Early clinical exposure program in learning renal physiology

Introduction: Teaching renal physiology for undergraduate medical students in an understandable way using methods which improve their deep learning has always been a problem. In this study, Early Clinical Exposure (ECE) was used in teaching renal physiology for the second year medical students in Shiraz Medical School. This article aims to introduce and develop this program and also measure the attitude of medical students toward ECE in learning renal physiology. Methods: This is a mixed method study conducted on 120 second year undergraduate students. After performing the course, both qualitative and quantitative methods were used for measuring the viewpoints of the students. In the qualitative part, 10 high rank medical students were selected. These students participated in brain storming sessions to express their opinion about the program based on the strengths and weaknesses. For trustworthiness of the qualitative part, member check and peer check were done. In the quantitative part, a researcher-made questionnaire was used based on the objectives of the program in a 4 point Likert scale. The validity of questionnaire was determined by medical education experts and reliability was determined after a pilot study. Results: Based on the results of the quantitative part of the study, 98 percent of the students stated that the ECE program was generally a useful program. In the qualitative part, the students’ comments were obtained. The benefits of the program were summarized in 4 main themes. These themes are “understanding of renal physiology”, ”Integration of basic and clinical knowledge”, ”Improvement of attitude toward importance of physiology”, and “encouragement to study”. In response to the questions about negetive aspects of this program in qualitative part, the two main themes were insufficient time and large grup size. Conclusion: Students reported that ECE was useful, but they stated that they needed to have more encounter with patients and more hospital teaching. The results also reveal that this ECE program is an excellent approach to strengthen learning in a difficult subject like renal physiology. This approach is adjustable to other basic science topics and subjects as well.

[1]  N. Thomas,et al.  Attitude of medical students towards Early Clinical Exposure in learning endocrine physiology , 2007, BMC medical education.

[2]  Subha Ramani,et al.  AMEE Guide no. 34: teaching in the clinical environment , 2008, Medical teacher.

[3]  A. Mirzazadeh,et al.  Medical students’ attitudes towards early clinical exposure in Iran , 2016, International journal of medical education.

[4]  M. Amini,et al.  THE EFFECT OF EARLY CLINICAL EXPOSURE PROGRAM ON FIRST YEAR MEDICAL STUDENTS’ ATTITUDES AND FUNCTION IN SHIRAZ UNIVERSITY OF MEDICAL SCIENCES , 2016 .

[5]  L. O. Dahle,et al.  Pros and cons of vertical integration between clinical medicine and basic science within a problem-based undergraduate medical curriculum: examples and experiences from Linköping, Sweden , 2002, Medical teacher.

[6]  M. Amini,et al.  A Qualitative Study of Factors Associated with Medical Students' Academic Success , 2008 .

[7]  T. Dornan,et al.  What can experience add to early medical education? Consensus survey , 2004, BMJ : British Medical Journal.

[8]  J Spencer,et al.  How can experience in clinical and community settings contribute to early medical education? A BEME systematic review , 2006, Medical teacher.

[9]  M. Amini,et al.  Research priorities in medical education at Shiraz University of Medical Sciences:categories and subcategories in the Iranian context , 2016, Journal of advances in medical education & professionalism.

[10]  L. Dyrbye,et al.  Early Clinical Experiences from Students' Perspectives: A Qualitative Study of Narratives , 2007, Academic medicine : journal of the Association of American Medical Colleges.

[11]  J. Metsemakers,et al.  Early clinical exposure in medical curricula across Europe: An overview , 2009, The European journal of general practice.

[12]  M. Amini,et al.  Research priorities in medical education in the Eastern Mediterranean Region. , 2012, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[13]  M. Amini,et al.  Implementation and evolution of the horizontal integration at shiraz medical school , 2013 .

[14]  R. Watson,et al.  A primary care preceptorship for first-year medical students coordinated by an Area Health Education Center program: a six-year review. , 2001, Academic medicine : journal of the Association of American Medical Colleges.

[15]  R. Sanson-Fisher,et al.  Translating learning principles into practice: a new strategy for learning clinical skills , 2002, Medical education.

[16]  A. Scherpbier,et al.  Students’ opinions about the effects of preclinical patient contacts on their learning , 2008, Advances in health sciences education : theory and practice.

[17]  B. Vidić,et al.  Horizontal and vertical integration of academic disciplines in the medical school curriculum , 2002, Clinical anatomy.

[18]  J. Fraser.  Teaching practical procedures in general practice. A primer for supervisors of medical students and registrars. , 2003, Australian family physician.

[19]  D. Kohan,et al.  Why not nephrology? A survey of US internal medicine subspecialty fellows. , 2013, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[20]  R. Lehrich,et al.  Exploring student preferences with a Q-sort: the development of an individualized renal physiology curriculum. , 2015, Advances in physiology education.

[21]  T. Dornan,et al.  Learning in practice Early practical experience and the social responsiveness of clinical education: systematic review , 2005 .

[22]  I. Wolfhagen,et al.  What are the benefits of early patient contact? - A comparison of three preclinical patient contact settings , 2013, BMC medical education.