Comparison of OSCE Scores of Surgical Clinical Education after Face-to-face vs. Blended Learning Methods among undergraduate medical students

2021 ◽  
pp. 1-13
Author(s):  
Masood Jawaid ◽  
Lubna Baig ◽  
Syed Moyn Aly ◽  
Admin
Keyword(s):  
Medical Students ◽  
Blended Learning ◽  
Student Performance ◽  
Clinical Education ◽  
Teaching Method ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Learning Program ◽  
Face To Face ◽  
Significant Difference

Abstract Objective: Clinical education is an important component of undergraduate medical education. This study compares the efficacy of blended learning (BL) with contemporary face to face (F2F) teaching among medical students by assessing their OSCE scores at end of clinical posting. Methods: This experimental study was conducted in Dow University of Health Sciences from March to August 2014. Third-year medical students posted in the surgical units were divided into two groups. In the first month, one group in the unit was taught by BL while the second group posted in another unit was taught by F2F teaching. Both groups were assessed by same OSCE. In the second month, teaching method was flipped for both the groups with new learning contents. assessment was by the same OSCE for both groups. Data was analyzed by SPSS version 23 with inferential statistics with independent sample t test. Results: A total of 28 students were assessed at the end of posting OSCE in F2F group and 31 students in blended group. There was significant difference in OSCE score [p value = 0.049] after F2F teaching method (78.01 ± 13.29) as compared to BL (85.12 ± 13.77). The domain of “log book” and “clinical examination” scored higher in F2F as compared to BL group. Conclusion: This study showed that student performance can be improved with a blended surgical learning program. BL has proven to be more effective in comparison to face-to-face teaching alone, even in the setting of skill based curriculum like surgery.

scholarly journals Changing Attitudes towards Occupational Medicine with Blended Learning Methods Is Possible among Medical Students in Spain: A Longitudinal Study

2022 ◽  
Vol 19 (2) ◽  
pp. 878
Author(s):  
Isabel Iguacel ◽  
Begoña Abecia ◽  
José Luis Bernal ◽  
Begoña Martínez-Jarreta
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Blended Learning ◽  
Occupational Medicine ◽  
Teaching Method ◽  
Professional Performance ◽  
Face To Face ◽  
La Mancha ◽  
Before And After ◽  
Changing Attitudes

Medical students generally express a low interest in Occupational Medicine. We aimed to assess the attitudes and changes in attitudes of students towards this area after completing a course on Occupational Medicine in two Medical Universities in Spain (Zaragoza and Castilla-La Mancha). The teaching method included blended learning as a model that used online virtual patient platforms (CASUS) and/or EMUTOM, as well as traditional methods such as face-to-face teaching. A total of 526 students (98 of whom attended the University of Castilla-La Mancha) participated during three academic years (2015–2016, 2016–2017 and 2017–2018). The validation of the questionnaire was carried out using reliability, exploratory and confirmatory factor analysis. For the analysis of internal consistency and discrimination, Cronbach’s alpha was used. The adequacy of the factor analysis was measured by means of KMO, and a correlation matrix was examined by means of Bartlett’s test of sphericity. To identify differences between students before and after completing the course, the Mann–Whitney U-test for independent samples was used. Our results show that despite a negative or neutral attitude towards Occupational Medicine, the acquisition of competences and skills in this area and their training were recognized as fundamental for their future professional performance as doctors in any specialty.

scholarly journals Perception of OSCE as An Assessment Tool in Undergraduate Students of Private Medical College in Karachi, Pakistan

2021 ◽  
Vol 15 (8) ◽  
pp. 2370-2374
Author(s):  
Saba Pario ◽  
Shaista Bashir Anwar ◽  
Zafar Haleem Baloch ◽  
Saira Ghafoor ◽  
Shazia Aftab ◽  
...  
Keyword(s):  
Medical Students ◽  
Undergraduate Students ◽  
Assessment Tool ◽  
Clinical Skills ◽  
Tool Material ◽  
P Value ◽  
Practical Skills ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Significant Difference

OBJECTIVE: To explore the perception of undergraduate students of United Medical and dental college towards objective structured clinical examination as an assessment tool. MATERIAL & METHODS: A cross-sectional observational study included undergraduate medical students, RESULTS: 153 students who completely filled the proforma were included in study among them 31% were male and 69% were females. Mostly agreed that stations in OSCE were simple and easily interpretable and assessed practical skills thoroughly. Majority of students accepted that skills inquired were taught in clinics, stations were according to course and stations were appropriately timed. 66 % confirmed that adequate instructions were provided before exam. 84.31% believed that OSCE is preferable to viva. 57.51% of candidates stated that examiners during OSCE were attentive and gracious but 20.91 % objected it , while 21.57% remained neutral. Almost half of examinees labelled it as comprehensive clinical assessment .Overall, 67.97 % perceived OSCE as demanding and tough assessment. Finally views of students for statement that OSCE is unbiased, reliable and valid were positive in 50.32%.There was a significant difference in the opinion of male and female( p-value is less than 0.05) in statement that OSCE thoroughly assessed practical skills, stations were according to course of instruction, Adequate instructions were provided before exam, superior and preferable to viva, assists in improvement of clinical skills, demanding and tough and finally OSCE was unbiased, reliable and valid CONCLUSION: OSCE was perceived as fair, comprehensive, un-biased format of examination but believed it was more stressful than traditional examination methods . KEY WORDS: Assessment, Attitude, OSCE, Perception, Undergraduate Medical students.

Comparing Blended Learning with Faculty-Led Ultrasound Training: Protocol for a Randomised Controlled Trial (The SIGNATURE Trial)

Praxis ◽  
2020 ◽  
Vol 109 (8) ◽  
pp. 636-640
Author(s):  
Roman Hari ◽  
Kaspar Kälin ◽  
Michael Harris ◽  
Robin Walter ◽  
Andreas Serra
Keyword(s):  
Medical Students ◽  
Randomised Controlled Trial ◽  
Blended Learning ◽  
Teaching Method ◽  
Controlled Trial ◽  
Abdominal Ultrasound ◽  
Undergraduate Curriculum ◽  
Undergraduate Medical Students ◽  
Online Questionnaire ◽  
Randomised Controlled

Abstract. Background: Ultrasound is increasingly used in clinical practice as a bedside tool. As medical graduates first encounter the technique in early residency, ultrasound training needs to be integrated into the undergraduate curriculum. In Switzerland, abdominal ultrasound skills have been taught by a faculty-led, 21-hour course. However, this course does not have sufficient capacity to meet the increasing demand, and there have been doubts about its effectiveness as a teaching method. We therefore developed a 21-hour blended-learning course, comprising five hours of e-learning and 16 hours of near-peer tutoring. This study investigates whether this new teaching format is as good as, or superior to, the faculty-led method. Methods: The SIGNATURE study is an investigator-initiated, two-arm, randomised controlled trial, enrolling 152 medical students at the Universities of Bern, Fribourg and Zurich. Stratified by study site, students are 1:1 randomised to either the blended-learning course or the faculty-led 2.5-day ultrasound course. Students undergo a six-station objective structured clinical examination (OSCE) and complete an online questionnaire immediately after the course and 6 months later. Discussion: If demonstrated to be effective, the blended-learning course would allow an increase in the number of undergraduate medical students that can acquire ultrasound skills before starting their residencies.

Effect of critical thinking training on medical student ability: A longitudinal study (Preprint)

2019 ◽  
Author(s):  
Akbar Soltani Jr ◽  
Mahboobeh Khabaz Mafinejad ◽  
Maryam Tajik ◽  
Hamideh Moosapour ◽  
Taha Bayat
Keyword(s):  
Critical Thinking ◽  
Medical Students ◽  
Thinking Skills ◽  
Critical Thinking Skills ◽  
Influential Factor ◽  
P Value ◽  
Routine Practice ◽  
Undergraduate Medical Students ◽  
Convenience Sample ◽  
Significant Difference

BACKGROUND Teaching critical thinking is one of the main requirements for a successful career in the medical profession. Given that healthcare is an uncertain domain and prone to diagnostic and management errors, improving critical thinking abilities of physicians could be an influential factor in medical routine practice, such as choosing treatment plans, making an accurate diagnosis and reducing the medical errors. OBJECTIVE The aim of the study was to evaluate the effects of holding a longitudinal critical thinking course on medical students’ skills. METHODS A longitudinal descriptive design was used with a convenience sample of 103 students; 91 students participated two times in completing a questionnaire each March from 2013 to 2016. The valid response rate was 88%. Students were asked to complete the California Critical Thinking Skills Test in the week before their first educational session. Posttest data were collected 6 to 8 weeks after the program. RESULTS Ninety-one medical students with the mean age of 20±2.8 years participated in this study. Forty-three of them were male (%47.3). The highest change in both pre and post-test scores was for the analysis part. We have a positive difference in all the subscales but the difference is not significantly meaningful for the inference and deductive part (P-value= 0.28 and 0.42). We found no significant difference between the scores of male and female (P=0.77). CONCLUSIONS The study indicated that teaching clinical thinking to undergraduate medical students could improve their critical thinking skills. Students performed the best in the analysis, inductive reasoning, and evaluation skills and their weakest skill was inference and deductive.

scholarly journals (Dis)Inclination of Iraqi Medical Students Towards Creative Thinking: A Quasi-Experimental Study

2017 ◽  
Vol 9 (11) ◽  
pp. 186
Author(s):  
Nawfal Al-Hadithi ◽  
Ahmed Al-Imam
Keyword(s):  
Experimental Study ◽  
Medical Students ◽  
Creative Thinking ◽  
Medical Knowledge ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Standard Pattern ◽  
Female Ratio ◽  
Significant Difference ◽  
Quasi Experimental

BACKGROUND: There have been several attempts in the past centuries to quantify the human intelligence, many of these attempts were successful. On the other hand, there have been parallel trials to identify and quantify an individual’s creativity. To date, there is no universal definition of creativity nor a quantifying system to measure it with a reliable accuracy.MATERIALS & METHODS: This is a quasi-experimental study in an Iraqi population of undergraduate medical students aged 18-20 years; the male-to-female ratio is 3 to 10. The total number of participants was 195 (n=195) who were allocated into three groups; A, B, and C (nA=67, nB=61, nC=67). Each group was interviewed separately, and the participants were given a choice to either correspond to a quiz on an already taught medical subject or write down ideas (one or more) with creative-innovative potentials. There was no restriction on time, language, or the theme of the topics to be written.RESULTS: There was a significant difference in between the three groups’ tendency to take the quiz (p-value=0.040). However, inter-group and intra-group analyses failed to detect any significant difference in students’ tendencies towards either a creative or a classical form of thinking. Besides, gender was not found to be of a determinant effect on an individual’s tendency towards creativity (p=0.633) or traditional thinking based on an already taught medical knowledge (0.905).CONCLUSION: There were no statistically significant differences in the tendencies of students towards either an original (creative) or a standard pattern of thinking. However, inter-group analyses indicated some substantial differences in students’ affinity towards exploring an already taught medical knowledge.

scholarly journals Undergraduate medical students need more training in craniomaxillofacial surgery: a comparative study between medical and dental students

2017 ◽  
Vol 2 (4) ◽  
pp. 239-245 ◽  
Author(s):  
Lukas B. Seifert ◽  
Jasmina Sterz ◽  
Bernd Bender ◽  
Robert Sader ◽  
Miriam Ruesseler ◽  
...  
Keyword(s):  
Medical Students ◽  
Student Performance ◽  
Dental Students ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Anatomical Structures ◽  
Facial Plastic Surgery ◽  
Craniomaxillofacial Surgery ◽  
Specific Objective ◽  
Facial Plastic

AbstractPurpose:To compare the performance in oral, craniomaxillofacial, and facial plastic surgery (CMF)-specific surgical skills between medical students (MS) and dental students (DS) and hence adjust the current CMF training to student-specific needs. The investigators hypothesized that there would be no performance differences between MS and DS.Methods:The investigators implemented a comparative retrospective item-based analysis of student performance in a CMF-specific objective structured clinical examination (OSCE) from 2008 to 2015. The sample was composed of 1010 MS and 225 DS who completed a standardized CMF training and OSCE. Three OSCE scenarios [management mandible fracture (MMF), management zygomatic fracture (MZF), and structured facial examination (SFE)] were included in the study because learning objectives were equal. Descriptive and bivariate statistics were computed and the p value was set at 0.05.Results:In all of the analyzed OSCE scenarios, DS significantly outperformed MS (MMF p<0.001; MZF p=0.013; SFE p<0.001). DS especially appeared to be better in the correct interpretation of radiological findings (five of seven items, MMF) and the correct allocation of anatomical structures (four of five items, MZF) as well as the symptom-oriented examination of the eye (three of three items, SFE).Discussion and conclusion:DS overall seem to be perform better in typical CMF skills. The reasons for this performance gap could be a more profound knowledge of the facial anatomy as well as a higher awareness for CMF as a related specialty to dentistry. CMF should be included in medical curricula in a larger scale, and possible career paths should be highlighted to MS and DS to raise attraction for the specialty. Further studies should focus on the implementation of modern teaching methods in CMF education.

scholarly journals Penggunaan POE-inqury melalui blended learning terhadap hasil belajar siswa pada pembelajaran materi sistem respirasi

2021 ◽  
Vol 4 (1) ◽  
pp. 44-49
Author(s):  
Triara Noerhandayani ◽  
Suhara Suhara ◽  
Rini Solihat
Keyword(s):  
Blended Learning ◽  
Respiratory System ◽  
P Value ◽  
Multiple Choice Questions ◽  
Gain Score ◽  
Face To Face ◽  
Student Learning Outcome ◽  
Significant Difference ◽  
Level Of Understanding ◽  
Full Face

The purposes of this research were to analyze the improvement of students’ learning outcomes after participating in learning the respiratory system using POE-Inquiry through Blended Learning by Google Classroom. The research used Quasy Experiment Method. The data in this research were collected using multiple-choice questions to find out students’ level of understanding and outcome. The questionnaire supports students’ responses to the lessons. The result shows that the teaching process using POE-Inquiry through Blended Learning by Google Classroom contribute and support the progress of student learning outcome, can be seen with the result of largest of N-gain score index: first of N-gain score as much as 22,2% low category; acquisition of second N-gain score as much as 44,4% in the high category; and third N-gain score as much as 66,7% in the medium category. The result of Mann-Whitney U test on the final posttest found that the p-value (0,548) is greater than α (0.05), so it can be concluded that does not have a significant difference between Blended Learning and without Blended Learning (full face to face). Nearly all students gave positive feedback on learning the respiratory system using POE-Inquiry through Blended Learning by Google Classroom.

scholarly journals Online, face-to-face, or blended learning? Faculty and medical students’ perception during the COVID-19 pandemic: A mixed-method study

2021 ◽  
Author(s):  
Hani Atwa ◽  
Mohamed Hany Shehata ◽  
Ahmed Al-Ansari ◽  
Archana Kumar ◽  
Ahmed Jaradat ◽  
...  
Keyword(s):  
Online Learning ◽  
Medical Students ◽  
Online Education ◽  
Blended Learning ◽  
Mixed Method ◽  
Statistical Significance ◽  
Faculty Members ◽  
Mixed Method Study ◽  
Face To Face ◽  
Significant Difference

Abstract Background: The COVID-19 pandemic forced educational institutions to adopt online methods which were inevitable to keep the continuity of education across all academia after the suspension of traditional educational systems. The aim of this study was to explore the experience of faculty and students of online learning and their preference of the mode of learning after the pandemic.Methods: This is a mixed-method study that encompassed a quantitative component (researcher-made survey consisting of 22 items under three domains) and a qualitative component (focus group discussions). Quantitative data analysis was done, and quantitative variables were presented as means and standard deviations. Paired samples t-test and Chi-square test were used. A p-value ˂ 0.05 was considered as a cut-off point of statistical significance. Thematic analysis of qualitative data was used to code, interpret, and make sense of the data. Results: The mean scores of responses of faculty members and students were in favor of face-to-face and blended learning compared to online learning in all survey items with a statistically significant difference. More than half of the students preferred the face-to-face mode of learning, while most of the faculty preferred the blended mode of learning.Qualitative analysis identified five themes and revealed suggestions that at least 30% of the curriculum could be taught online post-COVID-19. Some aspects of clinically oriented teaching including history taking and case discussions can also be delivered online in the future. Faculty members and students reported that dealing with online education was not difficult, although the transition was not smooth. Conclusion: The study revealed that although online learning is the possible educational adaptation during the pandemic, medical students and faculty still prefer face-to-face and blended modes of learning for their higher benefits.

Knowledge scores in annual and modular curriculum among medical students from Karachi, Pakistan

2021 ◽  
pp. 1-12
Author(s):  
Saher Naseeb Uneeb ◽  
Saima Zainab ◽  
Aneeta Khoso ◽  
Abdul Basit ◽  
Admin
Keyword(s):  
Medical Students ◽  
Time Allocation ◽  
Knowledge Retention ◽  
Community Medicine ◽  
Modular System ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference

Abstract Objective: To compare the knowledge scores of basic medical subjects among undergraduate medical students of annual versus modular system. Methods: A cross-sectional survey was conducted on 4th year undergraduate medical students of annual and modular system of Liaquat National Medical College, Pakistan. Study was conducted from 30th November 2017 to 1st June 2018 for a total of 6 months. Sample size was calculated to be 82 students. The data was collected using a structured questionnaire. The student’s t-test was applied to compare the mean difference of knowledge scores between the two groups. Results: Students in modular system retained better knowledge of anatomy as compared to annual students. While the annual system students retained higher knowledge in the subjects of community medicine and pharmacology. Mean knowledge score for annual was 12.98 (SD±2.92) and semester system students was 13.10 (SD±3.03). There was no significant difference observed in overall mean knowledge scores between the two groups (p-value = 0.85).  Conclusion: Students in the annual system scored higher in pharmacology and community medicine. This highlights the need to address the issues of time allocation and implementation strategies for the subjects in the new system.  There was no difference between overall knowledge scores in each group, hence it cannot be concluded that one system is superior to the other. Keywords: Knowledge retention, annual system, modular system, basic science, knowledge scores. Continuous...

scholarly journals Effectiveness of case scenario-based learning over didactic lectures on teaching pediatric infectious diseases to undergraduate medical students

2019 ◽  
Vol 6 (5) ◽  
pp. 2137
Author(s):  
Rehna T. ◽  
Robin Joseph Abraham
Keyword(s):  
Medical Students ◽  
Infectious Diseases ◽  
Teaching Method ◽  
Academic Excellence ◽  
Undergraduate Medical Students ◽  
Interactive Approach ◽  
Case Scenario ◽  
Significant Difference ◽  
The Mean ◽  
Exam Scores

Background: Case scenario based learning offers an interactive approach in medical education. It can be either as case based or problem based. objectives of  This study compared the effectiveness of Case scenario based learning (CBL) over didactic lectures (DL) among final year part II M.B.B.S students. It also compared the student’s perception between the two methods.Methods: This interventional study was done in the Department of Pediatrics, Al- Azhar Medical College, Kerala for a period of two months. The participants(n=120) were divided into two groups- A and B who had respectively attended three sessions of CBL and DL on Pediatric infectious diseases. A test was conducted at the end of each session and after 2 weeks in the form of SAQs. A questionnaire was given to the participants about their perception. The data was analysed in SPSS 16 using unpaired t test and Mann- Whitney U test.Results: The mean exam scores for immediate tests were 26.04±1.9 and 19.47±2.8 for Batch A and Batch B respectively. The mean exam scores for the test conducted after two weeks showed significant result with 24.0±2.56 and 18.58±4.03 for Batch A and B respectively. Comparison of student’s perception on Likert’s scale about the teaching method yielded significant difference for CBL over DL with p<0.001.Conclusions: Case scenario based learning is an innovative method which is sure to invoke more interest and academic excellence in medical students.

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