Study of impact of vertical integration in medical education in a medical college of India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20173839Keywords:
Integrated teaching, Medical education, Assessment toolsAbstract
Background: It is postulated that memory of basic sciences in medical curriculum and its correlation with clinical work among undergraduate students is less than expected, which drives into the dire necessity to vertically integrate the subjects. The aims and objectives of the study were to assess the impact of vertical integration of teaching among medical undergraduate students of a medical college and to assess the perceptions of the medical undergraduate students about the vertical integration of teaching during lecture classes in a medical college.
Methods: Ninety six out of 119 second MBBS students had undergone vertically integrated sessions by six departments of a medical institute on assessment and management of diarrhoea using four interactive methods and two traditional teaching methods during April 2015 to September 2015 among the M.B.B.S. students of Rohilkhand Medical College and Hospital, Bareilly. Inclusion criteria were all the M.B.B.S. 2nd year students of 2013 batch were included in the study. Exclusion criteria were the M.B.B.S. students who were absent on the day of study were excluded. Competency of students was assessed using competency based assessment methods i.e. OSCE, OSPE, DOPS, SAQ and MCQs and their perceptions recorded using Likert’s Scale. Comparative analysis of pre and post-tests was done using paired t-test and ANOVA.
Results: The difference between the mean value of the marks obtained by the medical students using the five assessment tools was found to be statistically significant (p value being <0.05) using paired t-test, showing improvement in competency. Vertical integration was strongly agreed upon as the best method by 45.8% on Likert scale. Comparative analysis of variance (ANOVA) of the assessment tools was also found to be highly significant (p value being <0.05).
Conclusions: The indexed study derives us to a conclusion to incorporate vertical integration in our medical education in order to accomplish higher learning domains.
References
D’ Eon MF. Knowledge loss of medical students on first year basic science courses at the University of Saskatchewan. BMC Med Educ. 2006;6:5.
EL-Bab MF, Sheikh B, Shalaby S, EL-Awady M, Allam A. Evaluation of Basic Medical Sciences Knowledge Retention Among Medical Students. Ibnosina J Med BS. 2011;3(2):45-52.
Cate O, Snell L, Mann K, Vermunt J. Orienting teaching toward the learning process. Acad Med. 2004;79:219-28.
Harden RM. Approaches to curriculum planning. Med Educ. 1986;20:458-66.
Ellis JA, Semb GB, Cole B. Very long-term memory for information taught in school. Contemp Educ. Psychol. 1998;23:419-33.
Sanson-Fisher R, Rolfe I. The content of undergraduate health professional courses: a topic largely ignored? Med Teach. 2000;22:564-7.
Lie N. Traditional and non-traditional curricula. Definitions and terminology. Tidsk Nor Laegeforen. 1995;115:1067-1.
Tabish SA. Assessment methods in medical education. Int J Health Sci. 2008;2(2):3-7.
Allison A. Vanderbilt, Moshe Feldman, Isaac K. Wood. Assessment in undergraduate medical education: a review of course exams. Med Educ Online. 2013;18: 204-38.
Wijnen-Meijer M, Cate OT, Rademakers JJ, Van Der Schaaf M, Borleffs JC. The influence of a vertically integrated curriculum on the transition to postgraduate training. Med Teach. 2009;31:528-32.
Dornan T, Bundy C. Learning in practice: What can experience add to early medical education? Consensus survey. BMJ. 2004;329:834.
Kamalski DMA, TerBraak EWMT, Ten Cate ThJ, Borleffs JCC. Early clerkships. Med Teach. 2007;29:915–20.
Ten Cate O. Medical education in The Netherlands. Med Teach. 2007;28:752–7.