Department of Medical Education, , Islamabad Medical and Dental College, Islamabad, Pakistan.
Department of Ophthalmology, Islamabad Medical and Dental College, Islamabad, Pakistan.
J Pak Med Assoc. 2022 May;72(5):901-907. doi: 10.47391/JPMA.3348.
To explore threshold concepts in a Basic Health Sciences module.
The qualitative study was conducted at the Islamabad Medical and Dental College, Islamabad, Pakistan, in March 2019, and comprised students and faculty members in the gastrointestinal tract module of spiral I of the integrated modular curriculum in Basic Health Sciences. Data on student experiences was collected using semi-structured interviews with open-ended questions. The data was coded and themes were identified by the researchers independently. A thematic matrix was produced, cross-referencing data relating to troublesome areas identified by the students against the threshold concept criteria. The identified themes were discussed among the researchers to reach consensus. Only the identified themes were taken as the expected threshold concepts in the gastrointestinal tract module.
Of the 18 subjects, 14(77.8%) were students and 4(22.2%) were facilitators. There were 8 areas identified by the students as troublesome in the module; development of gastrointestinal tract, anatomical relations, electron transport chain, histology of gastrointestinal tract mucosa, peritoneal disposition, anal canal and ischioanal fossae, peristalsis, and absorption across gastrointestinal tract mucosa. Only development of gastrointestinal tract appeared to cross-match with all the criteria outlined for threshold concepts. The troublesome areas identified by the teachers were development of gastrointestinal tract, peritoneal disposition, anatomical relations, absorption across gastrointestinal tract and peristalsis.
Development of gastrointestinal tract was found to be the threshold concept in the system-based integrated module of gastrointestinal tract. Most of the students found their previous knowledge inadequate in learning concepts of the module.
探索基础医学科学模块中的阈概念。
这项定性研究于 2019 年 3 月在巴基斯坦伊斯兰堡的伊斯兰堡医学和牙科学院进行，参与者包括螺旋 I 综合模块课程中基础健康科学胃肠道模块的学生和教师。使用开放式半结构化访谈收集有关学生经历的数据。研究人员独立对数据进行编码和识别主题。制作主题矩阵，将学生认为困难的领域的数据与阈概念标准相对照。研究人员对确定的主题进行了讨论，以达成共识。只有确定的主题被视为胃肠道模块中的预期阈概念。
18 名受试者中，14 名（77.8%）为学生，4 名（22.2%）为教师。学生认为模块中有 8 个区域存在问题；胃肠道的发育、解剖关系、电子传递链、胃肠道黏膜组织学、腹膜处置、肛管和坐骨直肠窝、蠕动和胃肠道黏膜的吸收。只有胃肠道的发育似乎与阈概念概述的所有标准相匹配。教师认为有问题的领域是胃肠道的发育、腹膜处置、解剖关系、胃肠道的吸收和蠕动。
在基于系统的综合胃肠道模块中，发现胃肠道的发育是阈概念。大多数学生发现他们以前的知识不足以学习模块的概念。
