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Da J, Ran Y, Pi M, Wu J, Dong R, Li Q, Zhang Q, Zhang X, Zha Y. Application of mini-clinical evaluation exercise for assessing the integrated-based learning during physical diagnostic course. Biochem Mol Biol Educ 2018; 46:417-423. [PMID: 30242954 DOI: 10.1002/bmb.21137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 05/06/2018] [Accepted: 06/05/2018] [Indexed: 06/08/2023]
Abstract
Medical education paradigm has been questioned for the requirements of improving the quality and quantity of medical students. This study was to explore the efficiency of integrated-based learning (IBL) used mini-clinical evaluation exercise (mini-CEX) during physical diagnostics course. One hundred and eleven volunteered students were randomly divided into three groups: lecture-based learning (LBL), case-based learning (CBL), and IBL. Nephrotic syndrome was the teaching content. In the IBL group, students were provided the guideline and additional interpretation from the instructor about the basic knowledge related to disease as vertical integration curriculum. Their performance was evaluated by mini-CEX and theoretical examination, respectively. All subjects have completed the study. The difference of five factors (medical interview, physical examination, clinical judgment, organizational effectiveness, and competence) in mini-CEX between IBL, CBL, and LBL were statistically significant (p <0.05). Sample sizes of below, meets, and above the expectations of mini-CEX in different instructional groups were statistically significant (X2 =17.842, p =0.001). The final exam scores in IBL group and the CBL group were significantly higher than that of LBL group (F =41.553, p =0.000). And the relationship of final exam score only in the IBL group was positive existed with medical interview (R =0.466, p =0.004), physical examination (R =0.328, p =0.048), professional attitude (R =0.366, p =0.026), and communication skill (R =0.412, p =0.011). Therefore, our study revealed the effect of IBL on the medical students' skills. It highlights IBL could improve the physical examination, organizational effectiveness, and competence and the application of basic knowledge. © 2018 International Union of Biochemistry and Molecular Biology, 46(5):417-423, 2018.
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Affiliation(s)
- Jingjing Da
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Yan Ran
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Mingjing Pi
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Jing Wu
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Rong Dong
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Qian Li
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Qian Zhang
- Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Xiangyan Zhang
- Department of Clinical Education, People's Hospital of Guizhou Province, Guiyang, Guizhou, 550002, China
- Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
| | - Yan Zha
- Renal Division, Department of Medicine, People's Hospital of Guizhou Province,Guiyang, Guizhou, 55002, China
- Department of Diagnostics, Medical College of Guizhou University, Guiyang, Guizhou, 550002, China
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