Narratives as Active Learning Strategy to Emphasise the Clinical Relevance of Enzymology in Medicine
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 4
Abstract
ABSTRACT Introduction: Student learning is dictated by the learning environment rather than the inherent qualities of the learner. Mode of curriculum delivery heavily influences the learning environment and pushes the learner towards rote learning or meaningful learning. In every curriculum, there are areas which are perceived by students as unappetising and demanding. In biochemistry, enzymology is not a favourite among students since it entails learning kinetics and related equations and graphs. However, enzymology is important in the medical curriculum because of its clinical relevance in the diagnosis, prognosis and treatment of diseases. The present study employs an active learning strategy using a themed narrative and case scenarios to make the learning experience more interesting and meaningful. Aim: The objective of this study was to revise and integrate the core concepts in ‘enzymology’ and to bring home the clinical relevance of enzymology in medicine. In addition, the study would also facilitate active learning, thus promoting knowledge retention. Materials and Methods: A narrative on enzymology with specific numbered blanks, to be filled in by students was designed. Five case scenarios containing pictures and text, highlighting the clinical aspects of enzymology were constructed and validated. MBBS students (n=82) of the first year were asked to fill in the gaps in the narrative. Case scenarios were narrated to the students using PowerPoint slides containing pictures and text. Students responded to specific questions relating to the case scenarios. The marks obtained in both the activities were tabulated and students’ opinion on the activity based on predefined indicators was assessed using a questionnaire. Results: Students (43%) scored distinction marks (>75%) in the narrative on enzymology. They opined that it helped them to recall and integrate (81%) and retain knowledge (88%). They also felt that case scenarios were clinically relevant (82%) and helped to bridge the gap between theory and actual practice of enzymology in medicine (85%). Conclusion: Narratives and case scenarios can be used effectively to improve learning by medical students, especially when the subject matter is not easy to comprehend and is perceived as challenging.
Authors and Affiliations
Maya Roche, K Indira Adiga, Akshatha Ganesh Nayak, Ronald Aloysius Roche
Early Clinical Experience with Simvastatin for Treating Pain in Patients with Idiopathic Chronic Pancreatitis
ABSTRACT Introduction: Chronic Pancreatitis (CP) is a progressive inflammatory disorder characterised by recurrent episodes of severe abdominal pain. Experimental studies demonstrated protective effects of statins in pan...
The Effect of Haemodialysis on Lipid Peroxidation and Lipid Atherogenic Risk Ratios as a Predictor of Cardiovascular Disease
ABSTRACT Introduction: Cardiovascular risk factors are prevalent in Haemodialysis (HD) patients. Aim: To assess the effect of HD on lipid peroxidation marker (Malondialdehyde (MDA)), lipid atherogenic ratios, and periphe...
Treatment of Fistula-in-Ano with Tight (Cutting) Seton: Analysis of Outcomes and Efficacy Assessment
Introduction: Management of fistula-in-ano is a surgical challenge. Various methods for the treatment of anal fistulas have a range of success rates and use of the cutting seton is still questionable. Aim: The aim of thi...
Auxanographic Carbohydrate Assimilation Method for Large Scale Yeast Identification
Introduction: The auxanographic carbohydrate assimilation had been an important method for differentiation of yeasts. Prevailing methods described in the literature for carbohydrate assimilation has limited scope for use...
Residual Placental Blood Volume Estimation to Measure the Increase in Neonatal Blood Transfer by Delayed Cord Clamping: A Quasi-Experimental Study
ABSTRACT Introduction: Iron deficiency and iron deficiency anaemia are common in newborns and children in India. Iron is essential for the physical, mental and even emotional growth of the child. Breast milk is not rich...