Author
Department of Internal Medicine, Faculty of Medicine, Imam Khomeini Hospital, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
,
Document Type : Original Article
Abstract
Introduction: Case-based education and problem-based learning are common teaching and learning methods in clinical wards. The aim of this study was to combine these two methods to improve interns' satisfaction with learning approach to common complaints in the medical curriculum.
Materials & Methods: In this study, some of the common clinical problems in the syllabus of the general practitioner curriculum were educated with adherence to the problem by designing appropriate cases (case-based). The cases were designed and presented in small group discussions with step-by-step limited and controlled approach to cases and providing feedback by the educator and prepare opportunities for reflection. The survey was evaluation of the interns' satisfaction by a Questionnaire.
Results: Among 65 interns who completed the survey, more than three-quarters were fully satisfied with the impact of this training method in approach to the patient complaints. The training program encouraged 80% of interns to obtain accurate vital signs in patients with dyspnea.
Conclusion: The method of combining problem-based learning with case-based education is effective according to interns' opinions about improving their attitude in approach to the patients' problems and can be used as an attractive tool in clinical education. This time-consuming method requires experienced faculty members proportionate to increasing the number of medical students.
- Jyothirmayi R. Case-based discussion: Assessment tool or teaching aid? Clinical oncology (RCR (Great Britain)). 2012; 24 10:649-53.
- Ghafourifard M, Haririan Hr, Aghajanloo A. The opinion of nursing student about case-based teaching method and comparison with lecture. FMEJ. 2013; 3(1):8-12.
- Ahmadi F, Nashibi R. Evaluation of Case-based teaching in the education of theoric course of infectious disease in Jondishapoor university of Ahwaz. AJUMS. 2014; 5(2):88-92 [In Persian].
- Curriculum-MD-13960501_0.pdf [Internet]. IUMS. 2018. Curriculum-MD-13960501_ 1(1).pdf (iums.ac.ir)
- Cen XY, Hua Y, Niu S, Yu T. Application of case-based learning in medical student education: a meta-analysis. Eur Rev Med Pharmacol Sci. 2021; 25(8):3173-81.
- McLean SF. Case-Based Learning and its Application in Medical and Health-Care Fields: A Review of Worldwide Literature. J Med Educ Curric Dev. 2016; 3:39-49
- Alhazmi A, Quadri MFA. Comparing case-based and lecture-based learning strategies for orthodontic case diagnosis: A randomized controlled trial. JDE. 2020; 84(8):857-63.
- Li S, Yu B, Yue J. Case-oriented Self-learning and Review in Pharmacology Teaching. AJMS. 2014; 348(1):52-6.
- Hamdan AR, Kwan CL, Khan A, Ghafar MNA, Sihes AJ. Implementation of Problem Based Learning among Nursing Students. IES. 2014; 7:136-42.
- Sandars J, Murdoch-Eaton D. Appreciative inquiry in medical education. Medical Teacher. 2017; 39(2):123-7.
- Williams B. Case based learning—a review of the literature: is there scope for this educational paradigm in prehospital education? EMJ. 2005; 22(8):577-81.
- Irby DM. Three exemplary models of case-based teaching. Academic medicine: AAMC. 1994; 69(12):947-53.
- Eissa S, Sallam RM, Moustafa AS, Hammouda AMA. Large-scale application of case-based learning for teaching medical biochemistry: a challenging experience with positive impacts. Innovation and Education. 2020; 2(1):1.