best practices in learning / mastering clinical subjects in mbbs course
DESCRIPTION
Best practices in Learning / mastering clinical subjects in MBBS course . Prof. M. Daud Khan Dec.17. 2013. Goal & Objective . - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/1.jpg)
Best practices in Learning / mastering clinical subjects
in MBBS course Prof. M. Daud Khan
Dec.17. 2013
![Page 2: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/2.jpg)
Aim at creating the best possible learning and teaching / mentoring environment for medical students/graduates to enable & empower them to translate their dreams into realities.
Goal & Objective
Partnership:Based on TrustStudentsFacultyParents
![Page 3: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/3.jpg)
Focus on emerging concepts in medical education & clinical practice.
Focus on strategies on how to adopt best practices in PIMC
Scope & Purpose
![Page 4: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/4.jpg)
A highly motivated and responsible doctor,
equipped with necessary knowledge, skills and attitudes , committed to life long
learning and application of knowledge;
to meet the current and emerging global needs of patients and populations in a Kind ,
Caring and Compassionate
manner
The dream, the ultimate goal
![Page 5: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/5.jpg)
We will try to educate students to become outstanding clinicians
who have the skills and passion to improve the health of the world’s
people through research, innovation, and leadership.
Mission statement
![Page 6: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/6.jpg)
A set of basic competencies expected from a competent medical graduate ; Physician of
21st Century”Effective Communication.
Basic clinical skills.Using science to guide Diagnosis, Management,
Therapeutics & prevention.Lifelong Learning.
Self-Awareness, Self –Care & Personal Growth.The social & Community Contexts of Health Care.
Moral reasoning& Ethical judgment.Problem Solving.Professionalism
Leadership & Role Recognition.
![Page 7: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/7.jpg)
The Knowledge TriangleIntroduction
Knowledge(Cognitive domain) Skills
(Psychomotor domain)
Attitude(Affective domain)
![Page 8: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/8.jpg)
Acquisition of Knowledge, skill and attitude
Methods and processes of adult learning EvaluationLMS
Introduction
![Page 9: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/9.jpg)
Stages of Maturation
Dependence
Dependence
Interdependence
![Page 10: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/10.jpg)
Knowles six principles:1. Adults are internally motivated and
self directed2. Adults bring life experiences and Knowledge to new learning environments.3. Adults are goal oriented4. Adults are relevancy oriented5. Adults are practical6. Adult learners like to be respected
Principles of Andragogy ( Adult Learning)
![Page 11: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/11.jpg)
Types 0f adult learners Active learners Reflective learners Theoretical learners Pragmatic learners
Andragogy
![Page 12: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/12.jpg)
Pedagogy vs Andragogy
Pedagogy• Learner is Raw
• Learner isDependent
• Curriculum is well structured and
rather rigid• Students are Subject centered• Learning is not logic or relevance
oriented
Andragogy• Learner is experienced
• Learner isIndependent
• Curriculum is more flexible and
learning is need based
• Students are performance
centered• Learning is logic
and relevance oriented
![Page 13: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/13.jpg)
Learning objective. Lecture plan and instructional
strategies. Expected outcomes Tutorial and small group discussions Seminars Symposia's Self directed learning Library E- learning
Class room teaching( LMS)
Class room environmentActive learningFeed backEvaluation ( formative AndSummative)
![Page 14: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/14.jpg)
“I never try to teach my students any thing.
I only try to create an environment where they can learn”
Albert Einstein
![Page 15: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/15.jpg)
Student-centred ---Teacher-centred Problem-based---- Information-oriented Integrated -----Discipline-based Community-based ----Hospital-based Elective ----Uniform Systematic ---Apprenticeship
SPICES Model of Medical Education
![Page 16: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/16.jpg)
Anytime learning Any where learning Any number of times learning Customized to level of assimilation Individual or group learning Interactivity based learning – active
learning Enables group discussion across
geographical barriers. Adaptability and flexibility of the system
Learner centered - benefits
![Page 17: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/17.jpg)
Contents divided into three categories
1. Must learn2. Useful to learn3. Interesting / Nice to
learn
![Page 18: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/18.jpg)
Education Education in the largest
sense is any act or experience that has a formative effect on the mind, character or physical ability of an individual. In its technical sense, education is the process by which society deliberately transmits its accumulated knowledge, skills and values from one generation to another.
![Page 19: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/19.jpg)
Act On Right to Education A right to education has been created
and recognized by some jurisdictions: since 1952, Article 2 of the first Protocol to the European Convention on Human Rights obliges all signatory parties to guarantee the right to education. At world level, the United Nations' International Covenant on Economic, Social and Cultural Rights of 1966 guarantees this right under its Article 13.
![Page 20: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/20.jpg)
Traditional Methods of Teaching Teachers need to understand a subject
enough to convey its essence to students. While traditionally this has involved lecturing on the part of the teacher, new instructional strategies such as team-based learning put the teacher more into the role of course designer, discussion facilitator, and coach and the student more into the role of active learner, discovering the subject of the course.
![Page 21: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/21.jpg)
What is Learning Is a relatively
permanent change in behaviour that comes about as a result of a planned experience Results from the interaction between what we already know, new information we encounter, and what we do as we learn
![Page 22: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/22.jpg)
Education is Changing from Socratic Methods to Cyber Learning
![Page 23: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/23.jpg)
Technology a boon to Education Technology offers
powerful learning tools that demand new skills and understandings of students, including Multimedia, and provides new ways to engage students, such as Virtual learning environments.
![Page 24: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/24.jpg)
Med NET ; OpportunitiesBroadband networkLink medical schools, hospitals, public health centersFor
Tele-educationTelehealthBio-informaticsResearch Grid
![Page 25: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/25.jpg)
Approach to patient. Greetings and introduction Permission for Hx taking and
examination History taking and examination: Present illness Past illness F.H Personal Hx Socio economic history
Bed side teaching, Learn from your Patient.
Listen patiently & carefullyRecordClarifyCross questions
![Page 26: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/26.jpg)
According to Causes: Infectious/ Communicative diseases
Non Infective Diseases( NCDs) Life style Diseases Deficiency Diseases Hereditary Diseases Genetic Diseases
Types of Diseases
![Page 27: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/27.jpg)
General physical Examination: Level of consciousness, level of
Orientation, Any sign of Pain and agony.
Pulse, BP, Skin color, cyanosis, anemia, jaundice, facial appearance, swellings, neck veins, pitting edema.
Lymph nodes Data collection, synthesis and
analysis arriving at History based DX
History taking and examination:
![Page 28: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/28.jpg)
Exam. Of GIS Exam. Of RS Exam. Of CVS Exam. Of NS Exam. Of GUS Sensory organs Data Synthesis, Analysis and arriving
at Provisional DX
Systemic examination
![Page 29: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/29.jpg)
Basic data: Urine CBE Other system based essential
investigations ( Lab., Radiological, Ultrasonic, 3 Ds, etc.) Data Synthesis Data Analysis Arriving at Final Dx.
Relevant investigations
![Page 30: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/30.jpg)
Create a strong habit f co relating your patient S/S , and clinical findings with the typical book picture of the disease.
Note the steps of medical intervention. Note the steps of emergency treatment Note the indications and steps taken for
surgical intervention Explanation to patients /family and The
consent form Carefully read the details of surgical
intervention and co relate it with details in the book
Co relation between theory and practice
![Page 31: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/31.jpg)
Emergency Non Emergency Indoor Out door Ambulatory/ non Ambulatory Criteria for admission Criteria for special care, ICU, Isolation
Management
![Page 32: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/32.jpg)
Management Treatment plan
PrognosisMo
nitoring
progress
Discharge &
Follow up
In Partnership withPatient/ FamilyConsent formInvasiveNon InvasiveUrgencySafe Efficient EffectiveAffordable
![Page 33: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/33.jpg)
Prognostication
![Page 34: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/34.jpg)
Preventive strategy
![Page 35: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/35.jpg)
Discharge & Follow up Home treatment Domiciliary support Letter to primary physician Follow up Transport support
Management
![Page 36: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/36.jpg)
Record keeping Statistical analysis Research Publication Quality Assurance Internal Audit External audit Cost Analysis
Management
QuantityQuality Customer’s satisfaction
![Page 37: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/37.jpg)
Bereavement
EmpathyKindnessCompassion
![Page 38: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/38.jpg)
Monthly Mortality conference Analytical review Negligence Errors of Judgment Letigations Lessons learnt Quality management
Management
![Page 39: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/39.jpg)
![Page 40: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/40.jpg)
Why bother with the future?
The point is not to predict the future but to prepare for it and to shape it
Dr.T.V.Rao MD
![Page 41: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/41.jpg)
Looking to the future: common mistakes
People consistently overestimate the effect of short term change and underestimate the effect of long term change.Ian Morrison, former president of the Institute for the Future
Dr.T.V.Rao MD
![Page 42: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/42.jpg)
Bring in Change or You are Lost ?
If you think that you can run an organisation in the next 10 years as you've run it in the past 10 years you're out of your mind."CEO, Coca Cola
Dr.T.V.Rao MD
![Page 43: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/43.jpg)
Role of Doctor is Changing
Old world: Doctors practice primarily as individuals
New world: Doctors work predominantly in teams
Dr.T.V.Rao MD
![Page 44: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/44.jpg)
Definition of Knowledge is Changing
Old world: Source of knowledge is expert opinion
New world: Source of knowledge is systematic review of evidence
![Page 45: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/45.jpg)
The Learner Is the Center
![Page 46: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/46.jpg)
CME MissionTo providing medical education programs that
are responsive to the needs of physicians and that offer opportunities for ongoing intellectual stimulation and professional renewal.
![Page 47: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/47.jpg)
Medical Informatics Medical informatics has
been also defined as the field that "concerns itself with the cognitive, information processing, and communication tasks of medical practice, education, and research, including information science and the technology to support these tasks
![Page 48: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/48.jpg)
Health (Medical) Informatics a Rapidly developing science
Medical informatics is the rapidly developing scientific field that deals with resources, devices and formalized methods for optimizing the storage, retrieval and management of biomedical information for problem solving and decision making.Edward Shortliffe, M.D., Ph.D. What is medical informatics? Stanford University, 1995.
48
![Page 49: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/49.jpg)
Computer make the Diagnostic-Therapeutic Cycle,
Simplified
Patient
Data collection:-History-Physical examinations-Laboratory and other tests
Decisionmaking
Planning
Information
Diagnosis/assessment
Therapyplan
Data
![Page 50: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/50.jpg)
About.comwww.about.com
The site contains the greatest collections of information on diseases and conditions on the Net. It spans the globe and provides interactive chats and forums for experts and patients to come together. This site not only directs you to outside sources, but also takes each topic and gives you the rundown from top to bottom.
![Page 51: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/51.jpg)
Best Doctors www.bestdoctors.com
Find the best doctors and provide the best content on a site that others can access free of charge. Founded by a man who was diagnosed with an inoperable tumor and wanted the best doctors to treat him, he set out to empower other patients through information.
![Page 52: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/52.jpg)
Healthcommunities.com www.healthcommunities.com
his site is specifically designed to give you disease-related information through what it calls channels. It's one of the most interactive medical portals on the Net, offering chats, discussion forums, and clinical trials. This site enables you to access the world of medicine in seconds.
![Page 53: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/53.jpg)
Health finder www.healthfinder.gov
This government portal opens the world of Internet medicine. Whether it's through tools such as libraries, online journals, or medical dictionaries or hot topics that might interest you, this site delivers quickly and with reliability. A big bonus of the site is that it also provides content in Spanish.
![Page 54: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/54.jpg)
InteliHealth www.intelihealth.com
t's important for a portal to "have it all." This one is a good example. Whether it's drug information, a medical dictionary, or a rundown on a long list of diseases and conditions, Intelihealth is your gateway to top-notch information. It doesn't hurt to have Harvard Medical School's consumer health information tied to the site.
![Page 55: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/55.jpg)
National Institutes of Health www.nih.gov
Contain the leading collection of health research institutes in the world. Whether the topic is allergy and infectious disease or cancer, this is your gateway to health information. You'll find the latest in research and well-written fact sheets and brochures that reach out to inform all.
![Page 56: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/56.jpg)
WebMD www.webmd.com
One of the most heavily marketed portals on the Net, this site stands up to most of the hype. It's nicely divided for different audiences, ranging from patients and doctors to physician assistants to health teachers. It has a robust television service that allows you to watch broadcasts on different health topics.
![Page 57: Best practices in Learning / mastering clinical subjects in MBBS course](https://reader036.vdocument.in/reader036/viewer/2022062501/568163a9550346895dd4bb45/html5/thumbnails/57.jpg)
Thank You