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Volume 2019, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Problem-based learning (PBL) is an inquiry-based learning strategy which is learner centered and facilitates group discussion and critical thinking. Case-based learning (CBL), which is a more guided approach of PBL, enables students to learn within the context of patients and formulate their knowledge around patients' scenarios. Midweek (MW) activity is an important educational activity in the internal medicine residency program (IMRP). CBL has shown many benefits in postgraduate education. The aim of our study was to describe the implementation of a teaching resident's management of acute medical conditions encountered during their call utilizing the CBL format and to evaluate resident satisfaction with the new teaching style. This study describes the implementation of CBL in residents' education at the IMRP. CBL was introduced in five of the 10 acute medical sessions taught in the noon activity. A mixed-method study was employed using both a structured questionnaire and a focus group to compare the two methods to evaluate the residents' satisfaction and perception of knowledge acquisition. The focus group discussion showed that sessions conducted in CBL format were more engaging, interactive, and resulted in better knowledge acquisition through sharing and peer-to-peer teaching than the traditional lecture format. Thirty-nine out of 83 (47%) residents ranging from PGY2 to PGY4 responded to the survey. Overall satisfaction with CBL was good. Sixty-four percent preferred it over the lecture format; 87% found that they did improve their knowledge; 84% agreed that they were excellent and more interactive. Seventy-nine percent stated that they would like to have this type of teaching in the MW activity sessions. Based on the present study, we conclude that incorporation of CBL resulted in more engagement, interaction, peer-to-peer education, and overall residents' satisfaction. The key elements for a successful implementation of this format are both instructors' and residents' orientation and careful selection of the case scenarios (problems) that trigger the learning process. Incorporation of various teaching strategies in residents' education is mandatory to enhance learning and create excellent educational experiences.

© 2019 Suliman, Al-Mohammed, Al Mohanadi, Karim, Elbuzidi, Mubasher, Rahil, licensee HBKU Press.
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2019-12-17
2024-11-09
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References

  1. Handelsman J, Ebert-May D, Beichner R, Bruns P, Chang A, DeHaan R, et al.  Scientific teaching. Science. 2004; 304:5670:521–522.
     [Google Scholar]
  2. Chi MTH, Glaser R, Rees E. Expertise in problem solving. In: Sternberg RS, ed. Advances in the Psychology of Human Intelligence. Hillsdale, NJ: Erlbaum; 1982:1–75.
  3. Hmelo-Silver CE. Problem-based learning: what and how do students learn? Educ Psychol Rev. 2004; 16:3:235–266.
     [Google Scholar]
  4. Barbour RS. Making sense of focus groups. Med Educ. 2005; 39:7:742–750.
     [Google Scholar]
  5. Thistlethwaite JE, Davies D, Ekeocha S, Kidd JM, MacDougall C, Matthews P, et al.  The effectiveness of case-based learning in health professional education: A BEME systematic review: BEME Guide 23. Med Teach. 2012; 34:6:e421–e444.
     [Google Scholar]
  6. McLean SF. Case-based learning and its application in medical and health-care fields: a review of worldwide literature. J Med Educ Curricular Dev. 2016;3.
     [Google Scholar]
  7. Goldman KN, Tiegs AW, Uquillas K, Nachtigall M, Fino ME, Winkel AF, et al.  Interactive case-based learning improves resident knowledge and confidence in reproductive endocrinology and infertility. Gynecol Endocrinol. 2017; 33:6:496–499.
     [Google Scholar]
  8. Berger G. Needs assessment lessons learned in Qatar: a flipped classroom approach. MedEdPublish. 2019;8(1).
  9. Hagi SK, Al-Shawwa LA. Evaluation of second and fourth year undergraduate medical students' perception and acceptance of the problem-based learning process. Saudi Med J. 2011; 32:10:1060–1065.
     [Google Scholar]
  10. Majeed F. Effectiveness of case-based teaching of physiology for nursing students. J Taibah Univ Med Sci. 2014; 9:4:289–292.
     [Google Scholar]
  11. Barnwell JC, Halvorson JJ, Teasdall RD, Carroll EA. Finding value in surgical didactics: longitudinal resident feedback from case-based and traditional lectures in an orthopaedic residency. J Surg Educ. 2017; 74:1:61–67.
     [Google Scholar]
  12. Ali M, Han SC, Bilal HSM, Lee S, Kang MJY, Kang BH, et al.  iCBLS: an interactive case-based learning system for medical education. Int J Med Inform. 2018; 109::55–69.
     [Google Scholar]
  13. Garvey MT, O'Sullivan M, Blake M. Multidisciplinary case-based learning for undergraduate students. Eur J Dent Educ. 2000; 4:4:165–168.
     [Google Scholar]
  14. Mokadam NA, Dardas TF, Hermsen JL, Pal JD, Mulligan MS, Jacobs LM, et al.  Flipping the classroom: case-based learning, accountability, assessment, and feedback leads to a favorable change in culture. J Thorac Cardiovasc Surg. 2017; 153:4:987–996.
     [Google Scholar]
  15. Savery JR. Overview of problem-based learning: definitions and distinctions. Interdiscip J Problem Based Learn. 2006; 1:1.
     [Google Scholar]
  16. Tawfik AA. Essential readings in problem-based learning: exploring and extending the legacy of Howard S. Barrows. Interdiscip J Problem Based Learn. 2015; 9:2:10.
     [Google Scholar]
  17. Rodriguez-Muñoz D, Alonso-Salinas G, Franco-Diez E, Moreno J, Matía-Francés R, Hernández-Madrid A, et al.  Training in management of arrhythmias for medical residents: a case-based learning strategy. Int J Med Educ. 2016; 7::322–323.
     [Google Scholar]
  18. Holland JC, Pawlikowska T. Undergraduate medical students' usage and perceptions of anatomical case-based learning: comparison of facilitated small group discussions and elearning resources. Anat Sci Educ. 2019; 12:3:245–256.
     [Google Scholar]
  19. Visschers-Pleijers AJSF, Dolmans DHJM, De Leng BA, Wolfhagen IHAP, Van Der Vleuten CPM. Analysis of verbal interactions in tutorial groups: a process study. Med Educ. 2006; 40:2:129–137.
     [Google Scholar]
  20. Bowe CM, Voss J, Thomas Aretz H. Case method teaching: an effective approach to integrate the basic and clinical sciences in the preclinical medical curriculum. Med Teach. 2009; 31:9:834–841.
     [Google Scholar]
  21. De Hei MSA, Strijbos JW, Sjoer E, Admiraal W. Collaborative learning in higher education: lecturers' practices and beliefs. Res Pap Educ. 2015; 30:2:232–247.
     [Google Scholar]
  22. Edmunds S, Brown G. Effective small group learning: AMEE Guide 48. Med Teach. 2010; 32:9:715–726.
     [Google Scholar]
  23. Järvelä S, Volet S, Järvenoja H. Research on motivation in collaborative learning: moving beyond the cognitive-situative divide and combining individual and social processes. Educ Psychol. 2010; 45:1:15–27.
     [Google Scholar]
  24. Flynn AE, Klein JD. The influence of discussion groups in a case-based learning environment. Educ Technol Res Dev. 2001; 49:3:71–86.
     [Google Scholar]
  25. Liu A, Zhou LL, Lam A, Dahlke E. Case-based learning in dermatology. J Cutan Med Surg. 2018; 22:3:273–279.
     [Google Scholar]
  26. Omelicheva MY, Avdeyeva O. Teaching with lecture or debate? Testing the effectiveness of traditional versus active learning methods of instruction. PS Political Sci Politics. 2008; 41:3:603–607.
     [Google Scholar]
/content/journals/10.5339/qmj.2019.17
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It is all about patients' stories: Case-based learning in residents' education
Qatar Medical Journal 2019, 17 (2020); https://doi.org/10.5339/qmj.2019.17
/content/journals/10.5339/qmj.2019.17
/content/journals/10.5339/qmj.2019.17
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  • Article Type: Research Article
Keyword(s): Accreditation Council of Graduate Medical Education, Accreditation Council of Graduate Medical Education- International, case-based learning, problem-based learning and teaching strategies

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