Original Research Article
Year: 2019 | Month: September | Volume: 9 | Issue: 9 | Pages: 1-8
Effectiveness of Case Based Learning in First MBBS Students in Physiology:an Educational Strategy to Promote Clinical Diagnostic Reasoning
Dr. Sunita Milind Tiwale1, Dr.Vaishali Santosh Patil2, Dr. Padmaja Rajey Desai3, Dr. Amruta Nitin Kumbhar4
1Professor, Dept of Physiology, D. Y. Patil Medical College, Kolhapur -416006 (MS)
2Professor, Dept. of Biochemistry, D. Y. Patil Medical College, Kolhapur 416006 (MS)
3Professor & Head,Dept of Physiology, D. Y. Patil Medical College, Kolhapur -416006 (MS)
4Assistant Professor, Dept of Physiology, D. Y. Patil Medical College, Kolhapur -416006 (MS)
ABSTRACT
Objectives: In the present study relatively new approach, Case-based learning (CBL) was used to teach physiology a basic science. The aim was to assess the effectiveness of case-based learning in the first MBBS students. The objectives were to develop interest, motivation for learning physiology & to enhance comprehension, reasoning skills & retention of knowledge in the students.
Methods: Mixed method study was conducted in the department of Physiology.138 students were examined after traditional teaching & case-based technique by MCQs, pretest & posttest respectively. Scores of the two tests were compared for students’ comprehension. Students & faculty feedback evaluated the teaching method using Likert scale. Retention of knowledge was assessed after one month using MEQ. Paired t test & one sample test were used to analyze differences.
Results: The student’s performance in MCQ tests was statistically significantly better after CBL (Mean± SD,10.00735 ± 1.964486)than after traditional teaching (Mean± SD, 7.698529 ±2.168187) (Paired t test, p- value of < 0.05 ). Mean± SD of MEQ was 5.937984 ± 2.108398,(p value < .25 as compared to CI). In students feedback 99% considered CBL more informative and motivating session.96% agreed that CBL encourages active learning, develops communication & teamwork skills. 84% acknowledged that it develops clinical reasoning, attitudes & interpersonal skills. Facilitators’ feedback stated CBL useful for developing interest, improving understanding & clinical reasoning of the students.
Conclusions: Students performance & strong preference for CBL inferred more modules of CBL should be implemented in medical education.
Key words: Case based learning (CBL), Multiple choice questions (MCQs), MEQ’s (modified essay questions), Clinical reasoning.