Kandi Venkataramana, Basireddy Parimala Reddy
Department of Microbiology, Prathima Institute of Medical Sciences.
II Mbbs, Prathima Institute of Medical Sciences.
Cureus. 2018 Jan 5;10(1):e2029. doi: 10.7759/cureus.2029.
Introduction Medical education involves training necessary to become a physician or a surgeon. This includes various levels of training like undergraduate, internship, and postgraduate training. Medical education can be quite complex, since it involves training in pre-clinical subjects (anatomy, physiology, biochemistry), the para-clinical subjects (microbiology, pathology, pharmacology, and forensic medicine), and a discrete group of clinical subjects that include general medicine, surgery, obstetrics and gynaecology, ear, nose and throat specialization, paediatrics, cardiology, pulmonology, dermatology, ophthalmology, and orthopaedics, and many other clinical specializations and super specialities (cardio-thoracic surgery, neurosurgery, etc.). Training medical students involves both classroom teaching and practical applications. Classroom teaching is usually confined to didactic lectures, where the teacher unilaterally disseminates the information. This kind of teaching was recently noted to be not very effective in producing better quality medical graduates. The present study aims to introduce problem-based learning (PBL) to teach microbiology to undergraduate medical students and evaluate their perception towards such type of learning. Methods A total of 159 students were included in the study. An informed and oral consent was obtained from each participant, and the study was approved by the institutional ethical committee. All the students included in the study were grouped into 14 groups of 11-13 students. Students were carefully grouped ensuring that each group had a good mix that included different levels of achievers. Students were given a detailed introduction to the exercise before they started it. A questionnaire that consisted of 11 points was given to the students and they were asked to give feedback (strongly disagree, disagree, agree to some extent, agree, strongly agree) both on the functioning of PBL and the tutor performance during PBL. Results The study included a total of 159 students. Among the study participants, 55 (35%) were male and 104 (65%) were female. There was a positive response towards PBL being instrumental in improving cognitive skills as evidenced by the results (females (59%) and males (29%)) (p=0.191). We found that 61% females and 30% males felt that PBL was the best learning technique, as compared to traditional teaching (p=0.241). Most students were happy with the number of students in a group (females (63%) and males (34%)), but a few students felt that there would have been an improvement in the learning process if the groups were smaller (<10 students) (p=0.239). A positive response was given by the students regarding the feedback encouragement provided by the tutor (females (43%) and males (27%)) (p=0.253). Tutor evaluation by the students revealed some interesting observations, which include an agreement by most students that the tutor had completely avoided traditional teaching (females (55%), males (32%)) during the PBL sessions (p=0.001). Conclusion Most students liked PBL as it encouraged group discussions and presentations, which helped in retaining information and improving cognitive skills.
引言
医学教育涵盖成为一名内科医生或外科医生所需的培训。这包括不同层次的培训,如本科、实习和研究生培训。医学教育可能相当复杂,因为它涉及临床前学科(解剖学、生理学、生物化学)、准临床学科(微生物学、病理学、药理学和法医学)以及一系列临床学科的培训,这些临床学科包括普通医学、外科、妇产科、耳鼻喉专科、儿科学、心脏病学、肺病学、皮肤病学、眼科和骨科,以及许多其他临床专科和超专科(心胸外科、神经外科等)。培训医学生涉及课堂教学和实际应用。课堂教学通常局限于讲授式讲座,即教师单方面传播信息。最近发现这种教学方式在培养高质量医学毕业生方面效果不太理想。本研究旨在引入基于问题的学习(PBL)方法来教授本科医学生微生物学,并评估他们对这种学习方式的看法。
方法
本研究共纳入159名学生。获得了每位参与者的知情口头同意,且该研究经机构伦理委员会批准。纳入研究的所有学生被分成14组,每组11 - 13名学生。分组时仔细确保每组学生水平各异,包括不同学习层次的学生。在开始活动前,向学生进行了详细介绍。给学生发放了一份包含11个问题的问卷,要求他们就PBL的运作情况以及PBL期间导师的表现给出反馈(强烈不同意、不同意、在一定程度上同意、同意、强烈同意)。
结果
本研究共纳入159名学生。在研究参与者中,55名(35%)为男性且104名(65%)为女性。结果表明,学生对PBL有助于提高认知技能给予了积极回应(女性(59%)和男性(29%))(p = 0.191)。我们发现,与传统教学相比,61%的女性和30%的男性认为PBL是最佳学习方法(p = 0.241)。大多数学生对每组的学生人数感到满意(女性(63%)和男性(34%)),但少数学生认为如果小组规模更小(<10名学生),学习过程会有所改善(p = 0.239)。学生对导师提供的反馈鼓励给予了积极回应(女性(43%)和男性(27%))(p = 0.253)。学生对导师的评价揭示了一些有趣的观察结果,其中包括大多数学生一致认为导师在PBL课程中完全避免了传统教学(女性(55%),男性(32%))(p = 0.001)。
结论
大多数学生喜欢PBL,因为它鼓励小组讨论和展示,这有助于信息的留存和认知技能的提高。