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Teaching learning methods
Rakesh Biswas MD, Professor,
Department of Medicine, People's
College of Medical Sciences,
Bhopal, India,

Medical education workshop
People’s College of Medical Sciences
21st October 2008
Problems in Medical Education:
Too much information,
too little time,
too many students in crowded rooms, and
exams that discourage real learning.
Advan. Physiol. Edu. 31: 283-287, 2007
How we learn/learnt…
When we were medical students…
And now…are we still learning or just
teaching?
Teaching learning theory in medical
education suggests that medical students
and physicians will learn best when learning
 Is

in the context of patient care,
 Answers their questions,
 Is not directly applicable to their work,
 Does not take too much time.

“Half of what you are taught as medical students
will in 10 years have been shown to be wrong.”
And the trouble is none of your teachers know
which half.”
So the most important thing to learn is “how to
learn on your own”.

Dr. Sydney Burwell, Dean Harvard Medical
School In: Evidence based medicine, Sackett et
al, 2000: 31
Top down and bottom up
Approaches to teaching learning in
Medical education
The old way of learning, was
knowing what you should know.

BMJ 2003;327:1430-1433
Now the way of learning is knowing
what you don't know, not feeling
bad about it, and knowing how to
find out.

BMJ 2003;327:1430-1433
Uncertainty was discouraged and
ignorance avoided.
Now, uncertainty is legitimized and
questioning encouraged

BMJ 2003;327:1430-1433
Medical education was learning by
humiliation, with naming, shaming,
and blaming. Now, students are
encouraged to question received
wisdom.
BMJ 2003;327:1430-1433
Active learning means:
1) increasing study activity during exam
time
2) learning as a self directed student
generated participatory activity
3) Studying must know factual content
and topping exams
4) Learning and accepting the content
offered by teachers
Teaching/learning methods
Mass instruction

(Conventional lectures and taught lessons;
Film and video presentations;
Educational broadcasts; mass practical work

Individualized learning

(Directed study of texts, study of open-learning
materials; mediated self-instruction; PBLs.)

Group learning

(Class discussions; PBLs, seminars; group
tutorials; games and simulations; group projects;
etc.
Traditional structured text book
learning
Background
…is a …disorder characterized by
increased…
Pathophysiology
…is an acquired abnormality that involves
the…
History
The clinical manifestations of … are
PEOPLE”S COLLEGE OF MEDICAL SCIENCES
DEPARTMENT OF MEDICINE
SESSIONAL EXAMINATION



Time: 3 Hours
Max. Marks: 100
 Answer all questions
Answer each section in a separate answer book.
SECTION – ‘A’

1) A 37-year-old lady, has come with 3 months history of
generalized ill health and a dragging sensation in her left
hypochondria. On examination her spleen is massively
enlarged.
a) What are the possible causes?
b) Describe investigations and treatment.
(4+3+3)
Differentials:
 Myeloproliferative
 Infections
 Storage

disorders
 Hemolytic anemia

disorders
In Problem based learning the role of
the teacher is:
 That

of an active enthusiast in student
learning
 Active instructor who explains all their
student’s queries
 That of a facilitator who talks only
minimally
 Passive mentor who doesn’t take much
interest
Summary:
Learning points-
Create your own method
Summary:
Medical education can be patient
centered
Ample content in our day to day
practice
Formative Assessment needs to be
stressed
To teach individual self-directed
learning competencies, the
following are important:


(1) Situate learners to experience "real" problems;



(2) encourage learners to reflect on their own
performance;



(3) Create an educational atmosphere in clinical training
situations.



(4) Encourage learners to memorize factual content that
is not contextual.
Feedback
Please let me know your thoughts:
1)
2)
3)

Your idea of an ideal teaching learning
method
What were the positive and negative
aspects of this presentation?
Would you go about implementing
patient centered learning in your
curriculum and how?

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Teaching learning method

  • 1. Teaching learning methods Rakesh Biswas MD, Professor, Department of Medicine, People's College of Medical Sciences, Bhopal, India, Medical education workshop People’s College of Medical Sciences 21st October 2008
  • 2. Problems in Medical Education: Too much information, too little time, too many students in crowded rooms, and exams that discourage real learning. Advan. Physiol. Edu. 31: 283-287, 2007
  • 3. How we learn/learnt… When we were medical students… And now…are we still learning or just teaching?
  • 4. Teaching learning theory in medical education suggests that medical students and physicians will learn best when learning  Is in the context of patient care,  Answers their questions,  Is not directly applicable to their work,  Does not take too much time.
  • 5.  “Half of what you are taught as medical students will in 10 years have been shown to be wrong.” And the trouble is none of your teachers know which half.” So the most important thing to learn is “how to learn on your own”. Dr. Sydney Burwell, Dean Harvard Medical School In: Evidence based medicine, Sackett et al, 2000: 31
  • 6. Top down and bottom up Approaches to teaching learning in Medical education
  • 7. The old way of learning, was knowing what you should know. BMJ 2003;327:1430-1433
  • 8. Now the way of learning is knowing what you don't know, not feeling bad about it, and knowing how to find out. BMJ 2003;327:1430-1433
  • 9. Uncertainty was discouraged and ignorance avoided. Now, uncertainty is legitimized and questioning encouraged BMJ 2003;327:1430-1433
  • 10. Medical education was learning by humiliation, with naming, shaming, and blaming. Now, students are encouraged to question received wisdom. BMJ 2003;327:1430-1433
  • 11. Active learning means: 1) increasing study activity during exam time 2) learning as a self directed student generated participatory activity 3) Studying must know factual content and topping exams 4) Learning and accepting the content offered by teachers
  • 12. Teaching/learning methods Mass instruction (Conventional lectures and taught lessons; Film and video presentations; Educational broadcasts; mass practical work Individualized learning (Directed study of texts, study of open-learning materials; mediated self-instruction; PBLs.) Group learning (Class discussions; PBLs, seminars; group tutorials; games and simulations; group projects; etc.
  • 13.
  • 14. Traditional structured text book learning Background …is a …disorder characterized by increased… Pathophysiology …is an acquired abnormality that involves the… History The clinical manifestations of … are
  • 15. PEOPLE”S COLLEGE OF MEDICAL SCIENCES DEPARTMENT OF MEDICINE SESSIONAL EXAMINATION  Time: 3 Hours Max. Marks: 100  Answer all questions Answer each section in a separate answer book. SECTION – ‘A’ 1) A 37-year-old lady, has come with 3 months history of generalized ill health and a dragging sensation in her left hypochondria. On examination her spleen is massively enlarged. a) What are the possible causes? b) Describe investigations and treatment. (4+3+3)
  • 16. Differentials:  Myeloproliferative  Infections  Storage disorders  Hemolytic anemia disorders
  • 17. In Problem based learning the role of the teacher is:  That of an active enthusiast in student learning  Active instructor who explains all their student’s queries  That of a facilitator who talks only minimally  Passive mentor who doesn’t take much interest
  • 18.
  • 20.
  • 21.
  • 22.
  • 23. Create your own method
  • 24.
  • 25. Summary: Medical education can be patient centered Ample content in our day to day practice Formative Assessment needs to be stressed
  • 26. To teach individual self-directed learning competencies, the following are important:  (1) Situate learners to experience "real" problems;  (2) encourage learners to reflect on their own performance;  (3) Create an educational atmosphere in clinical training situations.  (4) Encourage learners to memorize factual content that is not contextual.
  • 27. Feedback Please let me know your thoughts: 1) 2) 3) Your idea of an ideal teaching learning method What were the positive and negative aspects of this presentation? Would you go about implementing patient centered learning in your curriculum and how?

Editor's Notes

  1. See lecture on CML at www.pitt.edu/~super1/lecture/lec35161/index.htm
  2. See lecture on CML at www.pitt.edu/~super1/lecture/lec35161/index.htm
  3. [email_address]