DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20193735

Integration of case based learning and bedside teaching in undergraduate students in pediatrics

Suhas P. Kulkarni, Anil B. Kurane

Abstract


 

Background: Teaching undergraduate students by bedside clinics has remained cornerstone of medical education because it imparts knowledge, teaches proper behaviour and can be used to teach skills effectively. Case based learning (CBL) is a newer modality of teaching in medical education. CBL involves preparing students for clinical practice through use of authentic clinical cases.  Aim of the study is to study the effect of integration of case based learning and bed side clinic on motivation, deep thinking and cognitive improvement in final MBBS students

Methods: The study group was undergraduate students of final MBBS posted for clinical posting in pediatric ward. The study was carried out on 59 students posted from March 2018 to September 2018. MCQ based pretest was done initially. The students were taught the topic by case based learning method for one hour. They were asked to take the case and bedside clinic was conducted. Relevant clinical examination was demonstrated to the students. Students were asked to practice the skills in front of the teacher. This was followed by the post-test and   questionnaires.

Results: 88.67% students thought that this method was motivating. 82.7 % students perceived that it increases deep thinking. 52.83% students showed more than 20% improvement in score of pre-test and post-test.

Conclusions: Integration of case based learning with bed side clinic was associated with Better motivation of final year MBBS students and development of deep thinking in students.  3. Significant change in cognitive learning in final MBBS students.


Keywords


Bedside teaching, Case based learning, Deep thinking, Integration, Motivation, Undergraduate

Full Text:

PDF

References


Dent JA, Bedside teaching.In: Dent JA, Harden R, eds a practical guide for medical teachers. 4th ed. Churchill Livingstone Elsevier. 2013:103-111

Saoji V, Supe A, Bedside teaching: teaching clinical skills in Bhuiyan PS, Rege NN and Supe AN, eds. The art of teaching medical students 3rd ed. Mumbai,Elsevier; 151-161.

Peters M, Ten Cate O. Bedside teaching in medical education: a literature review. Perspect on Med Edu. 2014;3(2):76-88.

McLean SF. Case-based learning and its application in medical and health-care fields: a review of worldwide literature. J Med Edu Curricular Develop. 2016:JMECD-S20377.

Medical council of India Regulations on Graduate Medical Education, 1997. (Amended up to July 2017) Available at www.mciindia.org/Rules-and Regulations/GME_REGULATIONS.pdf. Accessed on Feb 2018.

Reddy DS. Case based learning (CBL), a better option to traditional teaching for undergraduate students in curriculum of Paediatrics. Asian J Biomed Pharmaceut Sci. 2015;5(45):39.

Nair SP, Shah T, Seth S, Pandit N, Shah GV. Case based learning: a method for better understanding of biochemistry in medical students. J Clin Diag Res: JCDR. 2013;7(8):1576.

Case based learning. Yale centre for teaching and learning. Available from website https://ctl.yale.edu/facult-resources/strategies-teaching/case-based-learning. Accessed on 19 Feb 2018.

Dubey S, Dubey AK. Promotion of higher order of cognition in undergraduate medical students using case-based approach. J Edu Heal Promot. 2017;6.

Bhardwaj P, Bhardwaj N, Mahdi F, Srivastava JP, Gupta U. Integrated teaching program using case-based learning. Int J Appl Basic Med Res. 2015;5:S24.

Harasym PH, Tsai TC, Hemmati P. Current trends in developing medical students' critical thinking abilities. Kaohsiung J Med Sci. 2008;24(7):341-55.

Pintrich PR, De Groot EV. Motivational and self-regulated learning components of classroom academic performance. J Edu Psychol. 1990;82(1):33.

Entwistle NJ, McCune V, Tait H. The approaches and study skills inventory for students (ASSIST). Edinburgh: Centre for Res on Learn Instr, Uni Edinburgh. 1997.

Garout M, Nuqali A, Alhazmi A, Almoallim H. Bedside teaching: an underutilized tool in medical education. Int J Med Edu. 2016;7:261.

Janicik RW, Fletcher KE. Teaching at the bedside: a new model. Med teach. 2003;25(2):127-30.

Wittich CM, Lopez-Jimenez F, Decker LK, Szostek JH, Mandrekar JN, Morgenthaler TI, et al. Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system. J Gen Int Med. 2011;26(3):293-8.

Ilgüy M, Ilgüy D, Fişekçioğlu E, Oktay I. Comparison of case-based and lecture-based learning in dental education using the SOLO taxonomy. J Dent Edu. 2014;78(11):1521-7.