Role of case structure and prior experience in a case-based surgical clerkship
| Autor: | Angela M. O'Donnell, Alan J. Spotnitz, Paul R. Mehne, John P. Sutyak, Robert Lebeau |
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| Rok vydání: | 1996 |
| Předmět: |
Student perceptions
Clinical clerkship Random allocation medicine.medical_specialty Medical education Educational measurement business.industry Teaching education Clinical Clerkship General Medicine Surgery Diagnosis Differential Random Allocation General Surgery Medicine Humans Educational Measurement business Curriculum Multiple choice |
| Zdroj: | American journal of surgery. 172(3) |
| ISSN: | 0002-9610 |
| Popis: | Background As case-based methods replaced lectures in a surgical clerkship, the influences of case structure and prior experience on learning were investigated. Methods Early and late third-year students randomly received different cases. “Structured” cases had data presented and summarized. “Unstructured” cases required questions to faculty for information. Multiple choice tests and differential diagnosis activities were administered. An attitudinal questionnaire gauged student perceptions. Results In both multiple choice and differential diagnosis activities, the late rotation, “unstructured” group scored higher than the “structured” group. Conversely, the early rotation, “unstructured” group scored lower than the “structured” group. Combined, rotation, and structure significantly affected both multiple choice and differential diagnosis activities (ANOVA, P ≤0.02). Early rotation, “unstructured” students described a more enjoyable experience, despite lower evaluation scores. Conclusions Surgical clerkship case-based learning is profoundly affected by case structure and prior clinical experience. Case-based curriculum should be tailored to accommodate these interactions. |
| Databáze: | OpenAIRE |
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