Formative evaluation through Case-based Discussion method in gynecological diseases internship

Volume 12, Issue 4
Winter 2022
Pages 73-64

Document Type : Original Article

Authors

1 Faculty Member, Nursing and Midwifery Care Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

2 Associate Professor, Center for The Study and Development of Medical Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Abstract
Introduction: The aim of this study was to design and implement case-based discussion method as a formative assessment in gynecology internship among midwifery students of Jiroft University of Medical Sciences.
Materials & Methods: The present study is an interventional study. The midwifery students in Jiroft University of Medical Sciences were entered by census (n = 30).  In this study, case-based discussion method was used in gynecology diseases internship. The purpose of the formative evaluation was to assess the skills of patient management in nine main gynecologydisease. . The content of the assessment included history taking and inquiry of patient complaints and symptoms, differential diagnoses, diagnostic and therapeutic plan. After the evaluation, the feedback was provided to the student. The final evaluation of students was done by direct observation of students’ performances. The learners' satisfaction was assessed by Olson’s questionnaire. Data analysis was performed using SPSS16 software and descriptive tests (mean, SD).
Results: 30 midwifery students participated in this study. Their mean age was 22±1 years. The mean score of students in relation to patient management evaluation was 86±12.72. Students were satisfied with this method. 77/8 % of the students believed that this method helped them during theircareer.
Conclusion: Our results showed that case-based discussion method for midwifery students can be used as an appropriate tool for formative assessment. The method can be used as a suitable method in clinical internships and provide an opportunity to transfer "evaluation from learning" to "evaluation for learning".

Keywords

1. Gottfreethsdottir H, Nieuwenhuijze MJ.
Midwifery education: Challenges for the future in a
dynamic environment. Midwifery. 2018;59:78-80.
2. Khatiban M, Sangestani G, Oshvandi K.
Midwifery students’ experience of role-playing as a
teaching strategy: a qualitative study. 3 JNE. 2014;
3 (1) :61-70.
3. Mohammadi A, Mohammadi J. Survey of
lecturers' opinions about the learning environment
at Zanjan University of Medical Sciences. J of
Medical Education Development. 2014;7(15):117-
26.
4. Hassanzahraii R, Atashsokhan G, Salehi S.
Comparison of correlative factors with effective
clinical teaching from teacher & student insight.
Iranian Journal in Medical Education.
2007;7(2):249-56. [In Persian]
5. Maharlouei N, Moalaee M, Ajdari S, Zarei M,
Lankarani KB. Caesarean delivery in south-western
Iran: trends and determinants in a community-
based survey. Medical principles and practice:
international journal of the Kuwait University,
Health Science Centre. 2013;22(2):184-8.
6. AdibHajbagheri M, Parvizi S, Salsali M. quality
study methods, 1st ed. 2007:27-89.
7. Omidvar s, Bakouee f, Salmalian h. Clinical
Education Problems: the Viewpoints of Midwifery
Students in Babol Medical University. Iranian
Journal of Medical Education. 2005;5(2):15-21.
8 .Ahmady S, Yazdi L. Exploring the Midwifery
Training Challenges in Iran from the Viewpoint of
Faculty Members and Graduates of this Field:
Content Analysis. Journal of Medical Education.
2016;15(2): 82- 9.
9. Pervasive evaluation methods: Study and
development of medical education center of Shahid
Sadoughi University of Yazd. 2018. [In Persian].
10. Primhak R, Gibson N. Workplace-based
assessment: how to use case-based discussion as a
formative assessment. Breathe 2019; 15: 163–166.
11. Bodgener S, Tavabie A. Is there a value to case-
based discussion? Education for primary care : an
official publication of the Association of Course
Organisers, National Association of GP Tutors,
World Organisation of Family Doctors.
2011;22(4):223-8.
12. Olson LG, Coughlan J, Rolfe I, Hensley MJ.
The effect of a Structured Question Grid on the
validity and perceived fairness of a medical long
case assessment. Medical education.
2000;34(1):46-52.
13. Kim S, Phillips W, Pinsky L, Brock D, Phillips
K andb Keary J (2006) A conceptual framework
for developing teaching cases: a review and
synthesis of the literature across disciplines.
Medical Education 40: 867–76.
14. Brown, N., Holsgrove, G., & Teeluckdharry, S.
(2011). Case-based discussion. Advances in
Psychiatric Treatment, 17(2), 85-90.
doi:10.1192/apt.bp.107.003939.
15. Carr S. The Foundation Programme assessment
tools: an opportunity to enhance feedback to
trainees? Postgraduate Medical Journal.
2006;82(971):576-9.
16. Mehta F, Brown J, Shaw N. Do trainees value
feedback in case-based discussion assessments?
Medical teacher. 2013;35(5):e1166-e72.
17. Jyothirmayi R. Case-based discussion:
assessment tool or teaching aid? Clinical Oncology.
2012;24(10):649-53.
18. Mohanaruban A, Flanders L, Rees H.
Case‐based discussion: perceptions of feedback.
The clinical teacher. 2018;15(2):126-31