291 A Quantitative Analysis Of A Novel Methodology On Case Discussions: An Attempt To Evaluate Impact On The Medical Learning Process

Conference: 
Author(s): 
Prats J, Levites M, Moreto G
Brazil
marcelolevites@sobramfa.com.br
Text: 
Aims: Exposure of medical students to large amounts of scientific knowledge in a fragmented way during undergraduate medical education can have negative impacts on later clinical reasoning. Our aim to evaluate the impacts of a novel methodology on clinical case discussions held by medical students.
Material and methods: The Brazilian Society of Family Medicine (SOBRAMFA) promotes monthly scientific meetings in Sao Paulo State Medical Association that bring together students of several medical schools, residents and family physicians. There, interactive clinical case presentations are held. Cases are selected from presenter personal experience. Sessions are performed by 2 undergraduate medical students and coordinated by 2 or 3 professors of family medicine. Dynamics consist of case presentation by students and coordinators making interruptions and questioning the audience about possible diagnoses and management.
Discussions are held on basic knowledge, clinical syndromes, differential diagnoses and so on. Based on the results of a previous qualitative research on good and bad aspects of the discussions, a questionnaire was designed, and offered to participants after the sessions. All answers were presented in a Likert scale from 1 to 5 (very bad to excellent). Questions included, for example, Do you agree that these case discussions help managing and organizing ideas logically? Do you agree that these discussions offer a stimulus to study and improve your medical knowledge?
Results: 85%(100) of the students strongly agree that novel methodology on case discussions help managing and organizing ideas logically and 90%(105) strongly agree that this method is a stimulus to study and improve their medical knowledge.
Conclusion: Novel methodology on clinical case discussions held by medical students is powerful tool to improve logical and integrative medical knowledge.
Literature: 
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A quantitative analysis of a novel methodology on case discussions: an attempt to evaluate impact on the medical learning process