Department of Physiology, Kanachur Institute of Medical Sciences, Mangalore, India.
Department of Biochemistry, Srinivas Institute of Medical Sciences and Research Center, Mukka, Mangalore, India.
BMC Med Educ. 2024 Nov 18;24(1):1324. doi: 10.1186/s12909-024-06355-5.
The authors aim to evaluate the perception, strengths, and challenges in the implementation of "Clinical Laboratory Shadowing" as an elective module for third-year professional medical students.
Clinical Laboratory shadowing is an elective module designed by the faculty of Biochemistry for Phase III part-2 medical students. The elective comprises modules explaining the functioning of the Biochemistry Laboratory in a hospital. The students are provided insights into the different processes involved in laboratory testing. They are taught about total quality management of the Biochemistry Laboratory. Thirteen students from Batch 2019 and eight students from Batch 2020 volunteered to attend the elective. Students' feedback regarding the learning was analyzed with the help of a questionnaire. Pre-test and post-test questions were evaluated to test the knowledge gained during the elective. Two focus group discussions were conducted regarding the benefits and areas for improvement for the elective.
Following the elective module there was a significant improvement in the test score compared to baseline. A majority (84-95%) of students perceived that the shadowing elective was well planned, and materials were well prepared, there was appropriate engagement with the facilitators, gained knowledge on the principles of total quality management, good laboratory practices, disease process, and diagnosis. Most (53-74%) of the students felt that this elective was not monotonous and not difficult. Around 84-95% of students felt that this elective module enhanced the importance of interprofessional communication and teamwork. Moreover, through focused group discussions, several recurring themes emerged. Among these, the scope for improvement within the module is profound. The faculties were of the opinion that the shift from conventional training to competency-based learning was effectively embraced by the students, underscoring the importance of consistent small group activities in the module to enhance the skills of Good laboratory practices. The students expressed a desire for additional clinical correlation and interpretation classes in the elective module, showing their preference for student-centred clinically oriented learning.
The current study concludes that including an elective module on Clinical laboratory shadowing is an overall positive experience for medical students in enhancing their knowledge of basic sciences and application of the concepts in diagnosing cases. This elective may be desirable to adopt in other medical colleges in India.
本研究旨在评估医学生三年级专业选修课程“临床实验室跟班学习”的实施感知、优势和挑战。
临床实验室跟班学习是生物化学系为第三阶段 2 部分医学生设计的选修模块。该选修模块包括解释医院生化实验室功能的模块。学生深入了解实验室检测的不同过程。他们学习生物化学实验室的全面质量管理。2019 届 13 名学生和 2020 届 8 名学生自愿参加该选修课程。通过问卷调查分析学生对学习的反馈。通过预测试和后测试问题评估选修课程中获得的知识。针对该选修课程的优势和改进领域进行了两次焦点小组讨论。
在参加选修课程后，考试成绩与基线相比有显著提高。大多数学生（84-95%）认为跟班选修课程计划周密，材料准备充分，与导师的互动适当，获得了全面质量管理、良好实验室规范、疾病过程和诊断方面的知识。大多数学生（53-74%）认为该选修课程不单调，也不难。大约 84-95%的学生认为该选修课程模块增强了跨专业沟通和团队合作的重要性。此外，通过焦点小组讨论，出现了几个反复出现的主题。其中，该模块的改进空间很大。教师认为学生有效地接受了从传统培训到基于能力的学习的转变，这突显了在模块中进行持续的小组活动以增强良好实验室规范技能的重要性。学生希望在选修课程中增加临床相关和解释课程，表明他们更喜欢以学生为中心的临床导向学习。
本研究得出结论，为医学生开设临床实验室跟班学习选修课程是增强他们对基础科学知识的理解和应用于诊断病例的综合积极体验。印度其他医学院可能希望采用这种选修课程。
