Medical education. Early learning.
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Biomedical subjects
Publications and source records attributed to M Seabrook.
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A range of structured learning packs (SLIPs) has been developed for third-year medical students undertaking a community medicine firm at King's College School of Medicine and Dentistry (KCSMD). The aim of the packs is to provide materials for independent learning by students to complement teaching by general practice tutors. An approach to the development of this method of learning is described. A tutor working alongside students designed, tested and revised exercises that were developed into learning packs. Tutors who piloted the packs found that they offered flexibility and versatility in a general practice setting. The active learning exercises were enjoyed by students, who particularly valued tasks that fulfilled a genuine practice need. The packs allowed tutors and students to use their contact time more effectively by promoting discussion of concepts and issues rather than basic clinical information. A formal evaluation programme is planned with the aim of extending use of the packs onto other clinical medical firms.
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Barrett's esophagus is a premalignant condition that may often pass unrecognized in clinical practice. In adults, this condition is generally believed to be caused by chronic gastroesophageal reflux resulting in a metaplastic change in the epithelium of the esophagus. Diagnosis of Barrett's esophagus is established by careful biopsy of the involved esophageal mucosa. Periodic surveillance is recommended because of the risk of carcinoma. Antireflux surgery has not been shown to result consistently in the regression of the metaplastic epithelium, but potent acid suppression offers a new therapeutic approach that leads to healing of esophagitis and the potential regression of Barrett's epithelium.
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