scholarly journals Remember to breathe: teaching respiratory physiology in a clinical context using simulation

2019 ◽  
Vol 43 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Helen L. Bintley ◽  
Alexander Bell ◽  
Rachel Ashworth

Evidence shows that biomedical knowledge is more effectively taught within the medical curriculum by teaching in context, to facilitate learning transfer. The purpose of the present study was to evaluate the effect of combining high-technology simulation and physiology teaching on medical student learning and experience. First-year medical students received respiratory physiology teaching in the form of lectures, problem-based learning, and practical sessions. These students were then given the opportunity to apply their knowledge and problem solve using respiratory-related clinical case scenarios in simulated patients. Student understanding was assessed using a short quiz performed immediately before and after the session. Results revealed that the session significantly improved the mean score on tests (6.97 ± 0.29 vs. 8.22 ± 0.19, P < 0.001). Student evaluation was collected in focus groups, and recurring concepts were extracted from the data. Students reported that the sessions helped to bridge the gap between theory and practice, which aided their learning. In addition, this teaching methodology (simulation) was reportedly patient centered and added to the realism of the simulated scenario, with students stating that this teaching improved their confidence with managing real patients and clinical uncertainty. Simulation has been used extensively to teach clinical skills; however, research regarding its potential for teaching biomedical science within a clinical context is limited. Our study shows that combining high-technology simulation and physiology teaching contributed to an immediate improvement in medical student knowledge and enhanced their ability to make connections between theoretical knowledge and the world of practice.

2020 ◽  
Author(s):  
José Manuel González-Rayas

Medicine is a competitive field, where postgraduate and residency programs are scarce and highly demanded. A key element taken in consideration for the admission to these programs is the number of papers the applicant has published.1 Although nowadays many students are involved in research projects, few publish in scholarly journals.2For instance, a recent article explored the status of the teaching methodology and medical student research statistics in a South Indian Medical Institute.3 A central finding was that medical students considered that innovative teaching methods and discussions should be an important part of the teaching methodology. Furthermore, students felt that research and clinical skills training should also be implemented during their medical formation. Nonetheless, 75.43% of the surveyed students believed that there was not enough guidance or encouragement to conduct research. Consequently, although not directly measured, the student’s publishing rate might also be low. This is a worrying situation that demands a coordinated response from both students and teachers.From a medical student viewpoint, doing research and publishing is an exciting but time-consuming process. A strategy to help palliate this dissonance would be to encourage students to publish the written components, or final extended academic assignments, that they produce for some curricular subjects (Figure 1).4 This could range from the documentation of classroom activities to more thoroughly elaborated reviews of basic or clinical topics.For instance, the authors of the present letter had the chance to collaborate in a systematic review about iron deficiency anaemia.5 The later started as a final assignment and was, after an exciting editorial process, accepted for publication. We believe these types of experiences are valuable, since they encourage the student to directly apply what he or she has learned in class. Moreover, publishing is a powerful strategy to teach abilities that are not part of traditional research courses, such as communicating with the editors and answering the reviewers.4 In addition, medical teachers should also actively encourage their students to do research and publish, since writing an article demands a careful consideration of the previously published literature, which is a central step in the practice of evidence-based medicine.A helpful recommendation would be to work alongside local scientific journals or student journals, since they often seek for the so-called ‘back to the basics’ articles. These are mini-reviews of molecular, physiological or clinical topics, and represent a potential opportunity for students to publish.In summary, publishing is a unique experience that both ensures the achievement of significant learning and strengthens the student’s curriculum. It is the job of medical teachers to apply this new approach, and others like it, to help students transform into the health professionals and researchers our society deserves.


2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Prinsa Shrestha

Medical education provides both knowledge and clinical skills to students. Clinical skills program including bedside teaching is considered an irreplaceable part of the undergraduate medical curriculum. COVID-19 pandemic has halted the delivery of effective clinical skills to medical students which has especially affected the final year students. So, we need to find an alternate approach to teach clinical skills to medical students in this era of COVID-19. This public health crisis has also demonstrated the significance of resilience and adaptability in the medical education system and the need to inculcate these values in our generation of medical students. This will help the students to complete their transition from a ‘student’ to a ‘doctor’. This article highlights the experience of a final year medical student in the pre- and post-COVID-19 period, problems faced by final year medical students during this crisis, and effective ways to cope up with them.


2021 ◽  
Vol 8 ◽  
pp. 238212052098418
Author(s):  
William Beedham ◽  
Kasun Wanigasooriya ◽  
Georgia R Layton ◽  
Ley Taing Chan ◽  
Adnan Darr ◽  
...  

Background: Starting work as a junior doctor can be daunting for any medical student. There are numerous aspects of the hidden curriculum which many students fail to acquire during their training. Objectives: To evaluate the effectiveness of a novel foundation year one (FY1) doctor preparation course focusing on certain core topics, practical tips and components of the hidden curriculum. The primary objective was to improve the confidence level and knowledge of final year medical students transitioning to FY1 doctors. Method: A 2-day, practical course titled ‘Preparation 2 Practice’ delivering hands-on, small-group and lecture-based teaching, covering core medical student undergraduate curriculum topics in medicine and surgery. The course content spanned therapeutics, documentation skills and managing acute clinical tasks encountered by FY1 doctors during an on-call shift. A pre- and post-course survey and knowledge assessment were carried out to assess the effectiveness of the course. The assessment was MCQ-based, derived from topics covered within our course. The 20-question test and a short survey were administered electronically. Results: Twenty students from a single UK medical school attended the course. 100% participation was observed in the pre- and post-course test and survey. The median post-course test result was 22 (IQR 20.25-23.75) which was higher than the median pre-course test score of 18.75 (IQR 17-21.75). A Wilcoxon sign rank test revealed a statistically significant difference between the pre- and post-course test results ( P = .0003). The self-reported confidence score of delegates on starting work as a junior doctor was also significantly higher following the course ( P = .004). Conclusion: The results show a significant improvement in perceived confidence and knowledge on core curriculum topics amongst final year medical students having attended our FY1 doctor preparation course. We conclude that there is scope for similar supplementary courses as an adjunct to the undergraduate medical curriculum.


2015 ◽  
Vol 2 ◽  
pp. JMECD.S17496 ◽  
Author(s):  
Jonathan J. Wisco ◽  
Stephanie Young ◽  
Paul Rabedeaux ◽  
Seth D. Lerner ◽  
Paul F. Wimmers ◽  
...  

A series of three annual surveys of David Geffen School of Medicine (DGSOM) at UCLA students and UCR/UCLA Thomas Haider Program in Biomedical Sciences students were administered from 2010 to 2012 to ascertain student perceptions of which anatomy pedagogy—prosection or dissection—was most valuable to them during the first year of preclinical medical education and for the entire medical school experience in general. Students were asked, “What value does gross anatomy education have in preclinical medical education?” We further asked the students who participated in both prosection and dissection pedagogies, “Would you have preferred an anatomy curriculum like the Summer Anatomy Dissection during your first year in medical school instead of prosection?” All students who responded to the survey viewed anatomy as a highly valued part of the medical curriculum, specifically referring to four major themes: Anatomy is (1) the basis for medical understanding, (2) part of the overall medical school experience, (3) a bridge to understanding pathology and physiology, and (4) the foundation for clinical skills. Students who participated in both prosection and dissection pedagogies surprisingly and overwhelmingly advocated for a prosection curriculum for the first year of medical school, not a dissection curriculum. Time efficiency was the dominant theme in survey responses from students who learned anatomy through prosection and then dissection. Students, regardless of whether interested in surgery/radiology or not, appreciated both pedagogies but commented that prosection was sufficient for learning basic anatomy, while dissection was a necessary experience in preparation for the anatomical medical specialties. This suggests that anatomy instruction should be integrated into the clinical years of medical education.


Author(s):  
Muhammad Bilal Mirza ◽  
Anjiya Sulaiman ◽  
Satwat Hashmi ◽  
Samar Zaki ◽  
Rehana Rehman ◽  
...  

Abstract Objective: To determine perception of medical students about learning from integrated simulated clinical skills sessions in Respiration and Circulation module of Year 1 undergraduate medical curriculum at Aga Khan University. Subjects & Methods: This cross-sectional study was conducted at the Centre for Innovation in Medical Education, Aga Khan University (AKU) from July 2018 to February 2019. Integrated clinical skills session involves use of a combination of live simulated patient and mechanical simulator to teach clinical skills.  These sessions were conducted in Respiration and Circulation Module of MBBS Year I curriculum after which quantitative data was collected by a questionnaire that assessed usefulness of integrated clinical skills teaching method and confidence gained by students. The responses acquired were assessed on a Likert scale ranging from 1-5, (strongly agree -strongly disagree).  Descriptive analysis was performed. A focused group discussion (FGD) with students and an in-depth interview with a facilitator conducting the clinical skills sessions was arranged. Simple verbatim transcription of FGD recordings and thematic analyses was executed. Results: Quantitative analysis showed that more than 90% of the students believed integrated sessions were effective in acquiring the learning objectives and found them enjoyable and motivating. 80% expressed confidence that they had accomplished learning objectives and felt they have learned practical clinical skills. Qualitative analysis revealed that these sessions enhanced understanding of subject matter and student engagement during sessions. Conclusion: Integrated clinical skills sessions improved student interest, engagement and promoted student confidence. It should be implemented in undergraduate medical teaching curriculum. Continuous...


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gozie Offiah ◽  
Lenin P. Ekpotu ◽  
Siobhan Murphy ◽  
Daniel Kane ◽  
Alison Gordon ◽  
...  

2019 ◽  
Vol 43 (4) ◽  
pp. 54-64
Author(s):  
Lúcia Trindade da Silva Mairot ◽  
Beatriz Biasi Gin da Costa ◽  
Thaís Pedrosa Moraes Heringer ◽  
Raquel Camargos Borges ◽  
Eliane Perlatto Moura

RESUMO Introdução A introdução das artes no currículo médico tem despertado interesse crescente, uma vez que estas apresentam qualidades únicas que podem auxiliar no desenvolvimento dos aspectos sociais da prática médica, oferecendo maneiras novas e distintas de exploração do conhecimento e da identidade profissional. Objetivo Avaliar a eficácia da utilização das artes no currículo médico por meio de uma revisão bibliográfica. Metodologia As bases de dados Lilacs, SciELO, PubMed e Eric foram pesquisadas para artigos publicados sobre estudos que tentaram avaliar a eficácia de uma abordagem baseada em artes na educação médica de graduação. Outros artigos foram identificados por meio de busca ativa. Foram utilizados os seguintes descritores (art or visual arts or paintings or literature or narrative or poetry or theatre or movies or films or cinema) AND (medical education or medical student or medical curriculum). Foram incluídos somente os artigos cujo estudo foi realizado com estudantes de Medicina e cuja eficácia da intervenção foi avaliada por comparação entre grupos (estudos quantitativos) ou pela satisfação do estudante de Medicina por questionário (estudos qualitativos). Os artigos selecionados foram lidos na íntegra por dois pesquisadores, de modo a identificar o tipo de arte utilizada na intervenção, o autor, a amostra, a metodologia e a conclusão sobre a atividade relatada. Resultados Foram incluídos 28 artigos no estudo, distribuídos de acordo com o tipo de arte utilizada: (n = 16) artes visuais; (n = 6) literatura; (n = 3) teatro; (n = 3) cinema. As competências educacionais sensíveis às artes relatadas nos estudos avaliados foram: habilidades de observação diagnóstica, trabalho em equipe, reflexão e argumentação; facilitar o aprendizado cognitivo; aspectos humanísticos da medicina (empatia/relação médico-paciente); profissionalismo. Alguns estudos afirmam que as intervenções baseadas em artes são eficazes na alteração de atitudes, entretanto não definiram como esse sucesso foi medido. Nenhum estudo considera os efeitos sobre o comportamento. As evidências para o uso de intervenções baseadas em artes para promover habilidades de observação diagnóstica mostraram ser mais fortes. No entanto, seu efeito em outras habilidades clínicas não foi estudado. Conclusão A arte pode ser uma estratégia facilitadora do aprendizado, uma vez que auxilia o estudante a lidar com a complexidade do ser humano e da saúde humana. Este conhecimento mais amplo sobre a saúde e a doença pode levar à melhoria da relação médico-paciente na prática clínica. Entretanto, devido à natureza qualitativa da maioria dos estudos, baseados principalmente na opinião do estudante sobre as modificações ocorridas em suas atitudes, a eficácia das intervenções nem sempre foi efetivamente demonstrada.


2018 ◽  
Author(s):  
Nadine Abbas ◽  
Utkarsh Ojha

UNSTRUCTURED “Not Just a Medical Student” is an innovative bite-size medical education video series founded and hosted on social media. Its primary aim is to inspire tomorrow’s doctors to be creative while engaging and informing them with the latest innovations, technology, and conferences within various specialties. To our knowledge, these themes are scarcely covered in the structured medical curriculum. Created and launched in August 2017, “Not Just a Medical Student” quickly gained traction; with over 1000 followers on Facebook and a rapidly increasing number of views, it reached the medical community across the globe. The video series features a trailblazer in virtual reality surgery and its potential impact on the evolution of medical education, reviewing future medical technology apps, such as Touch Surgery, and reporting on the latest medical education and health apps. The series engaged in topical medico-politics at the British Medical Association House and reported on global health issues and innovations at the Royal Society of Medicine Conference. The video series has further received several national awards including the Association and Study of Medical Education (ASME) Educator Innovator 2017 award, runner up to the Zeshan Qureshi Outstanding Contribution to Medical Education Award, and the Alternative Docs National Social Media Influencer award. The concept has been presented at international conferences (eg, the Healthcare Leadership Academy conference) and gained international recognition upon personal invitation at the Norwegian Annual Junior Doctors Conference. With the rise of the social media generation, innovative methods to inspire, engage, and inform students contributing to the continuous evolution of medical education should be encouraged and further explored.


Author(s):  
T. Parnikoza ◽  
Y. Trufanov ◽  
N. Svyrydova ◽  
G. Chupryna

Improvement of the course on the topic "Reflexotherapy Specialization" of the lecture material on the topic "Use of reflexotherapy for craniocerebral traumas" would help to solve the problem of reducing the pharmacological burden on patients and, consequently, minimizing possible complications and side effects of pharmacotherapy. The theory and practice of reflexology is accelerated by a physician-clinician, which contributes to the problematic teaching methodology, which is based on the formation of problems in clinical situations, which greatly increases the activity of the students, targets them for practical activity, improves the mastering of the theoretical program. During lectures on the specialty cycle of reflexology, such problem situations are widely used, when the teacher creates a certain contradiction of real facts on the basis of generalized medical knowledge, creates a problematic situation and solves it together with the listeners.


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