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Logo of jmbeHomeAboutCurrent IssueSubmitRegisterJournals.ASM.orgJournal of Microbiology & Biology Education
J Microbiol Biol Educ. 2013; 14(2): 166–175.
Published online 2013 December 2. doi:  10.1128/jmbe.v14i2.506
PMCID: PMC3867753

The CREATE Method Does Not Result in Greater Gains in Critical Thinking than a More Traditional Method of Analyzing the Primary Literature


Analysis of the primary literature in the undergraduate curriculum is associated with gains in student learning. In particular, the CREATE (Consider, Read, Elucidate hypotheses, Analyze and interpret the data, and Think of the next Experiment) method is associated with an increase in student critical thinking skills. We adapted the CREATE method within a required cell biology class and compared the learning gains of students using CREATE to those of students involved in less structured literature discussions. We found that while both sets of students had gains in critical thinking, students who used the CREATE method did not show significant improvement over students engaged in a more traditional method for dissecting the literature. Students also reported similar learning gains for both literature discussion methods. Our study suggests that, at least in our educational context, the CREATE method does not lead to higher learning gains than a less structured way of reading primary literature.


Over the past two decades, there has been a shift towards engaging students in scientific discovery through activities that mirror scientific research, like inquiry-based laboratories and dissection of the literature (13, 5, 15, 18, 23, 30, 31). These techniques may increase student learning by compelling students to examine their level of understanding through active participation (6, 36).

Actively discussing the primary literature increases students’ confidence, scientific literacy, science process skills, and helps to shape their epistemological beliefs (9, 17, 20). Different approaches exist for analyzing primary literature (9, 18, 19, 24, 3234). While previous studies highlight the importance of reading the literature to help students understand science, it is important to test different methods of literature analysis using controlled studies. One approach whose effectiveness has not been determined in comparison to a control is CREATE (Consider, Read, Elucidate hypotheses, Analyze and interpret the data, and Think of the next Experiment) (1618). Through a single-instructor uncontrolled study, Hoskins and colleagues (2007) posited that use of CREATE results in a heightened ability to critically analyze data and a deeper connection to science (18). The CREATE method was attractive to us because it allows students to “think like scientists.” We felt that this approach would be effective in helping students critically analyze the literature because it is relatable to the way in which science is done.

For these reasons, we tested the effects of CREATE on critical thinking compared to a more traditional method within a required cell biology course. Traditional students took a more passive approach by answering instructor-generated questions; the answers to these questions guided article discussions (Table 1). CREATE students dissected an article using diverse active learning techniques (CREATE Assignments, Table 1). Because Hoskins’ (2007) results showed that CREATE heightens critical thinking and because of the active, student-centered nature of the method when compared to the traditional method, we hypothesized that CREATE students would have higher critical thinking gains compared to traditional students. Surprisingly, our results show that all students experienced gains in critical thinking, regardless of the literature analysis method used. Additionally, there were no significant differences in critical thinking between the CREATE and traditional groups. Our data suggest that exposing students to the primary literature leads to gains in critical thinking, regardless of whether they follow a highly structured approach like CREATE.

Comparison of the activities associated with the discussion methods used in this study.


Institutional and course background

The University of North Georgia (UNG) is a public, primarily undergraduate institution with an enrollment of about 15,000 students. Four sections of required course BIOL 3240 (Cell Biology; 91 students) participated in this study in fall 2010 and spring 2011. We replaced a 3-hour-per-week laboratory with article discussions (Table 1). During the study, this course consisted of about 25% seniors, 50% juniors, and 25% sophomores. This study followed a quasi-experimental approach: during the fall of 2010, students knew the instructor but not the discussion approach for a particular section. In the spring of 2011, both sections were labeled “STAFF” during pre-registration, so students could not select a course section based on instructor.

Article discussions

Each semester, one section followed a traditional approach and the other followed CREATE. Both sections discussed the same articles and spent approximately the same time on-task. Instructors involved in the study taught using the traditional approach one semester and CREATE the other.


The traditional method was developed based on conversations with faculty experienced in leading article discussions, and from our own experience.

Prior to the first discussion, students received the article lacking the abstract and identifying information and answered three to five questions, such as explaining how specific experiments tested the hypothesis, or how experiments related to one another. Before the second discussion, students answered two to three questions about the “big picture” of the study and the implications of the results presented (Table 1). About two-thirds of the questions targeted higher levels of Bloom’s. The instructor led discussions by prompting students to provide their answers for these homework questions. At times, the instructor asked follow-up questions to further deepen the article discussion.


We adapted the original CREATE method (18) from a stand-alone upper-level course to fit into a required cell biology course (Table 2). Briefly, these were the changes made: 1) because of time limitations, students received the Introduction, Methods, and Results sections of the article at one time, instead of during separate class sessions, 2) students analyzed data without using the CREATE analysis templates (we noticed in the pilot study that students were confused by these), 3) groups of three to four students picked top experiments, instead of forming more formalized grant panels (time limitations), and 4) students did not read a suite of articles from the same research group. Instead, they read articles from different research groups.

Comparison of the original and adapted CREATE methods.a

Before the first discussion, instructors lectured on formulating a hypothesis, constructing concept maps, and identifying controls. Students received detailed instructions for the article dissection process, the rubric used to grade homework (Appendix 1), and the Introduction, Methods, and Results sections of an article. To prevent students from looking up the Discussion section ahead of time, articles were scrubbed of identifying information. At the start of the first discussion, students handed in several assignments (Table 1). The instructor led discussions by asking students to identify hypotheses, explain data, and discuss potential flaws or inconsistencies in data. Students sometimes worked in groups to answer questions requiring data interpretation. At the end of the discussion, student groups generated a list of conclusions. Before the second meeting, students received the Discussion section of the article. They prepared: 1) a list of authors’ conclusions, 2) a summary concept map integrating results and conclusions into the initial concept map, and 3) two follow-up experiments. During the second discussion, they: 1) compared students’ and authors’ conclusions to determine the significance of similarities and differences between lists, 2) assigned and justified a score of 1, 2 or 3 to conclusions drafted by a different group, 3) discussed follow-up experiments and voted for the top three, and 4) discussed the importance and implications of article results.

Article discussions comprised similar percentages of the class grade for traditional and CREATE sections (39% and 37%, respectively).

Assessment methods

Student materials were made anonymous by assigning each student a random number and using that identifier on materials. We used a pretest/posttest design to compare methods. Since the analysis, evaluation, and synthesis Bloom’s levels are associated with critical thinking (4, 8), we measured performance at these levels.

Exam questions

We designed two questions each at the analysis, synthesis, and evaluation levels for the first (pretest) and final (posttest) lecture exams (Appendix 2) using the Blooming Biology Tool (BBT; 8). One question from each category was included in each exam. Miriam Segura-Totten (MST) received training on designing questions from Mary Pat Wenderoth (University of Washington), one of the developers of the BBT (8) and she then trained Nancy E. Dalman (NED). To measure question difficulty, we asked three biology faculty members who teach or do research in the question topic and three past cell biology students to rate questions as easy (1), medium (2), or difficult (3). We looked at average scores across categories: expert averages for pre- and posttest questions are 2.33 and 2.33, while student averages are 2 and 1.67. Identical questions were used in all study sections. Questions were graded using a detailed rubric developed by both instructors. Each instructor scored her particular section. The rubric was revised during a norming session based on the range of student answers collected. Questions were rescored using the revised rubric.

Article critique exercise

Students in traditional and CREATE groups did pre- and post-critique exercises on weeks four and fourteen of the semester, respectively (Table 3). A week before the exercise, students received the Introduction, Methods, and Results sections of an article scrubbed of identifying information. The articles used for critiques were different from those used in discussions. To avoid advance preparation, students did not receive instructions for the article critique (Appendix 3) before completing the exercise. Students worked individually for two hours to complete the critique. We designed a scoring instrument based on student instructions. Elements of the instrument were categorized according to the level of Bloom’s targeted.

Typical literature discussion schedule.

Scoring of the critiques

In the fall of 2010, instructors met for a norming session, where they resolved concerns or disagreements regarding the scoring instrument. Instructors scored critiques following the resulting modified instrument (Appendix 4). While each instructor graded critiques for her section, instructors graded the fall 2010 critiques together, to ensure uniformity in scoring. Since instructors were confident with scoring in the spring of 2011, assignment of points was done individually, with each instructor scoring her own section. To normalize questions with varying point values, student scores for each category were divided by the total possible number of points, resulting in a scale of 0–1. Normalized scores were used for statistical analysis. To determine the reliability of the scoring rubric, thirty-two critiques were scored by the instructors and an independent rater blinded to the experimental condition. Strong interrater reliability was demonstrated, ICC(2,2) = 0.753 (p < 0.001), suggesting that scores obtained represent student performance that is not rater-specific.

We chose articles for the pre- and post-critique that contained techniques and concepts familiar to students, were similar in reading difficulty, and had similar numbers of figures. To compare the readability of the articles, we used the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FGL) analyses in Microsoft Word. Both tests evaluate readability by looking at average sentence length and syllables per word (11). The FGL is based on FRE but rates text on a U.S. school grade level: a rating of 8 means that an eighth grader should understand the document (22). In the fall of 2010, pre- and post- articles had a FRE score of 20.6 and 20.4, and a FGL score of 11.6 and 12.0, respectively. In the spring of 2011, pre- and post- articles had a FRE score of 35.8 and 31.7, respectively, and an identical FGL score of 12.0. Additionally, two colleagues whose research specialties include cell biology determined that, for each semester, the two articles chosen were similar in difficulty. Importantly, we did not tell our colleagues what article would be used as a pretest or posttest.

Student equivalence across semesters

Because we wanted to compare student performance across semesters and sections, we determined whether students came into the course with similar critical thinking skills. To do this, we performed a 2(pretest vs. posttest) × 2(control vs. experimental group) ANCOVA on each measure of critical thinking while controlling for student GPA. This analysis showed that students in the traditional group did not differ from the CREATE group on their pretest critique scores, t(82) = 0.527, p = 0.599, or exam scores, t(82) = 1.174, p = 0.244.

Data analysis

Both instructors involved in the study taught the course using the traditional approach one semester and CREATE the other. This allowed differences between instructors and teaching methods to be separated statistically. Results were analyzed with a four-way mixed analysis of variance (variables: teaching method, instructor, pretest vs. posttest, Bloom’s category). An ANCOVA on student scores further controlled for student GPA.

SALG coding

Using the SALG survey (, we asked students to comment on their present level of interest in the subject, how the class heightened or dampened their interest, how material in the course integrates with their studies, career, and life, and the skills they developed by the end of the course. NED and MST first independently determined salient themes in student answers for both sections. They met to refine the list of themes and compare their coding. This led to a single list of themes (scientific literacy, confidence, nature of science, transfer of critical thinking skills, and critical thinking) and one group of coded student answers. Surveys were stripped of information pertaining to section and semester prior to analysis.

Institutional review board protocols

Approval to conduct this study (exempt status, application 201023) was granted by the Institutional Review Board, UNG.


Discussion of the literature improves students’ ability to critique articles

Because we defined critical thinking as higher-order cognitive skills necessary for analysis and evaluation of data, as well as synthesis of information to create new knowledge or inferences (8, 38), we designed assessments that measure student performance in analysis, synthesis, and evaluation (4, 8). We first assessed student performance in an article critique. Students in the CREATE group showed a 65% increase in performance while traditional students showed a 40% increase (Fig. 1). A mixed 4-way ANOVA of scores combined across categories showed that scores increased significantly at the end of the semester for all students (F = 59.342, p < 0.001), but did not show a significant difference in scores between CREATE and traditional groups (F = 2.931, p = 0.363).

Comparison of mean performance in the article critique assignment for students in the CREATE and traditional groups. Light grey bars represent student pretest score and dark grey bars represent student posttest score. Error bars represent the standard ...

While we did not detect a significant interaction between Bloom’s category and pretest/posttest differences in scores by method (F = 1.456, p = 0.236), we wanted to look at trends for student learning in particular categories. Figure 2 shows similar trends for students in traditional and CREATE groups: analysis and synthesis skills increased, while evaluation did not.

Student performance at the analysis, synthesis and evaluation levels within the article critique exercise. Light grey bars represent student pretest score and dark grey bars represent student posttest score. Error bars represent the standard error of ...

We also designed exam questions at the analysis, synthesis, and evaluation levels in the first (pretest) and final (posttest) exams. While CREATE students showed a modest increase in performance compared to traditional students (Fig. 3), this gain is not significant (F = 2.887, p = 0.093). Additionally, scores for all students increased significantly at the end of the semester, regardless of method used (F = 4.190, p = 0.044). Because the increase in performance was so modest and because there was no significant difference between Bloom’s categories (F = 1.290, p = 0.278), we did not examine trends in individual categories.

Comparison of mean performance in exam questions for students in the CREATE and traditional groups. Light grey bars represent student pretest score and dark grey bars represent student posttest score. Error bars represent the standard error of the mean ...

Grade point average does not influence student critical thinking gains

To determine if GPA influenced student performance, we performed a 2(pretest vs. posttest) × 2(traditional vs. CREATE) ANCOVA on exam and critique scores while controlling for GPA. Students’ scores increased significantly from pretest to posttest on both the critique, F(1,81) = 8.113, p = 0.006, ηp2 = 0.091, and the exam questions, F(1,81) = 364.20, p < 0.001, ηp2 = 0.818, even when the effect of GPA was controlled for. However, there was no significant difference in improvement between CREATE and traditional groups on the critique, F(1,81) = 0.006, p = 0.938, ηp2 < 0.001, or the exam, F(1,81) = 0.106, p = 0.746, ηp2 = 0.001. Therefore, significant learning gains on the critique from pretest to posttest did not differ between the traditional (M = 0.25, SE = 0.02 and M = 4835.21, SE = 412.23, respectively) and CREATE groups (M = 0.25, SE = 0.02 and M = 4789.91, SE = 412.23, respectively). Likewise, the significant learning gains on the exam questions from pretest to posttest did not differ between the traditional (M = 0.55, SE = 0.03 and M = 3.10, SE = 0.07, respectively) and CREATE groups (M = 0.69, SE = 0.03 and M = 3.21, SE = 0.07, respectively).

Student perceptions of gains

Students received an end-of-semester survey asking them to comment on: present level of interest in the subject, how the class heightened or dampened their interest, how they felt the material in the course integrates with their studies, career, and life, and the skills they developed by the end of the course. Students also rated their understanding, skills, attitudes, and ability to integrate knowledge. Four-way ANOVA analysis of scores for questions related to critical thinking (Appendix 5) did not show a difference between students in traditional and CREATE groups (F = 0.148, p = 0.863).

In the traditional group, 83% of students gave positive comments about their current interest in the subject, and 86% of students said the class heightened their interest (Fig. 4). In the CREATE group, 61% of students gave positive comments regarding their level of interest, while 65% felt the class heightened their interest (Fig. 4). The difference in positive comments between groups was made up mostly by students with neutral feelings (Fig. 4). Both sections had low numbers of students with negative feelings.

Student feelings towards the course. Students were asked to comment on their current level of interest in cell biology (Current interest) and their change in interest in the subject matter since the beginning of the semester (Change in interest). For ...

We then coded student answers to determine perceptions of learning gains. Both groups felt they were more critical when looking at information (Critical thinking, red bar, and Transfer of CT skills, green bar, Fig. 5). However, more traditional students felt they had increased critical thinking than CREATE students (16 vs. 11, Skills gained, red bar, Fig. 5). Slightly more traditional students felt they gained scientific literacy skills (12 vs. 9, Skills gained, blue bar, Fig. 5), while slightly more CREATE students felt confident at the end of the course (10 vs. 8, Skills gained, orange bar, Fig. 5). Traditional students mentioned having a better understanding of the process of science more often than CREATE students (purple bars in Fig. 5). Interestingly, 50% more of the CREATE students directly mentioned feeling they could read and analyze literature more proficiently than traditional students (12 vs. 8, Skills gained, blue bar, Fig. 5). Table 4 contains examples of student comments.

Students’ perceived gains. We asked students to comment on their present level of interest in the subject, how the class heightened or dampened their interest, how they felt the material in the course integrates with their studies, career, and/or ...
Sample student comments on the SALG survey.


To our knowledge, this is the first study to perform a controlled, multi-instructor comparison of learning gains from CREATE. Because a previous single-instructor, “pre-experimental” (i.e., lacking a control group) study of CREATE revealed that this method increases critical thinking (18), we hypothesized that use of CREATE in our context would lead to gains in critical thinking skills beyond those of students engaged in a more traditional method.

CREATE and traditional discussions lead to similar gains

Our findings reveal that, while discussion of the literature helps to develop critical thinking, CREATE does not lead to significant gains over a more traditional method, at least in our educational context. While it is possible that our adaptation of CREATE dampened development of critical thinking, the changes we made were minor and unlikely to drastically reduce student learning (Table 2; see Methods for a description of changes). One notable difference between the original and adapted CREATE methods is that our students did not read a suite of articles from the same research group. While this might diminish students’ ability to see the progression of a research project, our assessments did not require students to appreciate the continuity of research. Thus, it is unlikely that this modification had a marked effect on students’ performance in our study.

Importantly, the CREATE method is not a prescribed course—rather it is a combination of pedagogical tools, which our adapted method also utilized (16, 18; Table 2). This adds validity to the comparison between our adapted method and the traditional discussions. It is worth noting that Hoskins and colleagues (2007) used a different assessment of critical thinking from the one we used. It is possible that this led to the difference in results. However, because our definition of critical thinking is widely used (8, 38) and effectively describes skills necessary for scientific thought, our results contribute important information to what is currently known about CREATE.

Why does CREATE not lead to improved learning when compared to traditional discussions? One reason might be that CREATE uses tools like concept maps and diagramming to prompt “meaningful learning,” where the student must reflect on the information provided to actively incorporate concepts into his or her knowledge structure (10, 27). It is conceivable that traditional students also had to practice meaningful learning to answer questions at higher levels of Bloom’s, since these questions require higher order cognitive reasoning. Additionally, CREATE utilized student-centered tools that compel students to take control of the article analysis process. These inquiry-based and student-centered tools can help students become more sophisticated thinkers (21). It is possible that students in the traditional group also had to independently navigate the direction of article analysis to answer complex questions, thus becoming more sophisticated in the way they approach the literature. It would be interesting to determine if crafting discussion questions at lower levels of Bloom’s would negate the gains that the traditional group experienced.

We observed greater gains in the article critique than in exam questions. One potential reason for this is the practice effect inherent in the repeated measures design for critiques. We attempted to reduce the possibility of practice effect in our study by: showing students the instructions for the critique only while they worked on it; having students only perform the critiques once on week 4 and then on week 14; and ensuring that discussions did not include components that mimicked the critique. Therefore, we believe that improvements because of practice effect are unlikely. Another explanation for the lower gains in exam questions is that many other variables may affect student performance on an exam. Performance at higher levels of Bloom’s is dependent on the lower levels of knowledge and comprehension. Thus, if students did not understand a concept that was used in our assessment, or if they did not study a concept, they may not have performed well. On the other hand, the article critique is knowledge-independent, because students had access to the critique article during the exercise, and they could ask the instructor basic conceptual or vocabulary questions.

Interestingly, students in CREATE and traditional groups had similar perceptions of their learning gains. This reflects the results of our two direct assessments of critical thinking. However, CREATE students were more confident about their abilities than traditional students, which mirrors the gains in confidence previously reported (17). This boost in confidence may be beneficial in other aspects of students’ college careers.

Reading the literature as scientific inquiry

Engaging students in scientific discovery leads to important learning gains (5, 6, 1214, 18, 30, 31, 36). However, the question of how reading the scientific literature fits into the student experience remains. Is reading the primary literature akin to scientific inquiry? Should we take time away from other educational experiences to focus on the dissection of primary sources? Several groups argue that student immersion in scientific reading mimics the process of science (18, 29, 37). Given the amount of time scientists spend reading literature (35), and the importance of understanding the literature for the process of science (25), an argument can be made for cultivating scientific literacy. If we strive to forge individuals who can make informed decisions after analyzing scientific data, then engaging them in activities that develop critical thinking and scientific literacy is of the outmost importance.

Our study shows that article discussions improve students’ ability to think critically. Given the value that faculty, educational organizations, and the government place on thinking critically as an educational outcome for STEM majors (2, 7, 23), and given that high school and college students show weak interpretation skills (25, 26, 28), including literature discussions within a required course is an effective way to improve STEM education. While we did not see significant differences in critical thinking between CREATE and traditional students, a preexperimental study of CREATE suggested that this approach leads to a shift in students’ attitudes about science and their epistemological beliefs (17). For this reason, we suggest that instructors carefully weigh the learning goals for their course against the time investment required by the particular literature discussion method.

Concluding remarks

We show that students engaged in literature discussions within a required cell biology course achieve gains in critical thinking in one semester. It will be interesting to investigate if these gains persist or increase in subsequent semesters. As others have described previously (17), CREATE students in our study also reported gaining scientific literacy skills, and they were more confident than traditional students about their ability to read the literature. It remains to be seen if students who engage in discussing the literature develop other facets of scientific literacy, such as understanding the implications of science, knowing what counts as science, the ability to participate in science-based social issues, and knowledge of the risks and benefits of science (25).


  • Appendix 1: Student instructions. Prior to the start of the CREATE discussions, students received detailed instructions that guided them through the process of dissecting the literature (A). Students also received the rubric that instructors used to grade their assignments prior to the due date for the first set of homework. The instructors gave back the graded homework along with the completed rubric (B).
  • Appendix 2: Sample assessment questions. Bloom’s level for each question is specified in italics. Question #2 was adapted from the “Test Bank for Biology,” fifth edition (Campbell, Reece, and Mitchell), Daniel Wivagg, editor, ©1999, Menlo Park, CA.
  • Appendix 3: Student instructions for completing the article critique.
  • Appendix 4: Instrument used to score student article critiques.
  • Appendix 5: Questions that were used in the student end-of-semester survey. Survey was designed using the SALG template (


We thank Frank Corotto and Steve Lloyd for help with statistical analyses, and Tom Nelson for early discussions that helped shape the study. We are thankful to Jenny Knight and Mary Pat Wenderoth for stimulating discussions and critical reading of the manuscript, and to the American Society for Microbiology’s Biology Scholars Program for help with study design. We are grateful to Peggy Brickman and the University of Georgia’s Biology Educators group for their advice and guidance. This study was funded in part through the Department of Biology and the Harry B. Forester Fund – NGCSU Foundation. The authors declare that there are no conflicts of interest.


Supplemental materials available at


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