of questioning developed by the ancient Greek philosopher Socrates. It involves a series of questions designed to clarify and refine one's thinking, with the goal of arriving at a deeper understanding of a concept or idea. The method is often used to promote critical thinking, challenge assumptions and preconceptions, and encourage individuals to question their own beliefs and values.

The Socratic Method involves a dialogue between two or more individuals, with one person asking questions and the other responding. The questions are designed to probe the respondent's understanding of the topic, to identify inconsistencies or weaknesses in their argument, and to encourage them to think more deeply about the subject at hand.

The Socratic Method is still used today in many fields, including philosophy, education, law, and ethics. It is particularly effective in promoting active learning and critical thinking skills, and can help individuals to develop a deeper understanding of complex issues. However, the method also has its limitations, including the potential for it to be used as a tool for manipulation or to reinforce existing biases. It requires a skilled practitioner who is able to ask the right questions and guide the conversation effectively.

The Socratic Method is a method of inquiry that was developed by the ancient Greek philosopher Socrates. It involves asking a series of questions to encourage critical thinking and to arrive at a deeper understanding of a concept or idea. The historical significance of the Socratic Method lies in its origins in ancient Greece, and its influence on Western philosophy and education.

Socrates, who lived in Athens during the 5th century BCE, is credited with developing the Socratic Method. He used this method to challenge assumptions and encourage critical thinking in his students, who included some of the most famous philosophers in history, such as Plato and Xenophon.

The Socratic Method became an important part of Western philosophy, particularly in the fields of ethics and epistemology. It has been used by many philosophers throughout history, including Plato and Aristotle, and continues to be an important method of inquiry and teaching.

In addition to its influence on philosophy, the Socratic Method has also had an impact on education. It is often used in classrooms to encourage critical thinking and to help students develop a deeper understanding of complex ideas. It has been particularly effective in promoting active learning and in helping students to engage in meaningful discussions.

The Socratic Method is a process of inquiry that involves a series of questions to explore a concept or idea. The goal of the method is to arrive at a deeper understanding of the concept or idea and to challenge assumptions and preconceptions that may be held by the individual being questioned.

The process of inquiry begins with a question or a statement about a particular concept or idea. The Socratic Method then involves asking a series of questions to explore the concept or idea further. The questions are designed to clarify the individual's thinking and to challenge their assumptions and preconceptions.

Through this process of questioning, the individual being questioned is encouraged to examine their own beliefs and assumptions, to consider different perspectives, and to engage in critical thinking. The method is intended to promote intellectual humility and to help individuals to recognize the limitations of their own knowledge.

The Socratic Method is a flexible approach to inquiry that can be used in a variety of contexts. It can be used to explore complex philosophical questions or to facilitate discussions about practical issues in fields such as education, law, and business.

Critical thinking is the ability to analyze information, make reasoned judgments, and evaluate evidence. The Socratic Method is a teaching and inquiry technique that is designed to promote critical thinking by encouraging individuals to question their own beliefs and assumptions.

Through a series of carefully crafted questions, the Socratic Method challenges individuals to think deeply about complex issues and to consider alternative perspectives. The method encourages individuals to analyze and evaluate evidence, to identify biases and assumptions, and to question the validity of arguments and claims.

By engaging in this process of critical thinking, individuals can develop a more nuanced and sophisticated understanding of complex issues. They are better equipped to identify and evaluate arguments, to recognize logical fallacies, and to separate fact from fiction.

The Socratic Method is particularly effective in promoting critical thinking because it encourages individuals to question their own beliefs and assumptions. This approach helps to prevent individuals from becoming complacent and accepting information at face value. Instead, they are encouraged to actively engage with the material, to evaluate evidence, and to develop their own informed opinions.

The Socratic Method is a teaching and inquiry technique that has been used in education for centuries. It is often used to promote active learning and critical thinking skills in students. The method is particularly effective in encouraging students to think deeply about a concept or idea and to engage in meaningful discussions.

In the Socratic Method, the teacher or facilitator poses a series of questions to the students to encourage critical thinking and inquiry. The questions are designed to help students clarify their thinking, to challenge their assumptions and beliefs, and to explore different perspectives on a particular topic.

This approach to teaching encourages students to become active participants in the learning process. It promotes independent thinking and fosters a deeper understanding of the material being studied. By engaging in this process of inquiry and discussion, students are better able to internalize and apply the concepts they are learning.

The Socratic Method is particularly effective in encouraging students to engage in meaningful discussions. The method encourages students to listen carefully to the ideas and perspectives of others, to consider alternative viewpoints, and to challenge their own assumptions and beliefs. This approach to learning promotes empathy, understanding, and respect for diverse perspectives.

The Socratic Method is a technique used in legal practice, particularly in law schools, to teach students how to think critically and to develop strong arguments. The method involves asking a series of questions to test the validity of a legal argument and to help lawyers to identify weaknesses in their opponent's case.

In law schools, professors often use the Socratic Method to engage students in discussions about legal cases and to challenge their understanding of legal concepts. By asking questions and encouraging discussion, the professor helps students to develop critical thinking skills and to analyze legal arguments from multiple perspectives.

In legal practice, the Socratic Method can be used during the preparation of a case to help lawyers to identify weaknesses in their opponent's arguments. By asking a series of questions, lawyers can test the strength of their own arguments and identify potential holes in their opponent's case. This approach can help lawyers to develop stronger arguments and to anticipate potential objections from their opponent.

The Socratic Method is also useful in legal practice during cross-examination. During cross-examination, lawyers use a series of questions to challenge the testimony of a witness and to test the strength of their opponent's case. The method can be particularly effective in exposing inconsistencies or contradictions in a witness's testimony.

The Socratic Method is a powerful tool used in ethics to explore complex moral issues and to develop a deeper understanding of ethical principles. It involves asking a series of questions to help individuals clarify their thinking and to challenge their assumptions and preconceptions about ethical issues.

In ethics, the Socratic Method is used to promote critical thinking and to encourage individuals to consider multiple perspectives on a given ethical issue. The method is particularly useful in exploring complex moral issues that do not have clear-cut answers. By engaging in a process of inquiry and discussion, individuals can develop a more nuanced and sophisticated understanding of ethical principles.

The Socratic Method can also be used to explore ethical dilemmas and to help individuals make more informed decisions. By asking a series of questions, individuals can identify the values and principles that are important to them and can explore the potential consequences of their actions.

The Socratic Method is a powerful tool for critical thinking, but it has some limitations that should be considered. One of the limitations of the Socratic Method is the potential for it to be used as a tool for manipulation. If a skilled practitioner of the Socratic Method uses it to push a particular agenda or to reinforce existing biases, it can become a tool for manipulation rather than a tool for critical thinking.

Another limitation of the Socratic Method is that it requires a skilled practitioner who is able to ask the right questions and guide the conversation effectively. In order for the method to be effective, the practitioner must have a deep understanding of the subject matter being discussed and must be able to ask questions that encourage critical thinking and meaningful discussion.

Additionally, the Socratic Method can sometimes be time-consuming and may not be appropriate for all situations. In some cases, a more direct approach may be more appropriate or necessary.

Furthermore, the Socratic Method may not be effective for individuals who have difficulty engaging in deep introspection or who struggle with abstract thinking. It may also be less effective in situations where emotions or personal biases are strong factors.

Despite being developed over two thousand years ago, the Socratic Method remains highly relevant in contemporary society. In many fields, including philosophy, education, and law, the Socratic Method is still seen as an effective tool for promoting critical thinking and facilitating meaningful discussions.

In philosophy, the Socratic Method continues to be used as a tool for exploring complex issues and for challenging assumptions and preconceptions. It is particularly effective in areas of philosophy such as ethics and political theory, where it can help individuals to develop a deeper understanding of complex issues and to engage in meaningful debates about important topics.

In education, the Socratic Method is often used to promote active learning and critical thinking skills. It can help students to develop a deeper understanding of complex concepts and to engage in meaningful discussions with their peers and instructors.

In law, the Socratic Method is still used in many law schools to teach students how to think critically and to develop strong arguments. It is particularly effective in helping students to identify weaknesses in legal arguments and to think creatively about legal solutions to complex problems.

In addition, the Socratic Method is increasingly being used in other fields such as business, journalism, and even medicine, where it can help individuals to develop critical thinking skills and to engage in meaningful discussions about complex issues.

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Socratic Method: What Is It and How Can You Use It?

This article defines the Socratic method, a technique for establishing knowledge derived from the approach of ancient Greek philosopher Socrates.

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T he Socratic method is a form of cooperative dialogue whereby participants make assertions about a particular topic, investigate those assertions with questions designed to uncover presuppositions and stimulate critical thinking, and finally come to mutual agreement and understanding about the topic under discussion (though such mutual agreement is not guaranteed or required).

In more formal educational settings, the Socratic method is harnessed by teachers to ‘draw out’ knowledge from students. The teacher does not directly impart knowledge, but asks probing, thought-provoking questions to kickstart a dialogue between teacher and student, allowing students to formulate and justify answers for themselves.

As Stanford University comment in an issue of their Speaking of Teaching newsletter:

The Socratic method uses questions to examine the values, principles, and beliefs of students. Through questioning, the participants strive first to identify and then to defend their moral intuitions about the world which undergird their ways of life. Socratic inquiry deals not with producing a recitation of facts... but demands rather that the participants account for themselves, their thoughts, actions, and beliefs... Socratic inquiry aims to reveal the motivations and assumptions upon which students lead their lives.

Proponents of the Socratic method argue that, by coming to answers themselves, students better remember both the answer and the logical reasoning that led them there than they would if someone had simply announced a conclusion up front. Furthermore, people are generally more accepting of views they’ve come to based on their own rational workings.

The Death of Socrates, a painting by Jacques-Louis David depicting ancient Greek philosopher Socrates — from whom the Socratic method derives its name — about to drink hemlock in his jail cell, having been sentenced to death by the Athenian authorities.

The great philosopher Bertrand Russell once commented, “As usual in philosophy, the first difficulty is to see that the problem is difficult.” Being an inquisitive dialogue, the Socratic method is particularly effective here, revealing hidden subtleties and complexities in subjects that may otherwise appear obvious or simple, such as whether the world around us is ‘real’ .

Apply the Socratic method to such a subject, and participants quickly discover how difficult it is to establish a solid answer. This is a good outcome, Russell thinks, for informed skepticism has replaced uninformed conviction — or, as he puts it, “the net result is to substitute articulate hesitation for inarticulate certainty.”

As such, the Socratic method is at its most effective when applied to topics about which people hold deep convictions, such as questions on ethics , value, politics , and how to live.

After just a little probing on the foundations of our convictions on such topics, we learn that what may have appeared simple is in fact a very complicated issue mired in difficulty, uncertainty, and nuance — and that our initial convictions might be less justified than we first thought.

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Why is it called the Socratic method?

T he Socratic method derives its name from the conversational technique of ancient Greek philosopher Socrates , as presented in his student Plato’s dialogues written between 399 BCE and 347 BCE . The son of a midwife, Socrates draws parallels between his method and midwifery. In Plato’s dialogue Theaetetus , Socrates states:

The only difference [between my trade and that of midwives] is… my concern is not with the body but with the soul that is experiencing birth pangs. And the highest achievement of my art is the power to try by every test to decide whether the offspring of a young person’s thought is a false phantom or is something imbued with life and truth.

Socrates’s approach of sometimes relentless inquiry differed to the teachers in ancient Athens at the time, known as the Sophists, who went for the more conventional ‘sage on a stage’ educational method, trying to persuade people round to their viewpoints on things through impressive presentation and rhetoric.

This distinction in approach made Socrates somewhat of a celebrity of contrarian thought. While the Sophists tried to demonstrate their knowledge, Socrates did his best to demonstrate his (and everybody else’s) ignorance. His guiding principle was that we know nothing — and so, as W. K. C. Guthrie argues in The Greek Philosophers , the Socratic method was for Socrates as much a device for establishing ignorance as it was establishing knowledge.

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Indeed, Plato presents Socrates approaching various influential thinkers from ancient Athenian society and discussing many different subjects with them, including justice, knowledge , beauty, and what it means to live a good life.

Typically the interlocutor in discussion with Socrates begins by making a confident, seemingly self-evident assertion about a particular topic. Socrates then asks them questions about said topic, wrapping them in a tangled web of contradictions and false presuppositions, before concluding that the assertion that began the discussion is hopelessly misguided.

Given this consistent outcome of most if not all of Plato’s dialogues , some have questioned whether Socrates himself actually provides an effective template for the Socratic method as we know it today, in that while the illusion of cooperative dialogue is present, the conversations are largely dominated by Socrates picking apart the views of others.

Was Socrates’s method successful?

T he purpose of Socrates’s questioning was usually to jolt people out of their presuppositions and assumptions, and most of Plato’s dialogues end with Socrates kindly declaring the ignorance or even stupidity of those he spoke to. The only knowledge available to us, Socrates assures us, is knowing that we know nothing .

Socrates’s apparent victories in the name of reason and logic, while hugely entertaining and intellectually stimulating for the reader today, led to many important people in ancient Athens getting rather annoyed. Alas, Socrates was sentenced to death for corrupting the minds of the youth — but went on annoying his accusers til the very end with a wondrous exposition on piety and death, as recorded in a collection of Plato’s dialogues, The Trial and Death of Socrates .

Following Socrates’s death, Plato continued to write dialogues featuring Socrates as the protagonist in honor of his great teacher. This has led to lively discussion around how much of the Socrates featured in Plato’s dialogues represents Socrates, and how much he represents Plato. Regardless, Plato’s dialogues — written over 2,000 years ago — are wondrous, and we are lucky to have them.

How can you use the Socratic method today?

T hough things ended rather morbidly for Socrates, his method of questioning has evolved and lived on as a brilliant way to draw people out of ignorance, encourage critical thinking, and cooperate in the pursuit of knowledge. Socrates is a martyr not just for philosophy, but for educational dialogue and productive, stimulating exchanges of different perspectives around interesting subjects of all kinds.

Any time you ask questions to get people to think differently about things, any time you participate in healthy, productive debate or problem solving, any time you examine principles and presuppositions and come to an answer for yourself, you channel the same principles Socrates championed all those years ago.

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People tend to assent to uncomfortable conclusions more when they’ve done the reasoning and come to the answer themselves. This and a host of other benefits is why the Socratic method is still modelled by many educational institutions today: students are not told ‘what’ to think, but shown ‘how’ to think by being supplied with thoughtful questions rather than straight answers.

So, next time you’re locked in an argument with someone, or looking to inform an audience about a subject you’re experienced in, remember Socrates and the brilliant tradition of respecting different viewpoints, digging out presuppositions, and working together to find an answer.

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The Socratic Method

“i cannot teach anybody anything. i can only make them think.” - attributed to socrates.

The Socratic Method is often used to promote critical thinking. It focuses on providing more questions than answers to students and fosters inquiring into subjects. Ideally, the answers to questions are not a stopping point for thought but are instead a beginning to further analysis and research. Faculty should craft questions before class to present during their time with students. Faculty should require students to consider how they rationalize and respond about topics, thus teaching them to process information. Additionally, the Socratic Method should promote collaboration and open-mindedness, not debate.

Quick Tips for Using the Socratic Method:

1. Students need to come to class prepared to discuss. This means they will need to put effort into becoming familiar with the material enough to contribute. You may want to guide their preparation with a pre-class assignment.

2. As you craft questions for your class, remember to let the discussion lead the way through the material. Your questions are a guide, teaching points you'll want to hit during your class, but they are not set in stone. This will give you the flexibility to provide a student-centered learning environment.

3. Make sure your questions are open-ended enough to promote inquiry. Good questions guide students to explore different perspectives. This method should help students gain perspective and explore multiple perspectives and viewpoints from their classmates. Each question should lead to a discussion, rather than one answer. It may be necessary to have follow-up questions prepared, in case discussion needs to be prompted.

4. Rationalize! Work through ideas and different answers. The moments spent rationalizing incorrect theories often produce more learning than simply stating facts. You are guiding students thought process, teaching them to think about the material, not simply teaching them the material.

5. Take notes on the discussion to use for review or quizzes/exams. Discussion will make it easier for students to retrieve information later, because they will have memory cues from what was said. You can help them make these connections when you review with them from notes on what they discussed (or have students act as record keeper during the discussion, trading off each class).

6. A good sign that you are successfully implementing this method is when students are openly contributing to the discussion, freely asking questions or ideas without prompting, and especially if they admit errors in their understanding. These are signs that you have created a safe place for open expression.

Learn more:

The Socratic Seminar: https://youtu.be/RBjZ-4MK1WE How to Bring Socratic Seminar to the Classroom: https://www.teachingchannel.org/videos/bring-socratic-seminars-to-the-classroom For more tips visit: https://www.unl.edu/gradstudies/current/news/asking-good-questions-socratic-method-classroom Harrington, C. & Zakrajsek, T. (2017). Dynamic Lecturing: Research-based strategies to enhance lecture effectiveness. Sterling: VA: Stylus Publishing Company. Copeland, M. (2005). Socratic Circles: Fostering Critical and Creative Thinking. Portland, MN: Stenhouse Publishers, p. 7. Tredway, L. (1995). “Socratic Seminars: Engaging Students in Intellectual Discourse.” Educational Leadership. 53 (1).

Adapted from material submitted by:

Kimberly A. Whiter, M.S., MLS(ASCP) CM Director of Faculty Development and Interprofessional Education Assistant Professor, Jefferson College of Health Sciences Instructor, Virginia Tech Carilion School of Medicine

The Socratic Method of Teaching: What It Is, Its Benefits, and Examples

What is the Socratic method and how is it applied to teaching? Learn about this instructional approach and examples of the Socratic method of teaching.

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At Saint Leo University, many of the instructors employ the Socratic method of teaching in their classrooms. And they find it very effective in helping their students learn.

If you’re not familiar with this method, we explain what it is while sharing a few Socratic method of teaching examples. We also talk about the benefits that this approach provides, along with tips for how to make the most of it as a Saint Leo student.

What is the Socratic Method of Teaching?

In its simplest form, the Socratic method of teaching is a thought-provoking dialogue between an instructor and their students. It is based on the approach used by the philosopher Socrates, who was known to engage young minds in conversations designed to help define broad ideas, also exposing the complexities and ambiguities behind them.

Instead of giving information and facts, an instructor using the Socratic method of teaching asks students a series of open-ended questions (questions with more than a yes or no answer) about a specific topic or issue. In turn, the students can also pose questions of their own.

Instructors implementing a Socratic method of Teaching act more as facilitators or guides for classroom conversations rather than being providers of information. They compel students to consider why things are a certain way, also considering arguments for and against different viewpoints on a topic.

Socratic Method of Teaching Examples

To better understand what this method might look like within a college-level classroom setting, it can help to see it in action. Here are a few Socratic method of teaching examples:

• An instructor of a law class asks a student to summarize the facts of a specific court case. The student is then asked if they agree or disagree with the court’s findings and why. The instructor may then change some of the facts of the case, asking the student to explain whether they still hold the same position. Different sides of the case are explored, as well as the potential reasonings behind them.
• An instructor of a social work class has the students read an article about substance abuse in certain populations. A student is asked to provide a summary of the article. The instructor then asks about the importance of this topic. This leads to questions about whether the article changed the student’s views or their opinion on the subject.

When employing the Socratic method of teaching, the instructor may go through similar question sequences with multiple students, providing a wider range of explanations and potential points of view.

Socratic Method Benefits

The Socratic method of teaching encourages students to explore their thoughts and beliefs, also considering how these thoughts and beliefs may contribute to their assumptions about the topic at hand. This method also helps foster critical thinking, enabling students to reach their own conclusions based on self-analysis of the information versus just accepting what they are told.

One study involving undergraduate business students confirms that the Socratic method of teaching helps improve a student's critical thinking skills. Another study also found positive findings, this time suggesting that this method can be beneficial for improving reading comprehension by placing more attention on critical thinking and the ability to see the world from a different point of view.

An additional benefit of the Socratic method is that it keeps students engaged. If you’ve ever been in a classroom with a teacher who does nothing more than spew facts for you to write down, you know how unappealing this can be. Being in a classroom where the Socratic Method of teaching is employed provides a whole different feel. You are actively engaged in the conversation, contributing to the topic based on your experiences and opinions while also learning from other students.

How to Get the Most from a Socratic Method of Teaching

If you are in a classroom in which the instructor uses a Socratic method of teaching, there are a few things you can do to get the most out of this experience. This includes:

• Coming to class prepared so you can participate intelligently in the discussion.
• Thinking about the topic in advance, considering your opinions or the factors you feel might be at play.
• Being willing to speak up and share your thoughts so others can learn from your interpretations, which may involve working to overcome your fear of public speaking.
• Becoming a good listener when the instructor is engaging with other students, seeking to learn from their interactions.

In the end, the Socratic method of teaching is designed to help students gain a better understanding of a topic, including the complexities behind it. It also aims to get students more involved in the learning process, challenging long-held assumptions in favor of thinking on their own.

Saint Leo University See more from this author

Fostering Critical Thinking Skills using the Socratic Method

Return to: ETAP 623 Spring 2020 (Zhang) | Jonah Schumacher

Overview and Purpose

The Socratic Method is an ancient form of instruction that requires few, if any, external resources and because of this, it has seen wide usage in all levels of education from elementary to law school.

The purpose of this course is to introduce educators (of all levels, backgrounds, and disciplines) to the Socratic Method, ultimately providing the understanding and know-how to be able to add the method to one's teaching toolkit.

The course will consist of 3 units taking the following format:

Unit 1: Provides an introduction to the Socratic Method with examples. Unit 2: Provides a more in-depth breakdown of the Method. Unit 3: Consists of information and exercises on how to make use of the Method no matter the discipline or level of the learners.

Needs Assessment

Critical thinking (CT) skills are integral for success in and out of school. Promoting higher-level thinking and CT is often a focus at all levels of education in every discipline (Karami et al. 2012). In addition to the benefits of academic success, CT skills are necessary to thrive in the current pluralist, information-saturated world. One must be able to work and engage with others, teach themselves new skills, and be able to make rational decisions as well as quickly determine the validity of arguments and information one finds on the internet. (Vieira et al. 2011).

CT is a buzzword in education and business (Nappi. 2017). Despite the significance placed on the term, there still seems to be room to improve in this area of education as identified by the quote,

• “One of the obstacles is the fact that teachers do not have a clear idea about critical thinking because the meaning ascribed to critical thinking in different contexts is rarely explicit.” (Vieira et al. 2011. P. 43).

If educators are uncertain about specific modes or qualities of CT then it would be difficult for them to pass these coveted skills on to students.

The purpose of this course is to introduce educators to one of the oldest, most versatile, and easily implemented ways to foster CT skills: the Socratic method.

What is to be Learned

Throughout the course, one will become familiar with the purpose and process of the Socratic method. Once one has an understanding of this method, suggestions of how one can implement the method in different settings will be discussed (such as f2f and asynchronous).

The Learners

Though this course will be targeting educators of all levels of academia (though K-12 educators may specifically draw more benefit). Anyone looking to gain a new perspective has the potential to gain from this course. The Socratic method can also be adapted and applied to every discipline.

Learner Analysis

Learners will likely mostly consist of K-12 educators who wish to foster CT skills in their classrooms. No prior knowledge of the Socratic method is necessary to benefit from the course, however should one wish to teach the method, prior educational experience would be advantageous.

Context for Instruction

This course will be delivered online making access to the internet necessary. A computer, laptop, or tablet would be best, as some resources may not translate well on mobile devices.

Preformance Objectives

Overall Course Objective: Those who complete the course will be able to make use of the Socratic Method in their own courses.

Objectives completed along the way to achieving the course objective:

1) Explain how the Socratic Method fosters critical thinking.

2) Evaluate whether a situation may be suited for implementing the Socratic Method.

3) Be able to distinguish the different elements of the Socratic Method.

Course Units

Unit 1: An Introduction to the Socratic Method

Unit 2: The Socratic Method: Step-by-Step

Unit 3: How can I use the Socratic Method in my classroom?

Curriculum Map

Map of the course units and objectives of each

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Socratic Methods in the Classroom

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Since the Renaissance, the Socratic Method has been adapted to teach diverse subjects, including medicine, law, and mathematics. Each discipline selects elements and emphases from the Socratic Method that are appropriate for teaching individuals or groups how to reason judiciously within that subject. By looking at some of the great practitioners of Socratic questioning in the past, Socratic Methods in the Classroom explains how teachers may use questioning, reasoning, and dialogue to encourage critical thinking, problem solving, and independent learning in the secondary classroom. Through a variety of problems, cases, and simulations, teachers will guide students through different variations of the Socratic Method, from question prompts to the case method. Students will learn to reason judiciously, gain an understanding of important issues, and develop the necessary skills to discuss these issues in their communities. Grades 8-12

TABLE OF CONTENTS

Chapter | 2  pages, introduction, chapter chapter 1 | 14  pages, critical thinking, chapter chapter 2 | 16  pages, from socratic method to socratic methods, chapter chapter 3 | 15  pages, maieutic questioning, chapter chapter 4 | 13  pages, the legal adaptation of the socratic method, chapter chapter 5 | 16  pages, socratic role-playing, chapter chapter 6 | 8  pages, writing philosophical dialogues in the classroom, chapter chapter 7 | 7  pages, socratic methods.

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A Brief History of the Idea of Critical Thinking

What Is Socratic Questioning and How to Use It for Self-Analysis and Problem-Solving

• Post author: Francesca Forsythe, LL.M., M.Phil.
• Post published: April 16, 2018
• Reading time: 7 mins read
• Post category: Self-Improvement / Self-Knowledge & Personality Tests

Socratic questioning can help you reach a different conclusion to the questions you were asking. This can be useful when dealing with problems and insecurities.

Aside from Plato , Socrates is one of the most famous Greek philosophers and is regarded as one of the wisest people ever to have lived. Socrates used an educational process which sought to discover the answers to questions by allowing his students to examine ideas more closely and evaluate the validity or truth of the subject matter.  His method, also known as Socratic questioning , follows the form of disciplined questioning so that we are able to pursue a thought in many directions to determine its validity.

Socrates may not have meant his methods to have profound input into psychology or self-care. Still, his method has been put to use time and time again in all areas of critical thinking , and it can help us to better understand ourselves.

What is Socratic questioning?

Socratic method is a form of critical thinking which uses six distinct types of question to help you question your question . It’s a lot less confusing than it sounds when you take a look at some examples of such questions:

Questions for clarification:

• Why do you say that?
• How is this related?
• Could you explain this in more detail?

Questions which produce assumptions:

• What can we assume from this?
• What does that mean?
• Can you verify your assumption?

Questions which necessitate reason or evidence:

• Do you have an example of this in real life?
• What has caused you to believe this?
• Why do you think this happened?

Questions regarding perspectives:

• Is there another way to look at this?
• Have you thought of the other person’s point of view?
• Who benefits and who loses from this consequence?

Questions which calculate consequences:

• What is the implication of this?
• Does this relate to previous knowledge?
• How does X affect Y?

Questions on the question:

• What does this mean?
• How can you apply this in your everyday life?
• What was the point of this enquiry?

Why is Socratic questioning relevant to us?

Socratic questioning can help you reach a different conclusion to the questions you were asking . It will also lead you to a better understanding of the question itself and its purpose in your everyday life. Although it is typically an analytical method, it can be used in a personal sphere with a little tailoring.

There are a number of ways we can use Socratic questioning. Its most notable use in psychology is for self-analysis and problem-solving .

Socratic questioning can indisputably help us in self-analysis . By applying pointed questions to our issues or insecurities , we can begin to change our minds and our thinking about certain issues.

Take an example of feeling insecure at work ; you’re not doing as good a job as you think you are able.

The first thing to ask yourself might be why you are feeling this way .

Perhaps it’s because your boss criticised you or you didn’t complete an important project by the deadline. From this, you might assume that you are bad at your job.

Next, we look at whether or not we have any genuine evidence of this in the real world . My bets are, there isn’t.

Once we realise that there is no real evidence of your lack of skill at work, we can move onto other reasons or perspectives that may cause you to feel this way .

If your boss criticised you, it may be because they, themselves, are having a bad day. If you didn’t complete a project on time or to the standard you hold yourself to, it may have been a project you weren’t used to, or you didn’t have sufficient time or help.

The implication of this is that we may not always perform at our best, for a number of reasons. It may also be that we must accept that our bosses are human too, and we may not have deserved the critiques we received.

If the implication is that you were not prepared for the project or didn’t have the correct skill set, we could then take this as a learning experience , rather than a negative one.

By taking a negative feeling and using this pointed analysis, we can begin to see that our own insecurities can take over, not allowing us to see a situation as it truly is. And this is also true in solving difficult problems.

Let’s take the example of Jack and Jill.

Jack has created an information flier for his business and has sent it to Jill for reviewing and distribution. However, the flier uses small text and a lot of content, which Jill fears people may not read.

So, Jill deploys Socratic reasoning to solve the issue. By using questions which calculate the consequences of telling Jack his flier is too long, and questions which appreciate Jack’s point of view, Jill knows that Jack worked hard on this flier and doesn’t want to offend him by telling him it’s too long or hard to read.

Instead, Jill asks Jack if he believes the length is right to keep people’s interest. Jack doesn’t get offended by Jill’s comment, but she has also helped him to understand what the correct length of a flier might be in the future. By helping Jack, Jill has also improved her own methods of communication and conflict resolution .

Although these examples are simple, they say a lot about how to analyse and evaluate the outcomes of a question or issue. They also show us how we can approach situations differently to achieve a better outcome.

Socratic questioning is an easy tool to use . With practice, it can hone a number of skills to make you much more successful in work ventures as well as in your personal life.

References :

• https://files.eric.ed.gov/fulltext/EJ1052768.pdf

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This Post Has 4 Comments

Excellent. I shared the article with many of my friends. Thank you so much for sharing.

Good to review this after all my years in school. I think the Socratic method is very useful in the sciences and certainly we all use portions of this method to address and analyze personal issues, solve problems, learn new things like a new job and deal with the various people in our lives. Thanks for this article!

You consistently post very good articles. This one well done as usual. It is good to have you here.

Wow.. That job example you said, it made me recollect my past experience. Super !! Kudos to You

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• Open access
• Published: 20 March 2023

Thinking more wisely: using the Socratic method to develop critical thinking skills amongst healthcare students

• Yueh-Ren Ho 1 , 2 ,
• Bao-Yu Chen 3 &
• Chien-Ming Li 2 , 4  

BMC Medical Education volume  23 , Article number:  173 ( 2023 ) Cite this article

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In medicine, critical thinking is required for managing and tolerating medical uncertainty, as well as solving professional problems and treating diseases. However, the core of Confucianism, teacher-centered and exam-oriented settings in middle and high school education may pose challenges to developing critical thinking in Han Chinese or Taiwanese students. Students may be adversely affected by these pedagogies since student-centered settings were more effective in stimulating their critical and reflective thinking, as well as a sense of responsibility, in the ever-changing world. Therefore, guiding students with less stable foundations of critical thinking might require a different approach. A review article highlighted the potential utility of the Socratic method as a tool for teaching critical thinking in the healthcare field. The method involves posing a series of questions to students. More importantly, medical students and residents in clinical teaching are familiar with the method. Almost all healthcare students must complete a biochemistry laboratory course as part of their basic science training. Thus, we aimed to train students to develop critical thinking in the biochemistry laboratory course by using learning sheets and teacher guidance based on the Socratic method and questioning.

We recruited second-year students from a medical school, of whom 32 had medical science and biotechnology majors (MSB), 27 had pharmaceutical science majors (PS), and 85 were medical undergraduate (MU) students. An exercise in critical thinking was conducted during a biochemistry laboratory course, which consisted of five different biochemical experiments, along with learning sheets that contained three or four critical thinking questions. Then, the teacher evaluated the students’ ability to think critically based on nine intellectual dimensions (clarity, accuracy, precision, relevance, depth, breadth, logic, fairness, and significance) based on the universal intellectual standards developed by Prof. Linda Elder and Richard Paul. In the following analysis, regression models and multivariate analysis were used to determine how students improved over time, and trajectory analysis were carried out in order to observe the trends in students’ critical thinking skills construction.

Clarity and logic dimensions were identified as the key elements to facilitate the development of critical thinking skills through learning sheets and teacher guidance in students across all three different healthcare majors. The results showed that metacognitive monitoring via Socratic questioning learning sheets have demonstrated potential encourage students to develop critical thinking skills in all dimensions. Another unique contribution of current study was present the heterogeneous learning patterns and progress trajectories of clarity and logic dimensions within classes.

Using the Socratic learning model could effectively develop students’ critical thinking skills so they can more effectively care for their patients.

Peer Review reports

Introduction

Emerging trends in information technology requires that the new generation of medical students become critical thinkers [ 1 ]. The General Medical Council (GMC) of the United Kingdom encourages teachers to facilitate the acquisition of critical thinking skills by students in the medical and health professions [ 2 ]. Decades of research have proven that critical thinkers can present dispositions like flexibility, persistence, and willingness when faced with a range of tasks; they display meta-cognitive monitoring and a willingness to self-correct to seek long-term consensus[ 3 ]. Although, critical thinking is constructed from childhood in most Western countries and are valued by higher education as a necessary skill for coping with society [ 4 ]. However, critical thinking constructing and teaching has attracted little attention in Eastern education systems until recently [ 5 , 6 ].

Aside from the development of critical thinking skills is a key component of educational systems, recent educational philosophy also emphasizes both thinking processes as well as metacognitive integration skills [ 7 ]. Metacognitive monitoring includes making ease-of-learning judgments (i.e., processing fluency and beliefs), judgments of learning, feeling-of-knowing judgments (i.e., assessing the familiarity of the cue and the question itself or the domain of the question), and having confidence in the retrieved answers [ 8 , 9 ]. It is an adaptive skill of personal insight that health-profession students need to succeed in the rapidly changing and challenging healthcare industry [ 2 , 10 ]. Despite this, higher education curriculum does not emphasize on teaching these skills [ 7 ]. Additionally, any attempts to change the standards in higher education are generally met with resistance and challenges since they are require to encourage teachers to create new curriculum and change the current teaching content by researchers in current study who have more than 40 years’ teaching experience observaions. Healthcare curriculum, in general, remains conservative; Taiwan is not an exception.

Critical thinking is a fundamental component of innovative thinking and has thus become the fundamental skill for cultivating innovative talents in Western education [ 11 ]. Western scholars have asserted that teaching critical thinking should start at an early age and that its foundations should be laid in elementary and secondary schools. There are many ways to define critical thinking. A leading educational expert, Prof. Dewey, defined critical thinking as inclusive of reflective thinking and argued that the thinking process should also be taken as one of the objectives of education [ 12 ]. There are a few general dispositions that an ideal critical thinker would present according to Prof. Ennis’ observation of the constitutive abilities, such as (1) provide a clear statement of the conclusion or question; (2) provide clear reasons and be specific about their relationships with each other; (3) try to be well informed; (4) always seek and use credible sources, observations and mention them frequently; (5) consider the entire situation; (6) be mindful of the context’s primary concern; (7) be aware of alternative options; (8) be open-minded toward other points of view and refrain from making a judgment when there are insufficient evidence and reasons; (9) be willing to change your position when sufficient evidence and reasons support it; (10) seek as much precision as the nature of the subject admits; (11) whenever possible, seek the truth, and more broadly, strive to “get it right”; and (12) utilize their critical thinking abilities and dispositions [ 13 , 14 , 15 , 16 ]. In the eyes of Profs. Dewey and Ennis, critical thinking is a process of careful thought and reflection before a decision is made [ 17 ].

Nevertheless, the measurement or evaluation of critical thinking skills and abilities does not seem easy. Based on another perspective on critical thinking, intellectual standards are evolving [ 18 ]. According to Profs. Elder and Paul, critical thinking is the ability to use the most appropriate reasoning in any situation [ 18 ]. To evaluate these abilities, they established nine dimensions of critical thinking to represent different aspects of critical thinking: clarity, accuracy, precision, relevance, depth, breadth, logic, significance, and fairness [ 18 ]. As Profs. Elder and Paul concluded, those who possess discipline and critical thinking skills would make use of intellectual standards every day; thus, people should target these standards when they ask questions during the thinking process [ 18 , 19 ]. As a result of teachers’ regular introduction of the tools of critical thinking in their classrooms, the Socratic questioning and discussions become more productive and disciplined, thereby enabling students to realize the significance of questioning during the learning process [ 20 , 21 , 22 ].

According to a review article, teaching critical thinking to healthcare students (primarily medical and pharmacy students) through Socratic methods is more effective in developing critical thinking for a number of reasons [ 23 ]. In particular, Socratic questioning provides students with the opportunity to justify their own preconceived beliefs and thoughts after a series of specific, targeted inquiries [ 24 ]. Using Socratic questioning can also assist healthcare students, interns, or residents in thinking critically by understanding the “deep structure” of the question, i.e., deconstructing the question and understanding its true meaning [ 23 ]. The effectiveness of Socratic questioning lies in ascertaining the current knowledge of the students [ 25 ] and establishing a foundation for teaching at their level [ 26 ]. The teacher can accomplish this probing by asking progressively more challenging questions until the limits of the students’ knowledge are discovered [ 25 , 27 , 28 ], as well as by allowing students to express their existing knowledge, which in turn will allow them to synthesize new knowledge [ 26 ], and the dialogue represents the Socratic method [ 29 ]. Alternatively, a critical thinker is more likely to engage in certain established metacognitive strategies under the Socratic paradigm and/or channel the intellectual dimensions of critical thinking [ 17 ].

Unfortunately, Han Chinese students have struggled with learning critical thinking, which is thought to be part of their characterological profile [ 30 ]. This struggle has been faced by students studying abroad [ 11 ] and in students enrolled in the Han Chinese education system, which mainly cultivates Confucianism [ 31 ]. There are at least two types of problems with developing critical thinking in Han Chinese or Taiwanese education. The first involves the core of Confucianism, where foreign teachers have tried to promote critical thinking in elementary and high schools but sensed ethical concerns from the students who refused to participate. This is likely because if they chose to participate, they would have felt obligated to express disagreement and negative feelings to the instructor. The Han Chinese culture values harmony and “not losing face,” emphasizing a holistic perspective and collective good. Thus, students would feel uncomfortable because disagreeing with someone’s opinion in public is consciously or often avoided [ 30 ]. Therefore, encouraging the student to participate in healthy discussions and respectfully challenge their teachers is the starting point for promoting critical thinking in students enrolled in the Han Chinese educational system.

Second, in the Western education approach, learners take an active role in and are responsible for their learning process. On the contrary, the Han Chinese and Taiwan education systems are teacher-centered and exam-oriented; students are expected to follow their teachers’ instructions and perform well in class. More importantly, the textbook or teacher-centered framework lacks half of Ennis’s twelve constitutive abilities for critical thinking [ 13 , 14 , 15 ], such as judging the credibility of a source, observing and judging observation reports, drawing explanatory conclusions (including hypotheses), making and judging value judgments, and attributing unstated assumptions. As a result, Han Chinese students may find it difficult to develop critical thinking skills and present key traits and dispositions that are indicative of an ideal critical thinker. Hence, guiding and evaluating critical thinking in students might not be implemented through the same approach in Eastern educational circumstances as in the West. By understanding the difficulties that Han Chinese students face in developing critical thinking, the current study aims to design a set of critical thinking models that are suitable for Han Chinese students as a starting point for reform teaching.

Research questions, hypotheses and objectives

Research has shown that the laboratory class is not just limited to a step-wise approach to experimentation. It also allows students to develop their critical thinking skills by repeatedly engaging a simple learning framework [ 32 ]. To explore this further, the current study’s primary purpose is to use Socratic questioning in a biochemistry laboratory course with specifically designed learning sheets and feedback from teacher to guide students to improve their critical thinking skills. The learning sheets were evaluated following the universal intellectual standards for critical thinking developed by Prof. Elder and Paul [ 19 , 33 ]. For this study, we hypothesized that students with different healthcare majors might present different improvement trajectories in their intellectual dimensions according to the years of teaching observations in the three healthcare majors. Based on the research and rationale described above, the intervention effect of Socratic questioning in a biochemistry laboratory course was hypothesized as follows (see Fig.  1 ):

Pre-intervention critical thinking abilities are different amongst students of different healthcare majors, especially in each intellectual dimension (H1a). Post-intervention critical thinking abilities would develop in students from each healthcare major after using the Socratic method (H1b).

Critical thinking abilities differs significantly between pre- and post-assessments of the intellectual dimensions of students with the three different healthcare majors (H2).

After clarifying the relation of Socratic method interventions in the class, we aim to scrutinize the trajectories of students between majors further to understand the learning style in class (Aim 1). Furthermore, we also aim to identify the key intellectual dimensions that could lead to an overall improvement in the critical thinking of students in each major (Aim 2). Additionally, we observed improvement trajectories of specific intellectual dimensions within major (Aim 3).

Socratic method framework and structure of the research hypotheses behind the biochemistry laboratory course

Literature review

Critical thinking engagement in the eastern and western medical education.

Over the last decade, medical education has been undergoing a variety of approaches for effectiveness teaching and transformation [ 34 ]. Many paradigms of active teaching/learning methodologies have been adopted in both Eastern and Western medical education systems, some of which are used partially (actual or conceptual similar) Socratic questioning to challenge students’ critical thinking. In this regard, the primary philosophy of case-based learning (CBL) established in the 1920s by Harvard Medical School is to guide students to apply their acquired knowledge base via critical thinking to make clinical decisions to solve the problems that they may encounter in the healthcare environment [ 35 ]. A meta-analysis study of China’s dental education reported that the CBL was a practical pedagogical method across the Chinese dental education system [ 36 ]. The results showed that the CBL method significantly increased knowledge scores, skill scores, comprehensive ability scores, and teaching satisfaction compared with the traditional lecture-based learning (LBL) mode in 2,356 dental students. Hence, there is an urgent need to change the traditional didactic lecture or teacher-centered classroom setting in which students are passive listeners instead of active participants.

Healthcare professionals are also required to solve complex problems and efficiently integrate didactic preclinical knowledge into actual clinical application in patient care [ 35 ]. On the other hand, the design thinking process may enhance both creativity and innovation so that healthcare professionals can respond to clinical problems effectively [ 37 , 38 ]. Problem-based learning (PBL) is a pedagogical approach widely accepted in medical education. It promotes active learning and results in better outcomes [ 39 , 40 , 41 ]. PBL focuses on active lifelong learning by triggering problems, directing student focus, and facilitating tutor involvement [ 39 , 42 , 43 , 44 ]. However, it is noteworthy that some hybrid PBL models have become less effective over time, as well as less aligned with the intended philosophy of student-centered learning [ 45 ]. Another alternative blended learning approach of PBL is team-based learning (TBL), which allows medical educators to provide students with pre-class work, in-class initial tests with immediate feedback, and real clinical problem-solving activities [ 46 ]. In the year-one studies of the Sydney Medical Program, a greater level of engagement in learning, a deeper understanding of concepts, and a sense of responsibility were shown among the medical students working in a TBL setting than among those in a PBL setting [ 47 , 48 ].

Medical educators face another significant challenge with the millennial generation, which has ubiquitous information technology access throughout its education. Thus, it is extremely important to improve students’ motivation to learn through hands-on instruction or teacher–student interaction and then stimulate students’ thinking and learning. In recent years, gamification has been successfully integrated into medical and scientific endeavors, enhancing motivation, participation, and time commitment across a variety of settings [ 49 , 50 , 51 ]. Another healthcare curriculum reform to stimulate active learning is flipped classroom (FC), which assigns learners didactic material, creating opportunities of longitudinal and interprofessional learning experiences for students during class participation [ 52 ] to encourage extracurricular learning, such as critical thinking. As part of the FC model, medical educators also develop formative and diagnostic assessments to identify learning gaps. According to these teaching modules, encouraging students to participate, emphasizing their learning, and observing their development trajectory are the core ideas in recent educational designs [ 53 ].

Although most of above-mentioned studies have been performed in the Eastern and Western education systems, however, without mentioning the differences between cultures and learning styles. Most importantly, the cultivation and foundations of critical thinking neglect the fact that Eastern and Western education systems emerged from very different learning and thinking patterns. Moreover, clinical reasoning and decision achievements depend on established critical thinking skills, therefore, it becomes more important to construct critical thinking early and comprehensively [ 54 ]. While Han Chinese students are not familiar with the core of critical thinking, the most effective approach to teaching critical thinking is still a highly debated topic in medical schools. Taken Taiwan medical education as an example, most clinical courses focuses on professional skills, problem solving, and disease treatment rather than construct critical mindset and metacognitive skills. Education strategies often emphasize the outcome while neglecting the process. Nevertheless, medical educators should also emphasize the process of forming students’ critical thinking when instructing and guiding them in this regard. Consequently, using metacognitive monitoring to enhance critical thinking in healthcare education would be appropriate, especially for Han Chinese systems with a Confucianist outlook. Thus, critical thinking via metacognitive monitoring is important in healthcare education, especially in Han Chinese systems with a Confucianist background.

Proficiency in the art of socratic questioning to enhance students’ critical thinking

Socratic questioning is a disciplined method of engaging in content-driven discourse that can be applied for various purposes: analyzing concepts, finding out the truth, examining assumptions, uncovering assumptions, understanding concepts, distinguishing knowledge from ignorance, and following the logical implications of thought. The scholars who established the intellectual standards of critical thinking have consistently indicated that “The key to distinguishing it from other types of questioning is that the Socratic questioning is systemic, disciplined, and deep and usually focus on foundational concepts, principles, theories, issues, or problems [ 20 , 21 , 22 ].” In short, the Socratic method is a questioning method that stimulates personal understanding. More importantly, the core principle of learning from the unknown fits best within healthcare environments.

Numerous studies have consistently urged teachers to develop Socratic dialogue in their classrooms, regardless of their learning stages and situations [ 55 , 56 , 57 ]. Using enhancement exercises in an elementary school, a study introduced a Socratic questioning strategy to provide guidance and hints to students so that they could think more deeply about an issue or problem before sharing their thoughts [ 55 ]. The lecturer of a speech course in higher education demonstrated how Socratic questioning could help students learn when confronted with a series of questions [ 56 ]. The process improves students’ ability to ask and answer questions and helps them overcome some obstacles related to their lack of self-confidence. In the book Socratic circles: Fostering critical and creative thinking in middle and high school , Dr. Matt Copeland stated that, in middle and high schools, teachers must facilitate discussions by asking questions [ 58 ]. Furthermore, this method could be applied not only to elementary school, middle school, high school but also to higher education classes [ 59 ]. During the Covid-19 pandemic, synchronous discussions in online learning demonstrated that the Socratic questioning strategy successfully improves students’ critical thinking skills [ 57 ].

The incorporation of Socratic questioning in healthcare education curriculum is under development, including for general medical education [ 60 ], medical [ 61 ], pharmacy [ 54 , 62 ], and nursing students [ 63 ]. A review article of revisiting the Socratic method as a tool for teaching critical thinking in healthcare professions revels few advantages of Socratic questioning [ 23 ]. Three type of Socratic questions were mention and could commonly used in different clinical situations [ 23 ], such as procedure question would use in those with correct answers (e.g., Which of the following medications has antithrombotic function? ); preference question can apply in those with no correct answers (e.g., What type of consultation is most suitable for this patient? ); judgment question would be the most challenge critical thinking within a Socratic paradigm by integrating different domain knowledge and skills (e.g., Does this patient require antibiotic treatment? ). It is necessary to apply and analyze information in a logical manner as well as self-regulate and use critical thinking in order to achieve the best outcome for patients. For medical doctors, pharmacists or clinical laboratory technicians to provide high quality health care across all disciplines, critical thinking is inherently required.

In medical school, the emphasis is laid on training learners in meta-capabilities, such as self-driven pattern recognition, ideally as part of an apprenticeship under the supervision of an expert diagnostician [ 61 ]. An in-depth study of the current trends in developing critical thinking amongst medical students demonstrated the use of dialogue for proper questioning and how it directs the learner’s thinking [ 64 ]. Moreover, another study confirmed that critical thinking occurs only when students are motivated and challenged to engage in higher-level thought processes [ 65 ]. In the pharmacy classroom, educators can play a significant role in influencing their students’ mindsets.  Growth mindsets can be cultivated through the creation of an environment that encourages it. [ 62 ]. The Socratic questioning method can facilitate critical thinking in nursing education. One study showed that problem solving using critical thinking skills can be facilitated in both educational and practice settings by using Socratic inquiry [ 63 ].

The Socratic method has been adapted in different ways to different domains, but it has become closely associated with many areas, such as basic scientific thinking training, legal dialectical guidance, and clinical teaching. Some adaptations are helpful, some are not. The adaptations can be looked at through reasoning-focused lenses with varying degrees of magnification —a high-magnification adaptation rigorously and precisely tracks or guides the path of reasoning. Thus, how to use the Socratic method to direct students onto the path of critical thinking with appropriate guidance, but not revealing answers becomes an art that tests instructors’ teaching experience and proficiency in questioning.

Critical thinking and reflection exercises in the laboratory course

Medical schools have increasingly encouraged students to become life-long, self-directed learners because of the continual changes in the evidence-based healthcare environment. Science is often applied in everyday life, including translating knowledge from scholarly fields [ 66 ]. However, there is a vast gap between what is taught in medical schools and what is actually required in practice has increasingly widened in this information era. The majority of healthcare professionals are not considered to be real scientists. [ 2 ]. Nevertheless, they need to know how to apply scientific knowledge to their practice. Therefore, a science curriculum in medical school, such as a biochemistry laboratory course, should provide an opportunity to learn scientific methods and conceptual frameworks. It should also promote critical reasoning, providing healthcare students with problem-solving skills.

Medical educators need to accept that critical thinking is important for healthcare students and know how to teach it effectively [ 67 ]. Medical educators are now faced with a dilemma: should they develop a new course or adapt old course to develop critical thinking skills?  An effective learning model should promote and stimulate students’ development of such skills [ 67 ]. One of the most common compulsory courses for healthcare students is the biochemistry laboratory course [ 68 , 69 ]. These courses are specifically designed to introduce students to prescribed experiments, requiring them to complete stepwise protocols by themselves [ 68 , 70 ]. The students are expected to understand the concepts behind the methods, procedures, and assays. However, this type of curriculum construction often fails to provide students with adequate opportunities to monitor their critical thinking and thus reduces the chances of developing problem-solving skills [ 70 ]. In order to provide students with more opportunities to think critically, previous studies have also adapted laboratory, basic science, and science fusion courses to help students develop critical thinking skills [ 67 , 68 , 71 , 72 , 73 ].

Several studies have demonstrated that students need critical thinking skills to interpret data and formulate arguments. Thus, science education, particularly in the laboratory setting, is designed to teach quantitative critical thinking (i.e. interpretation and critical evaluation of statistical reports), but the evidence has suggested that this is seldom, if ever, achieved [ 74 , 75 , 76 , 77 , 78 , 79 ]. By providing multiple opportunities for students to participate in critical thinking in the physics laboratory classes at Stanford University, scholars engaged the students to improve the experiment and modify the model repeatedly [ 32 ]. Additionally, a simple learning framework using decision-making cycles and demonstrating experts’ critical thinking significantly improved students’ critical thinking. We thus argue that students should engage in critical thinking exercises with repeated comparisons, decisions, and teacher guidance that are meant to construct their critical thinking in each of their disciplines.

Participants

This research was conducted during the 2017–2018 academic year. The participants were second-year students in the College of Medicine at the National Cheng Kung University (NCKU) of Taiwan. A total of 144 students participated in this study, of whom 32 had medical science and biotechnology majors (hereafter, MSB), 27 had pharmaceutical science majors (hereafter, PS), and 85 were medical undergraduate (hereafter, MU) students. The biochemistry laboratory course was compulsory for these three majors.

For each biochemistry laboratory class, the teacher assembled five to six groups of four to five students each. The course contained five different biochemical experiments: (1) Plasmid DNA (deoxyribonucleic acid) extraction and purification; (2) restriction enzyme digestion and electrophoresis of plasmid DNA; (3) polymerase chain reaction (PCR) amplification of plasmid DNA; (4) recombinant protein expression in Escherichia coli ; and (5) quantification of recombinant protein. The experimental learning sheets included three or four critical thinking questions (Table S1 ), encouraging students to explore experimental principles and alternative explanations further. To facilitate discussion, students were organized into small groups of four to five students seated around a single table, discussing and answering the questions. At this time, the students would pen down their first answers to the critical thinking questions, and the teacher would grade them based on the universal intellectual standards (learning sheets, first evaluation).

Furthermore, according to the students’ answers, the teacher offered a response by asking more questions according to the Socratic method to encourage students to think deeper rather than provide the correct answers. At the following week’s class, the teacher returned the learning sheet and supervised the ongoing activity, clarifying any questions raised by students and encouraging them to re-discuss and re-answer the critical thinking questions according to the teacher’s suggestions. The objective was to create a highly interactive environment to engage students in learning the relevant principles of each laboratory, including troubleshooting experiments and formulating critical concepts and skills. After the discussion, the teacher reexamined the students’ responses and assessed them based on the universal intellectual standards for subsequent grading (learning sheets, second evaluation).

The biochemistry laboratory courses and the Socratic method in current study are performed and taught by a senior biochemistry teacher (PhD in Institute of Basic Medical Science, NCKU) who has 40 years teaching experience. The teacher has long focused on teaching critical thinking skills to students, and also offers four senior clinical case related courses by practicing the Socratic method, such as clinical concept, critical thinking in medicine, clinical reasoning and special topics in clinical reasoning with more than 20 years of experience. Therefore, in the course, teacher will often ask a series of questions for students to think about the relevance of biochemical science and clinical practice.

Assessment development

The research team designed the learning sheets to guide discussion on the key issues concerning five biochemical experiments. The learning sheets were assessed according to the universal intellectual standards for critical thinking [ 33 ]. However, the assessment was adapted to include nine intellectual dimensions to assess student reasoning [ 19 , 33 ]: clarity, accuracy, precision, relevance, depth, breadth, logic, fairness, and significance (Table S2 ). Each dimension was evaluated using a binary score (0 = does not present the skill; 1 = presents the skill) for each question in the learning sheets for both the first and second evaluations. The students received the teacher’s guidance following the first evaluation, providing them with the opportunity to reconsider their reasoning and revise their answers. Our goal was to improve our students’ learning by stimulating the teaching process; at the same time, we were committed to allowing students to speak freely so that we could more effectively facilitate prospective discussions. Thus, the critical thinking scoring system based on nine intellectual dimensions was only for the purpose of the research, without consequences on students’ study progress. In this regard, students were not able to know their intellectual scores. As a result, their course grades were not determined by the learning sheets; rather, they were determined by the general operation, experiment report, and the learning attitude demonstrated during the experiments.

Statistical analysis

Descriptive statistics and variable tests.

We calculated the differences between the performance means for the first and second evaluations using paired t -tests. The mean differences between the students from the three majors were analyzed using a one-way analysis of variance (ANOVA). For the improvement slope for each universal intellectual dimension, we used the second evaluation scores of each experiment as the point with which to construct a quadratic equation curve in one variable (dimension) and then access the slope to represent the students’ improvement. The higher the slope score, the greater the students’ progress on that dimension.

Multivariate analysis

We used traditional analytical methods to observe and analyze the students’ improvement in the five experiments. Data from the second evaluation scores of each experiment served as the multi-time point measurement data. The Cox regression model for multivariate analysis was used to investigate the effect of several variables upon the time during which a specified outcome happened [ 80 ]. For each dimension, the model’s outcome determined that a student’s improvement slope was defined as minor progress if it was lower than the improvement slopes of their peers in the same major overall. However, if the student’s improvement slope was higher than the overall progress intercept of their peers, then it was defined as greater progress. The Cox regression models’ outcomes for each dimension were divided into two groups: minor and more progress. For this model’s outcome, (1) we calculated all dimensions’ slopes mean from each major (MSB: 0.369; PS: 0.405; MU: 0.401); (2) then compared the mean slope of the individual students with the mean slope of major; (3) if the student’s individual improvement slope was lower than mean slope of major, then defined as minor progress; if the student’s individual improvement slope was higher than mean slope of major, then defined as greater progress. From the analysis at this point, we understood that teacher could help students from different majors develop the different dimensions of critical thinking with the use of Socratic methods and simple repeated thinking framework practice. Additionally, we wanted to represent the improvement of intellectual dimensions between the students of different majors and their heterogeneity in critical thinking.

Dimension identification and comparison

To understand which intellectual dimensions were most representative of student improvement across majors, the analysis was divided into three sections: (1) to identify the progress percentage of all nine intellectual dimensions; (2) to identify the progress percentage of statistically significant intellectual dimensions; (3) to compare the differences among all nine dimensions, the significant dimensions, and the reciprocal dimensions. This analysis offered a better understanding of what dimensions represented the overall improvement of students’ critical thinking. Our first step was to calculate the percentage of improvement for each experiment by determining the results of the first and second evaluations for each intellectual dimension. Second, we took average percentage of improvements for each dimension. Finally, we used Student’s t -test to compare the differences among the average of all nine dimensions, the significant dimensions, and the reciprocal dimensions.

Trajectory analysis

In this study, we also hypothesized that each student’s learning and progress trajectories were heterogeneous across different majors. Depending on the major, there may also be differences between students in the same class. To focus our observations on the students’ use of the clarity and logic dimensions, we used a trajectory-tracking analysis [ 81 , 82 ] and categorized the students into two groups based on the participants’ improvement levels within the same major.

Descriptive data

We recruited 144 second-year students from three majors in the College of Medicine, among which 32 were MSB, 27 were PS, and 85 were MU students. All participants’ first and second evaluations were compared in all five biochemistry experiments. The statistically significant between-group differences in the mean initial evaluation results for each dimension are presented in Table  1 .

Overall improvement from the initial to second evaluations throughout the five experiments (H1, H2, and Aim 1)

Table  1 presents the mean results of the first and second evaluations; the five experiments exhibited statistically significant differences ( p  < 0.05) across all study groups and dimensions. More detailed analyses revealed significant differences in performance in the second evaluation between the groups after all five biochemistry experiments in the clarity ( p  = 0.0019), depth ( p  = 0.0097), breadth ( p  < 0.0001), logic ( p  = 0.0371), and significance ( p  = 0.0037) dimensions. However, for some of the dimensions (clarity, accuracy, precision, logic, and fairness), the initial evaluation results differ significantly between the MU and the MSB students, but this was not the case for the secondary evaluation results. The MSB students exhibited the best progress (2nd mean score minus 1st mean score) in the clarity dimension across all experiments. The PS students exhibited the best performance in the logic dimension ( p  < 0.05) in the second evaluation after the five experiments.

The results of the MSB students improved steeply in most dimensions in the five experiments, especially depth (slope: 0.472), logic (0.455), and clarity (0.410) (Table  2 ). Time had a stronger effect on several of the dimensions in the multivariate analysis, specifically clarity ( p  = 0.0012), relevance ( p  = 0.0007), and logic ( p  < 0.0001). By contrast, the PS students showed a significant overall improvement in the clarity (slope: 0.212, p  < 0.0001), accuracy (0.539, p  = 0.0063), precision (0.381, p  = 0.0085), relevance (0.216, p  < 0.0001), breadth (0.426, p  = 0.0045), and logic (0.515, p  = 0.0027) dimensions over the observation period (Table  3 ). Finally, the MU students showed a significant overall improvement in six dimensions: clarity (slope: 0.277, p  < 0.0001), accuracy (0.520, p  = 0.0003), depth (0.459, p  = 0.0092), breadth (0.356, p  = 0.0100), logic (0.544, p  = 0.0190), and significance (0.327, p  = 0.0225) (Table  4 ).

Trajectory tracking of the overall, significant, and reciprocal dimensions (Aim 2 and Aim 3)

Figure  2 a illustrates the overall improvement of students across the three majors in all nine dimensions, as assessed via trajectory analysis. The trajectory-tracking algorithm revealed that the significant dimensions for each group were as follows: MSB students—clarity, relevance, and logic; PS students—clarity, accuracy, precision, relevance, breadth, and logic; and MU students—clarity, accuracy, depth, breadth, logic, and significance (Tables  2 , 3 and 4 ; Fig.  2 b). The comparison of each group’s average percentage of improvement between the nine dimensions, the significant dimensions, and the reciprocal dimensions (clarity and logic) is summarized in Fig.  2 c. Figure  2 d–i depicts the students’ improvement in clarity and logic within the different majors using group-based trajectory modeling.

Overall improvement comparison between the students of three majors using a trajectory-tracking analysis approach . ( a ) The mean evaluation scores from the second evaluation minus those from the first evaluation for the nine dimensions were considered an improvement. They were converted to percentages to compare them to the performance in the first evaluation. ( b ) The mean evaluation scores from the second evaluation minus those from the first evaluation for the significant dimensions (within the students of each major, Tables  2 – 4 ) were considered to represent improvement and were converted to percentages to compare them to the performance in the first evaluation. ( c ) Comparison of the average percentage improvement among all nine dimensions, the significant dimensions, and the reciprocal dimensions (i.e., clarity and logic). ( d ) Trajectory analysis to assess the progress of the two subgroups of medical laboratory science and biotechnology students in the clarity dimension. ( e ) Trajectory analysis to assess the progress of the two subgroups of pharmaceutical students in the clarity dimension. ( f ) Trajectory analysis to assess the progress of the two subgroups of undergraduate medical students in the clarity dimension. ( g ) Trajectory analysis to identify the progress of the two subgroups of medical laboratory science and biotechnology students in the logic dimension. ( h ) Trajectory analysis to assess the progress of the two subgroups of pharmaceutical students in the logic dimension. ( i ) Trajectory analysis to assess the progress of the two subgroups of undergraduate medical students in the logic dimension

Empirical contributions

The Han Chinese educational system relies on the passive transmission of knowledge, as evidenced by the years of preparation by students’ through paper-based exams. By adopting this approach during teaching and learning, students do not develop a critical thinking mindset. Our experience has shown that when we encounter first-year students who have just graduated from high school, their previous education failed to develop critical thinking skills. Many foreign and Western teachers have the same experience when they encounter Asian students studying abroad for the first time. Thus, this research aims to provide clinical teachers with guidance on reducing the blind spots that students face when introduced to critical thinking. Moreover, this research aims to provide teachers with a simple teaching model and structure to guide students with less stable foundations in critical thinking. For the teaching structure and process, please refer to the procedure paragraph in the methods section and the teaching flow chart in Fig.  1 . Furthermore, the scoring system shown in the assessment development paragraph in the methods, as well as the scoring rubric is presented in Table S1 .

To our knowledge, this is the first study that uses the Socratic method and the universal intellectual standards to assess and improve critical thinking skills in biochemistry laboratory courses across different healthcare majors. We also used a novel design for teaching critical thinking, with multi-timepoint assessments and trajectory-tracking analysis to observe the students’ process and the improvement intheir critical thinking. This Socratic method, combined with critical thinking-based learning sheets, significantly improved the students’ critical thinking in all nine dimensions of the universal intellectual standards, according to the first and second evaluations conducted in each of the five sessions. Another unique contribution of this study is that it analyzed the progression results at multiple time points in the critical thinking performance of students across different majors. According to the results of comparing the average percentage improvement between all nine dimensions, the significant and reciprocal dimensions (i.e., clarity and logic) do not significantly differ from each other statistically speaking. By reducing the nine intellectual dimensions scoring system, medical educators can focus more on establishing clarity and logic skills in students. In sum, our most important finding was the identification of the clarity and logic dimensions as key elements that facilitate the development of critical thinking skills via the Socratic method in students across three different healthcare majors.

The trajectories of outcomes for students of medical science and biotechnology majors

Understanding what we learn has been identified as the starting point in the professional-development journey [ 2 ]. In principle, if thinking and decision making can be taught, educational intervention is possible. Nevertheless, for a science class like biochemistry, abductive reasoning requires a deep understanding of knowledge, and thinking must be inspired through stimulation.

In this study, the evaluation scores for MSB students did not improve significantly in almost any dimension at the beginning of the course. At first, most students felt uncomfortable with criticizing others, disagreeing with others, or challenging teacher’s knowledge and authority when they spoke their minds. Other MSB students believed that their ability to find answers and make decisions was inadequate and expected the teacher to provide the correct answers. However, preclinical medical technologists must gradually develop their critical thinking skills. Thus, the teacher provided critical thinking cues during the class and monitored the group discussions.

On the other hand, teachers must encourage these types of students, enabling them to accomplish simpler learning goals by providing them with easier-to-attempt clues. The joy of discovering answers on their own rather than the frustration of not achieving high goals should be encouraged. This coaching process improved the MSB students’ willingness to think and explore, leading to greater relevance and breadth of coverage.

The teacher used generation, conceptualization, optimization, and implementation [ 33 ] with the Socratic method to stimulate critical thinking in a four-step cycle in the five experiments. When the spontaneous discussion started in the generation phase, they tried to clarify their knowledge of the theme and identify the problem from the learning sheet. The following step was to conceptualize the problem, and the students drafted all of the possibilities and problems. Teacher frequently asked the students, ‘ What are other possible reasons? ’ Finally, the teacher provided feedback to help the MSB students reach a proper solution and implement it. The teacher would also ask the students leading questions like ‘ What relevant theories can be confirmed more precisely? ’ These guiding processes sharpened their logic and helped them better understand what they had learned. In sum, the benefits of this process included an enhanced ability to think logically, clarification of questions and knowledge gaps, and improvements in the thought process about the theme discussed.

The steady improvement of critical thinking in the students of pharmaceutical science

Currently, pharmacists are seeing their roles and responsibilities shift to becoming patient counselors and educators on the rational use of medicine. Pharmacists are trained to focus on patient-centered care and resolve current and potential drug-related problems [ 83 , 84 ]. Critical thinking, clinical reasoning, and decision-making skills are needed to solve these problems. Nowadays, pharmacists are not just responsible for carrying out doctor’s orders, while there are always alternative treatment options available for them to recommend. Teacher therefore repeatedly emphasized the link between critical thinking and pharmacist practice and encouraged students to ask questions and find out the best alternative through Socratic method in the classroom.

During class, the PS students were required to exert considerable mental effort to conduct an inquiry to solve the learning sheet questions. Instead of providing students with clues or information to help them solve the problems, the teacher guided the PS students on how to seek the information they needed for themselves. The question for the PS students was be ‘ What are the possibly executable strategies? ’ The teacher also joined the students in discussion, using the Socratic method to stimulate critical thinking and draw out ideas and underlying suppositions. In high-quality cooperative argumentative dialogue, teacher should not direct or refer learning, nor should they ask students for the correct answers as in a traditional classroom. The hints that teacher would provide were more like ‘ The narrative explanation can be more precise. ’ Thus, asking high-quality questions and providing feedback also challenges the instructors’ teaching experience.

The PS students were guided not only toward the development of critical thinking skills but also toward solving problems using evidence-based knowledge and decision-making skills. The Socratic method process meets the student where they are on the educational spectrum and encourages and helps them advance. Using this method, the PS students engaged in student-to-student interaction to build knowledge as a group and individually. The course of five experiments conducted via the learning sheets improved many aspects of the students’ critical thinking, including their clarity, relevance, breadth, and logic. In sum, the abilities that they developed in the course should help them focus more on the possible outcomes of pharmacotherapy, medication surveillance, and proper communication and therefore improve the quality of their professional future.

The advanced construction of critical thinking skills in undergraduate medical students

In medical education, “ better thinking and learning skills grounded in understanding ” are recommended for future doctors [ 2 ]. Practicing medicine requires an ability to address current and future diseases using new diagnostic and therapeutic methods [ 10 ]. Therefore, problem solving is not the only core medical skill; the ability to deal with complex, insoluble health issues is also required [ 83 ]. In this domain, critical thinking skills have proven essential in tackling difficult, complex, interdisciplinary health problems [ 10 ].

In our study, the MU students began with high-performance scores in almost all dimensions. As a result, teachers needed to create a more challenging and thought-provoking learning environment to encourage them to think more broadly and deeply. Thus, the teacher would give students advice like ‘ Searching for more relevant information can increase the breadth of knowledge ’ and ‘ If the result is true, what is the relevant theory? ’ Most MU students were faster than other majors at defining and constructing critical thinking. However, another phenomenon often observed in the classroom was that the MU students were more reluctant to express their reasoning than the students of other majors. In other words, MU students were afraid to speak openly about their reasoning and thinking, probably due to the excessive pursuit of the correct answer. In sum, the course of five experiments conducted via the learning sheets enhanced abilities of clarity, accuracy, depth, breadth, logic, and significance in MU students.

Apart from providing structure for their critical thinking, as was done with the other preclinical students, the teacher guided the MU students to use advanced critical thinking skills by regularly analyze their thinking processes, reflecting on the decision-making and thinking process [ 84 ]. Researchers have suggested that reflective practice is key to successful medical professionalism [ 85 ] and humanism [ 86 , 87 ]; but more importantly, it may help medical professionals develop better physician–patient relationships [ 88 ]. Therefore, to advance the critical thinking experience of the MU students, teacher should encourage them to gather ideas, analyze, evaluate, and synthesize information. The teacher guided them to reflect on their plan and solve the questions on the learning sheets using their thoughts and words. These reflective practices could involve various biases in the thinking process and outcome, such as the base-rate fallacy, bias blind spot, or choice-supportive bias. The Socratic debate is a common way to model a complex thinking situation and may help teachers inspire students to become critical thinkers. MU students improved their abilities in the clarity, accuracy, depth, breadth, logic, and significance dimensions in the five experiments. This kind of training in thinking should help preclinical students constantly challenge and critically appraise evidence within their context, as well as their patients’ and their own belief and value systems.

Limitations

This study provides a model for developing a specific learning environment like a biochemistry laboratory class into one that will help students develop their critical thinking skills through inquiry. Our results have shown this method to be feasible and effective. However, there were a few limitations to this study. First, although it included students from three different majors, there was no interdisciplinary collaboration that would have simulated collaborations and communication among other healthcare professionals from different fields, as occurs in clinical practice. Introducing such collaboration may have produced more exciting and comprehensive ideas for solving the problems. Training in these professions is specialized to a considerable extent, so inter-professional collaboration should improve therapeutic outcomes and optimize patient care. Second, the original scoring system was time-consuming. However, one of our study objectives was to modify and reduce the nine intellectual dimensions scoring system into the clarity and logic dimensions. Based on the analysis in the current study, the clarity and logic dimensions were sufficient for monitoring the growth of students’ critical thinking.

The present curriculum innovation aimed to teach critical thinking skills to preclinical students in various medical majors using a Socratic questioning learning model instead of a cookbook approach to learning in laboratory courses. The development of problem-solving and critical thinking skills, in addition to process-related skills, in biochemistry laboratory courses supplements traditional curriculum in a helpful way. The curriculum innovation that we described and proposed may represent an incremental step forward for the discipline; it is a novel educational approach for promoting critical thinking skills, fostering an appreciation of the affective domain, and enabling reflective practice by using small-group processing skill instruction and one-on-one Socratic questioning. The current study results are based on training critical thinking skills that should enable students to engage in the “reflection-on-action” process, which might provide an additional bridge between basic medical knowledge and clinical practice. More importantly, reconstructive mental reviews may indirectly shape preclinical students’ future actions in the challenging healthcare industry characterized by uncertainty and novel circumstances.

Data Availability

Due to conditions on participant consent and other ethical restrictions, the datasets used and analysed in the current study are not publicly available. If you have any database data requirements, please contact the corresponding author of this study.

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Acknowledgements

The authors wish to thank Chi-Her Lin, MD for their encouragement and support in the writing of this manuscript, and Prof. Woei-Jer Chuang, Hung-Chi Cheng, Chang-Shi Chen, Po-Hsin J. Huang, Chien-hung Yu, and Wen-Tsan Chang for their help with the experimental design. Special thanks to Tanvi Gupta for her help with the improving reading fluency.

This work was supported by the Teaching Practice Research Program, Ministry of Education, Taiwan (Grant No: PMN1110350, PMN1100853, PMN1090364, PMN108075, PMN107018).

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Yueh-Ren Ho: substantially contributed to the conception, data curation, interpretation, drafting and critical revision of the paper. She has given final approval to the manuscript and agrees to be accountable for the work. Bao-Yu Chen: substantially contributed to the conception, formal analysis, methodology, visualization, and writing and editing the manuscript. Chien-Ming Li: substantially contributed to the conception, data curation, review and editing the manuscript.

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Ho, YR., Chen, BY. & Li, CM. Thinking more wisely: using the Socratic method to develop critical thinking skills amongst healthcare students. BMC Med Educ 23 , 173 (2023). https://doi.org/10.1186/s12909-023-04134-2

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• v.78(7); 2014 Sep 15

The Fact of Ignorance Revisiting the Socratic Method as a Tool for Teaching Critical Thinking

Douglas r. oyler.

a Pharmacy Services, UKHealthCare, Lexington, Kentucky

b University of Kentucky College of Pharmacy, Lexington, Kentucky

Frank Romanelli

Critical thinking, while highly valued as an ability of health care providers, remains a skill that many educators find difficult to teach. This review provides an analysis examining why current methods of teaching critical thinking to health care students (primarily medical and pharmacy students) often fail and describes a premise and potential utility of the Socratic method as a tool to teach critical thinking in health care education.

INTRODUCTION

As a result of increasing pressure from accrediting bodies and an evolving technical landscape, health care colleges and schools continue to place increasing emphasis on critical thinking skills rather than provision of facts and rote memorization. 1,2 Additionally, the incorporation of competency-based education requires that students develop a deeper understanding of course material, which in turn necessitates new modes of content delivery and incorporation of new thought processes. A number of varying modalities intended to instill critical thinking have been attempted; however, in most cases these attempts have been reported to be only partially effective and often inconsistent in yielding positive results. This review will discuss the value of critical thinking among health care professionals and will re-visit the use of the Socratic method or Socratic questioning as a tool for modeling critical thinking.

CRITICAL THINKING

Numerous definitions of critical thinking have been described and reviewed elsewhere, 3 but the concept is understood to have originated through the teachings of the classic Athenian philosopher Socrates (469-399 BCE). Often regarded as a founder of Western philosophy, Socrates observed that his students often lost their ability to justify their own preconceived thoughts and beliefs after a series of specific, targeted questions. 4 Conversely, through appropriate and repeated questioning, Socrates observed that these same students eventually developed self-generated knowledge and the ability to regulate their own thoughts. The Art of Socratic Questioning describes 3 types of questions that, when used strategically by the questioner, can aid students in regulating their own thoughts. These questions are categorized as those of procedure, preference, and judgment. 5 Questions of procedure are defined as those with correct answers, such as “Which of the following medications is a beta-blocker?” Alternatively, questions of preference are those with no correct answers, such as “How do you prefer to conduct patient counseling?” It is in the third type of question, however, where the Socratic definition of critical thinking can be found, as these types of questions are those with “best” answers, such as, “What is the most appropriate antibiotic for this patient?” Therefore, critical thinking within a Socratic paradigm might be described as the application and analysis of information requiring clarity, logical consistency, and self-regulation.

The ability to think critically is not only expected by employers but also almost unilaterally prescribed by accrediting bodies. 6 The provision of high level care by pharmacists across all health care disciplines inherently requires the ability to think critically. As technology continues to make rote knowledge rapidly searchable, discoverable, and transferrable, the ability to think critically continues to gain importance. Tyreman states that all knowledge of suffering people is derived from two sources: previously treated patients with a similar disease course or changing medical knowledge. 7 Therefore, the ability to relate current patient events to previous ones, while appreciating the innate limitations of this practice, is paramount to thinking critically.

In the clinical setting, the ability to think critically requires both an understanding of the “deep structure” of a question and the ability of the practitioner to relate that structure to similar experiences from his or her past. 8 This “deep structure” refers to the question within the question (as opposed to its surface structure, which refers to the direct question at hand). For example, in a word problem using multiplication of rows and columns to count the number of vegetables in a garden, the deep structure relates to mathematics whereas the surface structure relates to farming, the latter of which is irrelevant to the problem’s solution. Chen et al. examined this construct in a 2004 study that evaluated 90 college students’ (60 American students’ and 30 Chinese students’) ability to propose a correct solution to each of two problems. 9 The first problem was very similar to the story of Hansel and Gretel, where the correct solution related to leaving a trail of items to avoid getting lost; the second was very similar to a common Chinese tale called “Weigh the Elephant,” where the correct solution related to using water displacement to weigh an object too large for a scale. Nearly 80% of the American students answered the Hansel and Gretel question correctly compared to 25% of Chinese students ( p <0.05); for the elephant question, success rates were flipped, with 69% of Chinese students answering correctly compared to 8% of American students ( p <0.05). The disparity in correct responses suggests that ability to recognize and understand a question’s deep structure is paramount to the ability to think critically and apply previously-learned information to new situations. This, in concert with the statements by Tyreman, 7 suggests that appropriate patient care requires the ability to critically analyze and apply information from previous patient cases and the available, albeit constantly changing, medical knowledge base.

An ability to think critically is also considered a foundational step in the development of expertise in a given content area or specialty. In his review, Tyreman analogizes being an expert versus a trainee to driving a car versus driving a motorcycle. 7 Despite being able to appropriately drive a car, the ability to drive a motorcycle is not innate; he concludes that an expert is one who is , as compared to a novice, who is one who (merely) does. He subsequently elaborates saying an expert can apply himself “across a range of familiar and unfamiliar situations” and assess the context of a problem. Without the ability to recognize the deep structure of a question and apply it to previous scenarios, it is unreasonable to believe practitioners will be able to develop the skills necessary to ‘think like an expert.’

A common assumption is that health care ‘experts’ are inherently able to think more critically than their novice counterparts. Although the research presented below refutes this premise, the importance of critical thinking as an elemental skill of practitioners remains. In a 2004 study, Miller evaluated the ability of 66 pharmacy students to critically evaluate literature as an assessment of their ability to ‘think like experts.’ 10 Students were given three distinct trial summaries (one “well-designed” experimental study, one “well-done” case-control study, and one “poorly-designed” experimental study). All 3 research papers evaluated the ability of beta-carotene to prevent cervical cancer, and each produced negative results. Students were asked to use a visual analog scale to rate their confidence from 0 to 100 in the ability of beta-carotene to prevent cervical cancer both at baseline and after reading each study in random order. The authors then calculated student “likelihood ratios” (ie, the odds of believing vs not believing after reading each study divided by the same odds before reading any study), which were then compared to those of experts given the same task. The author found likelihood ratios more strongly correlated with level of evidence in the expert group than the student group, suggesting students were not able to critically evaluate literature as efficiently. The study found no correlations between scores on the California Critical Thinking Skills Test (CCTST) and students’ abilities to “think like experts.” There was, however, a correlation between CCTST scores and students’ final grades in the broader literature evaluation course within which the trial was conducted ( r =0.45, p <0.001). This suggests that thinking like an expert is not akin to thinking critically, despite the intuitive assumption that the systematic approach to literature evaluation and critical thinking require thought regulation. Encouragingly, it appears health care courses and course examinations can be designed to test critical thinking.

This study had a number of limitations. First, the authors did not report CCTST scores at baseline, which subsequently does not allow for an a priori assessment of the course’s ability to teach critical thinking. Second, CCTST scores were collected as part of a separate study and correlated with examinations in the course; this might suggest that the course was not designed to teach critical thinking. Third, the authors note that students may have purposely placed little weight on each of the three studies based on what they thought the course instructor expected on the final examination, which may explain a lack of correlation between CCTST scores and likelihood ratios. Finally, experts were not given the CCTST examination for comparison. Although this study did not support a correlation between critical thinking and literature evaluation, the aforementioned limitations decrease the validity of this conclusion. Further the application of information, as previously reviewed, likely requires higher-level critical thinking skills. To the knowledge of the authors, this has not been formally evaluated in pharmacy education.

The challenges involved with teaching critical thinking are not new. Since as early as the 1950s, education has faced the issue of teaching critical thinking to students, and, with few exceptions, educators have failed to consistently document successes. 11 Three key principles underlying critical thinking have been described for educators tasked with motivating students towards better thinking. 8 First, critical thinking is not simply a skill that can be learned. Second, critical thinking is more likely in those learners with certain metacognitive strategies in place (eg, the forethought to consistently look for the deep structure in a question). Finally, the ability to think critically relies to some extent on domain knowledge and practice. In other words, one must not only recognize the deep structure of a question, but also be able to relate it to prior experiences. It therefore follows that one cannot think critically about an issue in which they have no point of reference.

Despite the noted difficulty in teaching critical thinking, a number of methods have been proposed to aid educators charged with teaching critical thinking to student health care professionals. Among other methods, these variations can include group learning, problem-based learning, case-based learning, writing and reflection, concept mapping, and experiential education ( Table 1 ). A complete discussion of these methods is beyond the scope of this paper as other authors have previously compiled comprehensive reviews in this regard. 3 It should be noted, however, that few of the aforementioned methods focus on metacognition.

Examples of Activities Used to Encourage Critical Thinking

Unfortunately, many studies evaluating the ability to teach critical thinking have failed to produce overwhelmingly positive, reproducible results. In an effort to measure critical thinking skills throughout a curriculum, Miller evaluated CCTST and California Critical Thinking Dispositions Inventory (CCTDI) scores annually for 5 cohorts of pharmacy students at North Dakota State University. At the conclusion of data collection, information from each year was available for the first 2 cohorts (graduating classes of 1997 and 1998, n=60 students each). 12 The study found a statistically significant increase in mean CCTST scores from professional year 1 through professional year 4 for each group (20.35 vs 18.15 for cohort 1, p =0.006; 21.71 vs 18.26 for cohort 2, p <0.001). However, it should also be noted that motivation to think critically, as assessed by the CCTDI decreased in both cohorts over the 4-year periods (mean composite score 307.7 vs. 303.8 for cohort 1, p =0.41; 305.8 vs. 300.4 for cohort 2, p =0.21), suggesting a decrease in inquisitiveness of pharmacy students as they progressed through the curriculum. Unfortunately, the author did not comment on specific attributes of the curriculum that could have caused the improvement in scores. Further, there was no comparison group, preventing analysis of whether changes in CCTST scores were attributable to the pharmacy curriculum or simply general maturation throughout matriculation. The authors also made note that students’ motivation to do well may have impacted results.

In another study conducted at Campbell University School of Pharmacy, Cisneros found no significant differences between critical thinking ability, as measured by the CCTST, both at the beginning and end of each professional year within a doctor of pharmacy degree program. 13 Although the study was not designed to detect differences between classes, mean CCTST composite scores were not different between first and fourth professional year students (20.0 vs. 20.4, p =0.79), suggesting overall critical thinking ability did not change throughout the pharmacy curriculum. The authors mention the contribution of a possible “ceiling effect,” stating that the overall high scores at baseline seen in pharmacy students limited the possible increase in critical thinking ability as assessed by the CCTST. Other potential reasons for discrepancies between this study and others reporting improvement in thinking scores include a small sample size, unfamiliarity with this type of research at the institution, and limited follow-up.

Tiwari and colleagues compared problem-based learning (PBL) to traditional lectures in regard to their respective abilities to stimulate critical thinking in a cohort of 79 first-year undergraduate nursing students. 14 Despite similar baseline mean composite scores on the CCTDI exam, these scores after 2 semesters were significantly higher in students enrolled in PBL-based courses as compared to traditional lectures (276.3 vs 263.1, p =0.02). Interestingly, the effect was not durable 2 years after completion of the course, as CCTDI scores were similar (271.4 vs. 262.2, p =0.11). This implies a continued need for reinforcement of critical thinking principles (or adoption of more durable techniques). The data presented was limited in that the CCTDI is a measure of disposition to think critically and is intended for use with the CCTST as a comprehensive measure of critical thinking skills.

Introduction to the Socratic Method and Socratic Questioning

Given the shortcomings associated with many educational techniques aimed at instructing critical thinking and being cognizant that individual students may respond to differing approaches in varied manners, durable and reproducible means of motivating students to think critically are continually needed. The Socratic method is particularly intriguing as a means of motivation given its attention to deep structure and instillation of an inquisitive tendency. Critiqued by some and vigorously defended by others, the Socratic method is a time-tested means of teaching critical thinking to law students throughout the United States. 15 Given the importance of critical thinking in the legal profession, the use of the Socratic method in health care education appears both logical and sound. As it focuses on higher orders of Bloom’s Taxonomy ( Figure 1 ), it is likely that the Socratic method engages and encourages critical thinking. 16 An example of an an abbreviated hypothetical Socratic session is provided in Appendix A .

Bloom's Taxonomy (author's own rendition)

As previously mentioned, Socrates is widely regarded as the father of Western philosophy. Historians have come to appreciate the value he placed on self-generated knowledge, the use of questioning to evaluate others’ knowledge, and the teaching of implanted doubt. Given his predisposition to question, it is important to realize Socrates did not express unthinking skepticism. 17 He used strategic, probing questions to evaluate the depth of others’ knowledge, focusing on evoking doubt and a constant tendency to question his students. His tactics’ propensity to stimulate discourse ultimately led to his state-sanctioned execution; however, his legacy lives on in contemporary education as the “Socratic method,” also referred to as “Socratic questioning.” The elements and hallmarks of Socratic questioning are outlined in Table 2 . Through purposeful questioning aimed at these elements, it has been suggested that educators can more effectively invoke critical thinking in students. 5 Critical thinking and Socratic questioning are intertwined in that critical thinking involves metacognition and regulation of one’s own thoughts, while Socratic questioning can be used as a tool to regulate one’s thoughts in the pursuit of true understanding. Examples of Socratic questions using the acronym “PAPER CLIP” can be found in Table 3 .

Key Aspects of Socratic Questioning 5

Types of Socratic Questions (PAPER CLIP)

Unlike Socrates who placed value in self-generated knowledge, the Eastern philosopher Confucius (551-479 BCE) valued effortful, pragmatic, respectful learning from those more experienced in a field. 17 Similar to many traditional means of teaching (eg, didactic lectures), Confucian learning focuses on the purposeful acquisition of facts, rather than true knowledge and understanding. Socrates, however believed true knowledge was found only in the self and could not be translated by authority figures; in fact, he often considered himself ignorant, stating he could not be held accountable for his students’ beliefs because he never taught them anything. 18 The ability to support opinions with facts, akin to evidence-based medicine, is heralded as the ultimate goal of Socratic questioning. However, it is important to note that just as students cannot be expected to critically analyze an issue without appropriate domain knowledge, the appropriate use of the Socratic method requires a foundational knowledge base, which may be acquired through Confucian methods. Therefore while these methods are fundamentally different, they are not mutually exclusive, and may be synergistic in developing competent practitioners.

Use of the Socratic Method in Health Care Education

Perhaps one of the most broad and well known methods of Socratic questioning is the practice of “pimping.” According to Brancati, pimping occurs when an attending physician or authority figure poses a series of very difficult questions to a student, intern, or other trainee. 19 He goes on to state that, on the surface, the aim of pimping appears to be Socratic questioning; however, in its truest form, pimping often does not promote critical thinking. It may not inspire inquisitiveness in learners, and its motives are often largely political, reinforcing establishment of a “medical hierarchy,” which is much more consistent with Confucian philosophy. Given Socrates’ self-proclaimed ignorance, pimping is almost certainly not Socratic questioning. This is not to say pimping, as previously defined, has no role in the training of students in the health professions. The potential values of pimping, from the student, resident, and attending perspectives have been well-reviewed. 19-21

While the effectiveness of Socratic questioning has not been formally evaluated, there are a number of reviews describing its merits in health care education. Oh described the value of Socratic teaching in a family medicine practice, with a specific focus on the need for the clinician to avoid rigidity of thought and respectfully question the “truths” of medicine. 22 He goes on to discuss the importance of a safe learning environment in adult education, reinforcing the benefits of one-on-one teaching and avoidance of humiliation.

Not only does the Socratic method offer a theoretical advantage over didactic lectures, it may also be well-received by students. In a 2011 study, Zou et al. surveyed 74 upper-level medical students regarding their preferences for learning radiology. 23 The students were invited to attend a 90-minute radiology conference. During the conference, the leader interchangeably taught using both didactic and Socratic methods. At the completion of the conference, students were given a voluntary 7-item survey assessing their preferences for learning. Of the 30 respondents who completed the survey (30% of the students who took the course), the vast majority indicated they preferred to learn using the Socratic method as opposed to the didactic approach (93.3 vs 6.7%, p <0.001). The authors did not hypothesize why students preferred to learn using the Socratic method, but an overall preference was found for active learning strategies, as they are generally regarded as more engaging.

Practical Considerations for Using the Socratic Method

The most concerning limitation of the Socratic method is the potential for educators to pose questions without purpose. As Rohrich highlighted, simply generating a list of questions is easy; 24 however, Socratic questioning is targeted and directed with a beginning, middle, and end. Students should feel a sense of closure and resolution at the completion of an educational experience. Subsequently, effective Socratic questioning takes time, effort, and practice and ultimately may be more difficult for the educator than the student.

In a recent review, Tofade et al. provided “best-practice” strategies for effective questioning in pharmacy education. 25 The authors described a number of practical considerations including clarity, safety, sequencing, and wait time and suggested that questions should be simple with limited action verbs to decrease the possibility for confusion. As previously mentioned, Socratic questioning is optimally performed in a safe environment, allowing the learner to say “I don’t know” without fear of consequence. Further, questions should be deliberately sequenced and balanced to avoid bombardment and allow for appropriate resolution. Finally, the “wait time” (ie, the amount of time between the end of a question and a subsequent response, either by the teacher or student) must be long enough to allow students to process information and formulate a response. Depending on the complexity of the question, wait times of less than 20 seconds or up to 1-2 minutes have been suggested. 26,27

Given Socrates’ tendency to engage students “one-on-one,” use of the Socratic method in large groups such as full classrooms is a logical concern and potential limitation. Instruction using the Socratic method is recognized to be a more arduous task than typical traditional didactic teaching. An example use of the Socratic method with a group of students has previously been published. 22 Even in instances when the Socratic method is employed, traditional lectures or other educational means may be required at least in part so that students may develop requisite domain knowledge. In the absence of sufficient domain knowledge, students may not be able to adequately process and answer Socratic questions, 8 therefore the Socratic method may be difficult to implement as a stand-alone method of education.

A final limitation regarding the use of Socratic questioning is a lack of evidence-based research related to the use of this method within and across formal educational programs both inside and outside health care. Perhaps the greatest potential for the Socratic method may be its use within experiential settings; however, this too has yet to be validated in prospective, well-designed studies. Before the Socratic method can be widely accepted in pharmacy education, adequate research must be conducted. Initially, this research should focus on using validated measures of critical thinking (eg, the CCTST and CCTDI) to at least evaluate the validity of the Socratic method as a teaching tool in either didactic and/or experiential settings. If validated, subsequent research should then focus on delivery, training, and optimization of Socratic approaches, specifically in large groups such as classrooms.

Conclusions

While further research is needed to evaluate the ability of various modalities to effectively teach and test critical thinking in health care education, the Socratic method, if used appropriately, is an attractive “lost art” among the teacher’s instructional supplies. However, it is by no means stand-alone, as learners likely require foundational knowledge to be able to critically evaluate clinical concepts. For this reason, the Socratic method is likely more useful if incorporated later in a pharmacy curriculum. Given Socrates’ predilection for individual teaching, practice experience represents a natural place to incorporate the Socratic method in pharmacy education. However, introduction of the Socratic method into classroom settings may allow educators to instill the ability to recognize the deep structure of questions and begin the critical thinking process prior to practice experience. As Socrates described, understanding the fact of one’s ignorance perhaps holds the key to regulating thought, persevering in the pursuit of knowledge, and, ultimately, enhancing practice.

Abbreviated Example of Socratic Process and Questioning in the Classroom

• - The professor is not an antagonistic opponent in the learning experience nor is he or she an intentional “devil’s advocate.”
• - The professor is an active participant in a dialogue and must be willing and open to learning from the pupil.
• - The professor does not seek deference to his or her inherent authority but rather creates a culture of mutual respect.
• - The professor does not seek to intimidate but rather to create intellectual discomfort when one’s beliefs do not withstand scrutiny.
• Instructional Topic:
• Clinical Toxicology and Lethal Injection
• - Define lethal injection.
• - Discuss the pros and cons of lethal injection as a means of execution.
• - Discuss ethical issues surrounding the use of medications as a means of execution.
• - Describe the mechanism of action of agents used as components of lethal injection.

Professor: What is lethal injection?

Pupil: Capital punishment using drugs.

Professor: Is lethal injection the only means of state-sanctioned execution in the US?

Pupil: No, some states still use the electric chair but most states now use lethal injection.

Professor: Why?

Pupil: It seems like most people think that lethal injection is easier on the prisoner or less cruel.

Professor: Do you think this is true?

Pupil: I’m not sure; it seems like it would be less harsh then being electrocuted or hung.

Professor: What drugs are used to perform lethal injection?

Pupil: Every state is different, but it seems like a combination of drugs is most common.

Professor: That seems odd, why does every state use a different set of drugs?

Pupil: Well no one really regulates what the prison system does and what drugs they can use.

Professor: Are medical professionals involved in the design or selection of these drugs/protocols?

Pupil: I’m not sure; seems like there may be ethical implications.

Professor: What do you mean?

Pupil: I am not sure what the code of ethics for various health professions says about lethal injection.

Professor: Do you think pharmacists should play a role in the development of lethal injection protocols?

Pupil: I am not sure. I will have to give it some thought and look at the code of ethics.

Professor: Do you think pharmacists should be involved in the compounding or administration of these agents to the condemned?

Pupil: I think it might be okay for a pharmacist to prepare a medication but not actually administer it.

Professor: What is the difference between compounding the medication and administering it?

Pupil: Well the pharmacist hasn’t actually “killed” the patient in so much as they prepared the drug but did not administer it.

Professor: Would the person administering the medication be able to do so if it were not properly prepared by the pharmacist?

Pupil: I’m not sure. I guess not.

Professor: What types of drugs are usually employed in lethal injection?

Pupil: Usually 3 drugs: a sedative, a paralyzing agent, and potassium.

Professor: Why are these 3 types of drugs used?

Pupil: Well it kind of makes sense in that the sedative will render the prisoner unconscious so they will not know what’s going on while the paralyzer will stop breathing and the potassium stops the heart.

Professor: Why would the government want the prisoner to be unconscious?

Pupil: I think this helps the whole concept of lethal injection be plausible in terms of not being cruel and unusual.

Professor: Why is it unacceptable for lethal injection or execution to be cruel and unusual?

Pupil: If it were deemed to be cruel and unusual then it would be unconstitutional.

Professor: So the fact that the prisoner is unconscious makes lethal injection acceptable?

Pupil: Well the fact that they are unaware and not in pain seems to make it acceptable.

Professor: How do we know the prisoner is unconscious and/or not in pain?

Pupil: I guess we really don’t know. I guess it’s assumed.

Professor: Why would we assume that the prisoner is unconscious?

Pupil: I guess because his eyes are closed after the sedative is administered and based on the doses they use.

Professor: What doses of sedatives are used?

Pupil: I don’t know. I don’t think most states let you know.

Professor: Then how can we be sure the prisoner is unconscious?

Pupil: I guess we can’t – we can only assume.

Professor: What would happen if the patient were not adequately sedated?

Pupil: Well the paralytic would stop them from breathing and the potassium would cause the heart to go into asystole.

Professor: Would they be aware that this was happening?

Pupil: If they were not sedated, yes.

Professor: Could they express their discomfort or tell officials what was happening?

Pupil: I don’t think so.

Professor: Why not?

Pupil: Because they would be paralyzed.

Professor: Could they feel pain?

Pupil: I am not sure.

Professor: How do paralytics work?

Pupil: They work by stopping skeletal muscle movement.

Professor: Right. So does that cause analgesia?

Pupil: No. So why don’t they give pain medications?

Professor: Should they give pain medications?

Pupil: Well, it’s a punishment, so I guess not. But at the same time, it still seems cruel.

Professor: More cruel than other methods?

Pupil: I suppose not.

Professor: Well that gets into another discussion altogether.