The evaluation of a programmed learning course.
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In studying embryology, understanding of the initial complexities of cell division and patterns of prenatal growth demands ability in three-dimensional comprehension. A programmed reinforcement exercise (PRE) was designed to enable second year medical students to devote their complete attention to the explanatory component of lectures, to highlight salient features in lectures, and to improve the efficiency and active participation component of revision. The programmed reinforcement exercise was used in association with a concurrent programme in gross anatomy and its effectiveness was evaluated by a controlled trial in two consecutive lectures to 142 students. With the t-test and matched pair tabular analysis to assess results, students using the programmed reinforcement exercise achieved significantly higher scores in two 15-item multiple choice tests which were designed to appraise their short-term comprehension and data recall of lecture content.
Two teaching methods were compared: (1) the traditional way with textbooks, practical guidance, personal demonstration, and (2) an integrated multimedia system with text programme, slide-sound-show accompanying the experiment, and lecturer. Two samples of thirty-one students each were classified in twin groups by means of psychological tests. Both groups worked with the identical pretest/post-test and different training procedures. The integrated multi-media system produced highly significant more gain in the theoretical sphere, greater personal confidence, and lower experimental error. Furthermore positive attitude of the students towards the experiment was demonstrated. The improved performance was statistically proved by t-test and covariance analysis.
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Three tape/pamphlet independent learning packages have been constructed to serve the same learning objectives as three conventional lectures on the physiology of the nerve axon. The learning efficacy of each package was compared with that of its companion lecture with the co-operation of fifty first-year medical students in a controlled experiment. The packages were at least as effective as the lectures in generating both short- and long-term attainment of their intrinsic learning objectives. The findings are discussed in relation to learning efficacy, student study time, student acceptability, package preparation time and costing.
Self-teaching programmes in the form of tape/slide sequences have been used in the Department of Anatomy and Experimental Pathology, University of St Andrews, Scotland for a number of years and provide students with taped text and colour projections of two-dimensional drawings or diagrams. Such presentations are intended to replicate the lectures. Like anatomy departments elsewhere, anatomical and pathological specimens in museum pots have a fully-labelled photograph alongside to help identify specific anatomical structures. Recently, fibre optics have been introduced to illustrate anatomical features in prosections or museum specimens as a means of overcoming the drawbacks of a two dimensional illustration. A labelled push-button device has been constructed to illuminate optical fibres in order to identify and pinpoint anatomical structures in wet or dry specimens. Pinpoints of bright light are more readily seen than pin labels which also proved to be unsuitable in certain situations, such as within the skull foramina.
The Ohio State University College of Medicine has offered an independent study curricular option since 1970. This study reports our experience covering 10 entering classes and compares the independent study programme (ISP) students to the students who entered the traditional lecture-discussion programme (LDP). It looks at (a) entering demographic and personality characteristics, (b) academic, clinical and research performance during school and at graduation and (c) practice and career outcomes. The major findings are that, as groups, students from the two curricular programmes are far more alike than different but that the flexibility of an independent study programme provides special options without loss of academic achievement. Individual talents and interests were enhanced and research opportunities have aided recruitment and development of particular students. Independent study students pursued more research during medical school and hold more full-time academic positions in practice. A comparative cost study showed that, once the two programmes are operational, per student operational costs are equivalent. Results of this study indicate, that at Ohio State, the benefits of a two-track system outweigh the additional costs.
This paper reports an attempt to develop self-directed learning skills in second-year medical students by introducing case-based projects into the gross anatomy course at a long-established medical school. The programme and students' responses to a questionnaire completed at the end of the year are presented. Information on the various resources used by students to find information is given. The performance of students in the case-based components of the course has been evaluated and also in the more traditional end-of-year written examination. The data confirm that students have recognized that the projects were about obtaining a deeper understanding of the anatomy, and the programme appears to have promoted the use and study of library texts.
Against a background of problems in delivering rural health care in the Jiujiang district of China, this paper outlines the development of a relevant 3-year SSO (Strengthening the training of clinical skills, Strengthening preventive medicine education, and Optimizing curricular structure) programme at Jiujiang Medical College (JMC). Some comparisons between JMC and the Southern Illinois University School of Medicine (SIUSM) are made, and the possibility of applying problem-based learning to JMC is discussed.
This paper describes the development of a printed distance learning programme by a coordinated team approach. The programme has two components, a resource book and three patient management problem leaflets or challenges and is designed to update general dental practitioners on the management of fissure caries. It includes strategies to meet the educational needs of three groups of general dental practitioners with different educational requirements. It is concluded that the approach described meets the CRISIS criteria for effective continuing education and offers a useful approach to distance learning in dentistry.
Self-directed learning is a natural way for adults to learn. Vocational training for general practice is a preparation for unsupervised clinical work that will be supported, in the main, by continuing medical education. This study uses the Self-Directed Learning Readiness Scale to investigate factors influencing readiness for such learning among a sample of general practice trainees. Three principal factors emerged from analysis: enjoyment and enthusiasm for learning; a positive self-concept as a learner and a factor suggesting the possibility of a 'reproducing' orientation to learning. These factors may reflect approaches to learning in general rather than these adopted for professional learning, but offer helpful pointers for the development of both vocational training and of continuing medical education.
In 1991, the Fiji School of Medicine restructured the training of its medical students, dividing the 7-year course into two phases. Students now undertake a 3-year community-oriented primary care practitioners course, after which they may elect to continue practice in a primary health care role, or to undertake further hospital-based training to complete their medical degree. The course responds to the health needs of the South Pacific, and the local patterns of morbidity and mortality, rather than measuring itself against the curricular demands of its more developed neighbours, Australia and New Zealand. At the same time, the Tropical Health Program of the University of Queensland Medical School responded to demands from the Aboriginal and Torres Strait Islander community to develop primary health care training at degree level. This was intended to complement other strategies undertaken by the Aboriginal and Torres Strait Islander Studies Unit such as the recruitment and support of indigenous students through mainstream health professional education. There was a need to address health priorities that are very different to those of the Australian population as a whole, as well as the sociopolitical and cultural context as it affects both students themselves and health issues in their communities. Both institutions have chosen problem-based teaching/learning as appropriate to their courses, and content is also similar, though with emphases that reflect the differing contexts. The two courses are examples of innovative responses by centres with university medical faculties to specific issues in health education.
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This paper describes the development and structure of an Electronic Study Guide for Oncology (LETSGO) for undergraduate medical students. LETSGO is aimed at clinical students learning about cancer. The subject of the guide is breast cancer and learning objectives cover structure and function, behavioural science, public health and epidemiology and professional and personal values. LETSGO is designed to follow the steps used in problem-based learning. The student is encouraged to carry out individual brainstorming around cases with the issues identified acting as the first step in an educational audit loop. Clear definition of prior knowledge is available by way of interactive features, and hyper-text links to core text and diagrams (including microscopic sections) precede definition of both broad aims and objectives for the module and specific objectives for assessment purposes. Core knowledge is available via hyper-text links. Assessment has three components: open ended questions asking for free text responses linking to 'model' answers; extended matching items linking to 'model' answers and providing peer-referenced feedback as a bar-chart distribution, and an educational audit loop referring back to the original issues identified at the beginning of the package in brainstorming. Clear mapping throughout the guide is a major feature and the student's progress is clearly displayed at each stage of the guide. The program provides dynamic access to the student's existing knowledge base and stimulates new learning based on the student's own learning needs.