Uncovering Students' Inquiry Patterns in GenAI-Supported Clinical Practice: An Integration of Epistemic Network Analysis and Sequential Pattern Mining

Fuente: arXiv
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Auteurs principaux: Wei, Jiameng, Dang, Dinh, Yang, Kaixun, Stokes, Emily, Mazeh, Amna, Lim, Angelina, Dai, David Wei, Moore, Joel, Fan, Yizhou, Gasevic, Danijela, Gasevic, Dragan, Chen, Guanliang
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Publié: 2025
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author Wei, Jiameng
Dang, Dinh
Yang, Kaixun
Stokes, Emily
Mazeh, Amna
Lim, Angelina
Dai, David Wei
Moore, Joel
Fan, Yizhou
Gasevic, Danijela
Gasevic, Dragan
Chen, Guanliang
author_facet Wei, Jiameng
Dang, Dinh
Yang, Kaixun
Stokes, Emily
Mazeh, Amna
Lim, Angelina
Dai, David Wei
Moore, Joel
Fan, Yizhou
Gasevic, Danijela
Gasevic, Dragan
Chen, Guanliang
contents Assessment of medication history-taking has traditionally relied on human observation, limiting scalability and detailed performance data. While Generative AI (GenAI) platforms enable extensive data collection and learning analytics provide powerful methods for analyzing educational traces, these approaches remain largely underexplored in pharmacy clinical training. This study addresses this gap by applying learning analytics to understand how students develop clinical communication competencies with GenAI-powered virtual patients -- a crucial endeavor given the diversity of student cohorts, varying language backgrounds, and the limited opportunities for individualized feedback in traditional training settings. We analyzed 323 students' interaction logs across Australian and Malaysian institutions, comprising 50,871 coded utterances from 1,487 student-GenAI dialogues. Combining Epistemic Network Analysis to model inquiry co-occurrences with Sequential Pattern Mining to capture temporal sequences, we found that high performers demonstrated strategic deployment of information recognition behaviors. Specifically, high performers centered inquiry on recognizing clinically relevant information, integrating rapport-building and structural organization, while low performers remained in routine question-verification loops. Demographic factors including first-language background, prior pharmacy work experience, and institutional context, also shaped distinct inquiry patterns. These findings reveal inquiry patterns that may indicate clinical reasoning development in GenAI-assisted contexts, providing methodological insights for health professions education assessment and informing adaptive GenAI system design that supports diverse learning pathways.
format Preprint
id arxiv_https___arxiv_org_abs_2512_06018
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Uncovering Students' Inquiry Patterns in GenAI-Supported Clinical Practice: An Integration of Epistemic Network Analysis and Sequential Pattern Mining
Wei, Jiameng
Dang, Dinh
Yang, Kaixun
Stokes, Emily
Mazeh, Amna
Lim, Angelina
Dai, David Wei
Moore, Joel
Fan, Yizhou
Gasevic, Danijela
Gasevic, Dragan
Chen, Guanliang
Computers and Society
Artificial Intelligence
Assessment of medication history-taking has traditionally relied on human observation, limiting scalability and detailed performance data. While Generative AI (GenAI) platforms enable extensive data collection and learning analytics provide powerful methods for analyzing educational traces, these approaches remain largely underexplored in pharmacy clinical training. This study addresses this gap by applying learning analytics to understand how students develop clinical communication competencies with GenAI-powered virtual patients -- a crucial endeavor given the diversity of student cohorts, varying language backgrounds, and the limited opportunities for individualized feedback in traditional training settings. We analyzed 323 students' interaction logs across Australian and Malaysian institutions, comprising 50,871 coded utterances from 1,487 student-GenAI dialogues. Combining Epistemic Network Analysis to model inquiry co-occurrences with Sequential Pattern Mining to capture temporal sequences, we found that high performers demonstrated strategic deployment of information recognition behaviors. Specifically, high performers centered inquiry on recognizing clinically relevant information, integrating rapport-building and structural organization, while low performers remained in routine question-verification loops. Demographic factors including first-language background, prior pharmacy work experience, and institutional context, also shaped distinct inquiry patterns. These findings reveal inquiry patterns that may indicate clinical reasoning development in GenAI-assisted contexts, providing methodological insights for health professions education assessment and informing adaptive GenAI system design that supports diverse learning pathways.
title Uncovering Students' Inquiry Patterns in GenAI-Supported Clinical Practice: An Integration of Epistemic Network Analysis and Sequential Pattern Mining
topic Computers and Society
Artificial Intelligence
url https://arxiv.org/abs/2512.06018