Abstract
Background
Integrating theoretical and practical knowledge and stimulating students’ active learning is the most important task of modern and high-quality healthcare education. By analyzing clinical cases, undergraduate medical students are trained to make accurate diagnoses, to choose appropriate therapy based on laboratory results and on adequate diagnostic tests.
Aim
To examine the effect of clinical cases presentations on short-term memory as well as on the student’s and teachers’ evaluation of this method of teaching and learning in undergraduate medical studies.
Methods
A total of 107 students in term 4 and term 5 enrolled in Trinity Medical Sciences University in St. Vincent and the Grenadines participated in this cross-sectional study. At the end of the semester, the students and the faculty were asked to complete a survey to assess their perception of case presentations (10 items, 4-point Likert-type scale, strongly agree to strongly disagree). The results of pre- and post-presentation quizzes were evaluated using the Wilcoxon signed rank test for paired samples.
Results
Term 4 and term 5 students significantly improved their achievement after intervention (Wilcoxon test Z = − 11.282, p < 0.001, and Wilcoxon test Z = − 10.167, p < 0.001, respectively). The analysis of progress among low- and high-performance students in both terms showed a significant increase in performance. Overall, median students’ and teachers’ attitude scores were positive.
Conclusion
Clinical case presentation has a learning potential and facilitates positive interaction between instructors and students and supporting students to become reflective and competent physicians.
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References
Coles C, Holm HA (1993) Toward a theory of medical education. In: Learning in medicine. Scandinavian University Press, Oslo, pp 189–209
Onishi H (2008) Role of case presentation for teaching and learning activities. J Med Sci 24(7):356–360
Ludwig S, Schuelper S, Brown N et al (2018) How can we teach medical students to choose wisely? A randomized controlled cross-over study of video-versus text-based case scenario. BMC Med 16(1):107
Kassirer JP (2010) Teaching clinical reasoning: case-based and coached. Acad Med 85(7):1118–1124
Logan JM, Thompson AJ, Marshak DW (2011) Testing to enhance retention in human anatomy. Anat Sci Educ 4(5):243–248
Larsen DP, Butler AC, Roediger HL (2009) Repeated testing improves long-term retention relative to repeated study: a randomized controlled trial. Med Educ 43(12):1174–1181
Simon P (2011) Case study research: design and method. Eval Res Educ 24(3):221–222
Keen J, Packwood T (1995) Qualitative research; case study evaluation. BMJ 311(7002):444–446
Rikke SA, Rikke PH, Jens S et al (2008) Learning based on patient case reviews: an interview study. BMC Med Educ 8:43
Roediger HL, Kapricke JD (2006) Test enhanced learning: taking memory test improves long-term retention. Psychol Sci 17(3):249–255
Karpicke JD, Roediger HL 3rd (2008) The critical importance of retrieval for learning. Science 319(5865):966–968
Larsen DP, Butler AC, Roediger HL 3rd (2013) Comparative effects of test-enhanced learning and self-explanation on long-term retention. Med Educ 47(7):674–682
Jovanovic D, Kidnie R, Khojasteh J et al (2018) Assessing the benefits of team based learning in the context of a clinical pathology course. Int J Curr Med Pharm Res 4(1):2868–2671
Grol L (2002) Changing physician’s competence and performance: finding the balance between the individual and the organization. J Contin Educ Heal Prof 22(4):244–251
Fox RD (2000) Using theory and research to shape the practice of continuing professional development. J Contin Educ Heal Prof 20(4):238–246
Acknowledgments
We thank all the students and teachers for taking interest in our study.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Jovanovic, D., Gazibara, T., Solanki, R. et al. Perception of health-related case studies in the context of introduction to clinical medicine course: students’ and teachers’ perspective. Ir J Med Sci 189, 373–379 (2020). https://doi.org/10.1007/s11845-019-02036-1
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DOI: https://doi.org/10.1007/s11845-019-02036-1