Abstract
Objective: To assess the effectiveness of a structured training program in Paediatrics during the clinical posting of final term undergraduates. Methods: 250final term undergraduate studentsdivided into 5 batchesparticipated in the study. They were given a pretest questionnaire on specific topics and scored for a maximum of 10. The answers were corrected by 2 different examiners. The overall scores were categorized as poor ( 7). A four week structured training program of 10 topics of Paediatrics was designed. It consisted traditional formats of teaching modules like general clinics, bedside clinics, ward rounds, procedures and therapeutic discussions.To maintain continuity and reinforce learning, a topic was selected as a theme of the day and various aspects of this topic were dealt with, during the interactions in the above modules.At the end of 4 weeks the post test (same questions and format of evaluation as pretest) was administered. The data was analyzed using Gamma test and McNemer’s tests. P value of <0.05 was taken as statistically significant.Results: In the pre-test, 77.7% scored poor and none of them had good scores. Post-test poor scores decreased to 8.9% and 23.13% had good scores. Astatistically significant improvement in the performance of the students’ in the post-test was noted as compared to the pre-test.Conclusions: The structured training program which was used in this study resulted in significant improvement in the clinical knowledge of students.
Highlights
Medical schools and teachers have a responsibility to create new knowledge and transfer this knowledge to the students in a way that addresses the social needs of the community [1]
The study was done in the department of Paediatrics from Kasturba Medical College, Mangalore where the students were posted for 4 weeks clinical posting during the final MBBS in the year 2015. 250 students were divided into 5 batches of 50 students each
The same topic was discussed during the bedside clinic and thestudent’s observeddiagnostic and therapeutic procedures concerning that topic in their respective units
Summary
Medical schools and teachers have a responsibility to create new knowledge and transfer this knowledge to the students in a way that addresses the social needs of the community [1]. Quality Paediatric education is required to provide best care for infants, children and adolescents by the medical professionals. Due to the advances in technology and gadgets available new methods have been evolved in class room teaching of undergraduates for better transfer of knowledge. The training program should enhance diagnostic and management skills of the students and in turn help in improving health care delivery. There has been a recent trend to include objective structuredclinical examination scenarios in the clinical teaching paediatric training programs [3]. To our knowledge there has not been any attempt to structure various modules of clinical teaching and integrate their content to cover all important aspects of clinical paediatrics over a time frame of a single clinical undergraduate posting
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