IMPLEMENTATION OF EARLY CLINICAL EXPOSURE AS A TEACHING-LEARNING TOOL TO TEACH CLINICAL ANATOMY TO PHASE 1 MBBS STUDENTS
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Keywords
Medical Comprehension, Feedback, Intramuscular injections, Lumbar Puncture, Communication, Perception
Abstract
Background: Early clinical exposure (ECE) can bridge pre-clinical and clinical subjects and improve students' comprehension and perception of the subject by making it enjoyable. So, the primary objective of the present study was to assess the impact of ECE on the teaching-learning of phase 1 MBBS students.
Methods: The prospective interventional study was conducted among 1st year MBBS students (n= 180) at the Department of Anatomy, Government Medical College Srinagar, J&K, India. A pretest was conducted, after which ECE sessions comprising lectures, case presentations, hands-on and videos regarding the topic, and a post-test was conducted. The data obtained was analyzed quantitatively by t-test and qualitatively by thematic analysis.
Results: There was a significant difference in pre and post-tests (p < 0.001), showing a gain of cognitive knowledge. The mean and standard deviation of pre and post-tests for the sessions were nerve injuries (3.570, .762), fractures (3.133, 1.115), lumbar puncture (3.468, .644), and intramuscular injections (3.356, .658). The mean values ranged from 2.08 to 3.91. Variability in the data ranged from 1.033 to 1.546 (standard deviation) and 1.067 to 1.441 (variance). As per the feedback analysis, most of the students observed ECE helps to develop an interest in the medical profession (62.1%), change the negative attitude toward basic sciences (58.8%), develop communication skills (54.3%), and correlate clinical diseases with basic science subjects (62.1%).
Conclusion: The ECE program was introduced as an additional teaching approach to reinforce didactic instruction in Anatomy for Phase 1 medical students. The study demonstrated that students enjoyed the experience and perceived that it was valuable.
References
2. Quintanilha LF, Costa GN, Coutinho MR. Medical student perceptions about active methodologies in the study of physiology in medical schools in Salvador, Brazil. Adv Physiol Educ. 2018 Dec 1;42(4):693-696. doi: 10.1152/advan.00105.2018. PMID: 30431321.
3. Başak O, Yaphe J, Spiegel W, Wilm S, Carelli F, Metsemakers JF. Early clinical exposure in medical curricula across Europe: an overview. Eur J Gen Pract. 2009;15(1):4-10. doi: 10.1080/13814780902745930. PMID: 19229784.
4. Medical Council of India Vision 2015. Available from http://www.mciindia.org/tools/ announcement/MCI_booklet.pdf (Accessed on 2nd November 2023).
5. Dehghan A, Amini M, Sagheb MM, Shidmoosavi SM, Nabeiei P. Early clinical exposure program in learning renal physiology. J Adv Med Educ Prof. 2017 Oct;5(4):172-176. PMID: 28979911; PMCID: PMC5611426.
6. Bandyopadhyay R, Biswas R. Students' Perception and Attitude on Methods of Anatomy Teaching in a Medical College of West Bengal, India. J Clin Diagn Res. 2017 Sep;11(9):AC10-AC14. doi: 10.7860/JCDR/2017/26112.10666. Epub 2017 Sep 1. PMID: 29207689; PMCID: PMC5713711.
7. Sharad KPS, Shaheen R. ECE AS A NOVEL TEACHING LEARNING METHOD IN CURRICULUM OF ANATOMY. Int J Anat Res 2015;3(3):1207-11. DOI:10.7860/JCDR/2017/ 26112.10666.
8. Ramachandran K, Chacko TV, Grant J, Bhandary S. Early clinical exposure through innovative interactive clinical anatomy lectures. Natl Med J India. 2015 Nov-Dec;28(6):291-4. PMID: 27294457.
9. Gune AR & Nikam VR, Gaikwaid VS, Dhanaji T W. The effectiveness of early clinical exposure in teaching anatomy: A study among 1 st year medical students. Natl J Clin Anat 2020;9:97-100. DOI:10.4103/NJCA.NJCA_31_20
10. Kar M, Kar C, Roy H, Goyal P. Early Clinical Exposure as a Learning Tool to Teach Neuroanatomy for First Year MBBS Students. Int J Appl Basic Med Res. 2017 Dec;7(Suppl 1):S38-S41. doi: 10.4103/ijabmr.IJABMR_143_17.
11. Vyas R, Jacob M, Faith M, Isaac B, Rabi S, Sathishkumar S, Selvakumar D, Ganesh A. An effective integrated learning programme in the first year of the medical course. Natl Med J India. 2008 Jan-Feb;21(1):21-6.
12. Sathishkumar S, Thomas N, Tharion E, Neelakantan N, Vyas R. Attitude of medical students towards Early Clinical Exposure in learning endocrine physiology. BMC Med Educ. 2007 Sep 5;7:30. doi: 10.1186/1472-6920-7-30. PMID: 17784967;
13. Rawekar A, Jagzape A, Srivastava T, Gotarkar S. Skill Learning Through Early Clinical Exposure: An Experience of Indian Medical School. J Clin Diagn Res. 2016 Jan;10(1): JC01-4. doi: 10.7860/JCDR/2016/17101.7022. Epub 2016 Jan 1. PMID: 26894088; PMCID: PMC4740616.
14. Sheshgiri C, Nanjundaiah K, Chamanahalli AA. Early Clinical Exposure in Anatomy Natl J Integr Res Med 2017: 8(5): 53-56.
15. Tayade MC, Latti RG. Effectiveness of early clinical exposure in medical education: Settings and scientific theories - Review. J Educ Health Promot. 2021 Mar 31;10:117. doi: 10.4103/jehp.jehp_988_20. PMID: 34084864; PMCID: PMC8150058.
16. Duara DK, Baishya DR, Deka D B. Early Orientation of Preclinical MBBS Students in Clinico-radiological Skills. International Journal of Medical Science and Clinical Invention 2020, 7(10), 5053–5059. doi.org/10.18535/ijmsci/v7i10.02.
17. Nitin N, Romi S, Sukhwant B. An insight into the competency-based undergraduate curriculum and its application in ophthalmology. J Clin Ophthalmol Res 2022;10:91-7.
18. Chinmay S. Early clinical exposure- Why and how? Journal of Education Technology in Health Sciences 2018;5(1):2-7.
19. Chandramouli BGS, Nayak MSDP, Valleswary K. A pilot study on Problem-based learning to assess its usefulness in the integration of pre-clinical and para-clinical subject’s knowledge with clinical subjects. WWJMRD 2017;3(8):75-78.
20. Kumar S. Early clinical exposure as perceived by Ist year MBBS students during online sessions – A necessity in Covid era. Journal of education technology in health sciences 2020;7(3):101-105.
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Nowsheeba Khurshid
Assistant Professor, Department of Anatomy, Government Medical College Srinagar, J&K, India
Uzma Rasool
Assistant Professor, Department of Anatomy, Government Medical College Srinagar, J&K, India
Ghulam M. Bhat
Professor of Anatomy, Govt. Medical College Srinagar J&K, India
Ishfaq H. Bhat
Assistant Professor, School of Commerce, Narsee Monjee Institute, Management Studies, Navi Mumbai Maharashtra, India.
Arish N. Shora
Assistant Professor, Department of Anatomy, Government Medical College Handwara, J&K, India