Barriers to Effective Utilization of Teaching-Learning Methods: A Qualitative Study Using Focus Group Discussions among First-Year Bachelor of Medicine, Bachelor of Surgery Students in a South Indian Medical College

Abstract

Background: Lecture, practical, and dissection classes have been the mainstay of teaching in first-year bachelor of medicine, bachelor of surgery (MBBS) courses. Competency-based medical education (CBME) implemented by the National Medical Commission (NMC) in 2019 aims to improve teaching-learning experiences and outcomes. A clear idea about attitudes and perceptions of students toward the present teaching-learning methods will help better implement CBME. Objectives: (1) To find the attitudes and practices of first-year MBBS students toward lecture, practical, and dissection classes, using a focus group discussion (FGD) as a tool of a qualitative study. (2) To analyze the factors that prevent active students from participating in different teaching-learning methods in pre-clinical subjects. Methods: This qualitative study using an FGD was performed after obtaining the Institutional Ethics Committee (IEC) approval in 36 first-year MBBS students, both female and male, divided into six groups. Written informed consent for the audio recording was obtained. A semi-structured interview guide with open-ended questions was used. The FGD was recorded, transcribed in spoken language, and converted into English. Content analysis was performed, key concepts were extracted and coded manually, and common themes were generated. Results: The following seven themes emerged: (1) Attendance being prioritized by students, (2) Note-taking done as a chore during lecture classes, (3) The time duration of the lectures as a hindrance to effective learning, (4) Inadequacy of self-directed learning, (5) Preference of practical sessions over theory sessions, (6) Cell phone usage as a reason for not being attentive in the class, and (7) Interest in interactive methods. Conclusions: This study identifies factors that impede the utilization of teaching-learning methods by medical students. The CBME model addresses many of these problems. Further studies on students under the new curriculum will help refine our teaching-learning methods. The strength of this study is the FGD sessions conducted by a medical student, which would have put the participants at ease.