Monday, October 24, 2016

Early clinical exposure from 3rd semester in a medical school and patient centered blended learning as a positive career pathway for undergraduate health-profession students in India

Pasted below is an initial note and explanation of our current Medical learning program followed by some more real-time pasted information containing original themes on the conversational learning experienced by health-professional students: 
This is supposed to be a regular Blended-learning-program that happens around the patients admitted in our wards. As this is currently not supported directly by the university curriculum we call it an 'elective.'  However i want to assure you that if you are part of this you will also do very well in your University exams as well as PG exams. Previously it was being done in Bhopal and you can see the advertisement hosted for it by BMJ here:http://promotions.bmj.com/jnl/bmj-case-reports-student-electives-2/. There are no charges for this and it is a completely voluntary learning endeavor.

The candidate wishing to participate in this elective learning activity will eventually publish a case-study-research publication around his selected case. Also a few more interested students could even publish their overall learning experience such as the one done by a few past students here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117104/, http://www.irma-international.org/viewtitle/58372/

Here's more details on the steps to systematically begin to write your case in a blog and then subsequently toward an international journal publication: http://userdrivenhealthcare.blogspot.in/2016/03/udhc-case-study-from-online-patient.html

I have already previously shared how one of our past students has published his case in BMJ based on these steps and the published version is here: http://casereports.bmj.com/content/2016/bcr-2015-211127.full?keytype=ref&ijkey=GrkuudGK4zzuAwk

You can join us everyday on our morning rounds if you are keen and continue to learn from you about our patients when you review them in the evenings and share their status updates with us and on some Sundays we would like to have you on the evening rounds around 6 PM for which we can pick you up on the hospital ambulance from your homes. 

Here's http://ebpc-udhc-debasishacharjee.blogspot.in/2016/06/24-year-old-man-suffering-from-renal.html another simplified raw blog done by a past student. Notice how he has removed the patient identifiers. We generally do it using these http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528047/figure/fig1/ HIPAA guidelines on how to remove 19 potential patient identifiers before sharing online. Also even more important is to take a signed informed consent from the patient and here's :http://www.udhc.co.in/STATICS/docs/udhc-bengali.pdf, http://www.udhc.co.in/STATICS/docs/udhc-hindi.pdf, http://www.udhc.co.in/STATICS/docs/udhc-english.pdf  the link to the consent form in Bengali, Hindi, English. 

Here's http://userdrivenhealthcare.blogspot.in/2016/06/structured-format-of-history-and.html another sample case blogged where you can get further tips on what questions to ask patients during history taking. These history questions and tips have been taken from here: https://www.ucl.ac.uk/pcph/undergrad/cbt/year4/history-and-examination

However the program is not only helpful to publish a few cases but actually helps you to learn medicine and by medicine we mean all the subjects taught in MBBS. 

This year we shall also incorporate tips and pointers on how to secure a good percentage in the undergraduate UG university exams (see the details here: http://www.wbuhs.ac.in/Syllabus/Syllabus_selection.asp particularly on continuous assessment as all these case-based work/blogs that the UGs submit also becomes valuable items in their portfolio that can be regularly assessed effortlessly by the faculty). We shall also learn together with other UGs on how to crack their PG-residency entrance exams (even as we learn in a patient centered manner during the entire UG time spread out over 4 years). Each and every patient does generate a lot of questions that are potential MCQs and learning in this manner will not only ensure that we become good basic-doctors but will enable and facilitate our entry into the PG specialty programs. 

This 'patient-centered-learning-elective' program is off course, only for very strongly motivated and diligent students willing to put in extra effort in the evenings particularly AFTER their regular lecture teaching hours that they have to attend till 4 PM.

Conversational learning: 





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