A Win-Win for all? A Qualitative students’ perspective about online Case-based Learning in clerkship Gynaecology and Obstetrics

Abeera Fatima, S. Rafique, Rakia Aslam
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Abstract

Introduction: Clinical teaching is a complex entity that poses many challenges to medical educators. During the COVID-19 pandemic, medical education saw a major shift towards online pedagogical methods which led to a significant query regarding their effectiveness. In order to ensure effective clinical teaching, case-based learning was adopted as the major educational tool in most Institutes. However, not much data is available regarding the effectiveness and student perceptions about such online case-based learning.Objective: The objective of the study is to explore and analyze perceptions of medical students regarding the effectiveness of case-based learning and how does this perception compare with similar studies done for face-to-face case-based learning.Method: The qualitative explorative research design was used to explore the perceptions of 21 medical graduates who had attended online case-based learning sessions during 8 weeks of their clerkship in Gynecology and Obstetrics. The study was conducted at The University of Lahore from June 2020 to August 2020. Sampling was done through purposive, non-probability sampling. Participants underwent Semi-structured interviews, that were audio-taped and manually transcribed. Thematic analysis was done using the constant comparative method through open and axial coding.Results: Findings from the participants’ responses converged on three main themes, through which case-based learning helps students. Students reported that online case-based learning provided them with “Cognitive Avails”, helped them with providing“Efficient Patient Care” and created an enhanced “Sense of Commiseration”.Conclusion: This study provides evidence that the online case-based learning sessions were perceived to be equally effective as face-to-face case-based learning by students. In light of the study findings, it is concluded that well-constructed and interesting clinical cases can be efficiently delivered online and can result in achieving desired learning objectives by students. KEYWORDS: Online learning, case-based learning, Perception, Medical Students
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双赢?定性学生对妇产科见习在线案例学习的看法
临床教学是一个复杂的整体,对医学教育工作者提出了许多挑战。在2019冠状病毒病大流行期间,医学教育出现了向在线教学方法的重大转变,这导致了对其有效性的重大质疑。为了保证临床教学的有效性,大多数研究所采用案例学习作为主要的教学手段。然而,关于这种基于案例的在线学习的有效性和学生看法的数据并不多。目的:本研究的目的是探讨和分析医学生对基于案例学习的有效性的看法,以及这种看法与面对面基于案例学习的类似研究的比较。方法:采用定性探索性研究设计,对21名参加过在线案例学习的医学毕业生在8周妇产科见习期间的认知进行调查。该研究于2020年6月至2020年8月在拉合尔大学进行。抽样是通过有目的的非概率抽样进行的。参与者接受了半结构化的访谈,这些访谈是录音和人工转录的。主题分析采用恒定比较法,通过开放编码和轴向编码进行。结果:参与者的回答集中在三个主要主题上,通过案例学习帮助学生。学生们报告说,基于案例的在线学习为他们提供了“认知资源”,帮助他们提供“高效的病人护理”,并增强了“同情心”。结论:本研究提供的证据表明,在线案例学习课程被学生认为与面对面的案例学习同样有效。根据研究结果,我们可以得出结论:构建良好且有趣的临床案例可以有效地在网上发布,并且可以使学生达到预期的学习目标。关键词:在线学习、案例学习、感知、医学生
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