Manglik Niti, Dudrey Ellen F, Baatar Dolgor, Piskurich Janet F
Assistant Professor of Pathology, Department of Medical Education, Texas Tech University Health Sciences Center School of Medicine.
Assistant Professor of Immunology, Department of Medical Education, Texas Tech University Health Sciences Center School of Medicine.
MedEdPORTAL. 2017 May 23;13:10585. doi: 10.15766/mep_2374-8265.10585.
Medical students express frustration that they cannot assemble a comprehensive big picture of how the immune system responds to a microbe and that integration of basic science knowledge, especially across disciplines, with clinical knowledge is difficult. Yet medical student competency requires application of knowledge of immune mechanisms to inform diagnosis and treatment.
A diagram for immune response to extracellular microbes was previously published by MedEdPORTAL in 2011. This diagram has been updated here as a narrated audiovisual module with integrated histopathology. It contains a self-assessment quiz that tests students' understanding of the module followed by a clinical vignette that tests students' ability to apply the concepts in a clinical context. The module was published and usage was tracked via our learning management system. An in-class survey was conducted to gauge students' perceptions of the module.
Eighty-two out of 102 (76%) first-year medical students used the module. Over 85% of survey participants felt that the module was a useful resource for learning and reviewing. More than 90% felt that the module helped them to understand the big picture and identify areas for further study.
This module assembles a big picture of the immunologic mechanisms involved in a bacterial infection. It was created in response to requests and suggestions by preclinical medical students and used for first-year students during the first few weeks of their training in the basic sciences. This approach integrates multiple disciplines and facilitates students' learning and application of difficult concepts in immunology and pathology.
医学生们表示沮丧，因为他们无法拼凑出免疫系统对微生物反应的全面整体图景，而且将基础科学知识，尤其是跨学科的知识与临床知识相结合很困难。然而，医学生的能力要求应用免疫机制知识来指导诊断和治疗。
2011年，MedEdPORTAL曾发布过一张针对细胞外微生物免疫反应的示意图。在此，该示意图已更新为一个带有整合组织病理学的旁白视听模块。它包含一个自我评估测验，用于测试学生对该模块的理解，随后是一个临床案例，用于测试学生在临床情境中应用这些概念的能力。该模块已发布，并通过我们的学习管理系统跟踪其使用情况。我们进行了一项课堂调查，以评估学生对该模块的看法。
102名一年级医学生中有82名（76%）使用了该模块。超过85%的调查参与者认为该模块是学习和复习的有用资源。超过90%的人认为该模块帮助他们理解了整体情况并确定了需要进一步学习的领域。
该模块拼凑出了细菌感染所涉及的免疫机制的整体图景。它是应临床前医学生的要求和建议创建的，并在一年级学生基础科学培训的最初几周用于他们。这种方法整合了多个学科，促进了学生对免疫学和病理学中困难概念的学习和应用。
