Research Paper
Medical Science
E-ISSN No : 2454-9916 | Volume : 8 | Issue : 5 | May 2022
PERCEPTION OF MEDICAL STUDENTS ABOUT BED SIDE TEACHING IN GOVERNMENT MEDICAL COLLEGE OF NORTH COASTAL ANDHRA PRADESH 1
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*Dr. Tumarada D V S Manoj , Dr. L. Siva Kumar ,Dr. Devi Madhavi Bhimarasetty 1
Post graduate, Department of Community Medicine, Andhra Medical College, Visakhapatnam, India. (*Corresponding Author) Assistant Professor, Department of Community Medicine, Andhra Medical College, Visakhapatnam, India. 3 Professor & Head of the Department, Department of Community Medicine, Andhra Medical College, Visakhapatnam, India. 2
ABSTRACT Background: Bedside teaching is the core teaching strategy for acquiring clinical skills in the Undergraduate medical curriculum. The growing concern among medical fraternity and students that the teaching learning methodology in bed side clinics is not optimal. Aim: To know the perceptions of final MBBS students on bed side clinical teaching. Methodology: An observational cross sectional study was carried out in Government medical college in Visakhapatnam among Final year part -2Under graduate students. A purposive sample of 120 final MBBS students was taken during the months of September and October of 2019. A validated structured questionnaire modified to an Indian scenario containing questions to rate various aspects such as learning climate, Focus on student learning, Developing and delivering a tutorial, and overall impression of the teaching on a linkert scale of grading 1 to5 was used. It was validated by doing a pilot study and applying cronbach's alpha [0.89] which is significant. Students were given a self-administered questionnaire using KOBO TOOLBOX & COLLECT. Consent from willing participants is obtained through the Google forms platform and analysis was done using Excel and SPSS DEMO VERSION 17. Results: Out of 120 students,30 students each from the department of medicine, surgery, obstetrics and gynecology, pediatrics participated in the study. Mean score of domains was high among students posted in medicine department and low among students posted in pediatric department. Difference between mean scores among four departments under learning climate (p=0.002), focus (p=0.018) and developing tutorial (p=0.013) domains was found Statistically Significant. Conclusion: The overall perception of final MBBS students on bed side teaching is ranging between average to good. Clinical teachers should be moving towards excellence and not just to be stopped at good. KEY WORDS: Bed side teaching (BST), Undergraduate, Medical education, Clinical teachers. INTRODUCTION: Bed side teaching (BST)is the core teaching strategy for acquiring clinical skills in the Undergraduate medical curriculum. Institutions wishing to develop and implement better bedside teaching should prioritize recruitment of expert clinical teachers, recognizing their time and efforts1.Bedside teaching is fundamental component of Clinical training and an essential tool in the creation of a competent Physician. Sir William Osler (1849-1919), one of Canada's most renowned physicians, was the first to introduce BST to medical education in 1892. He described modern medical education as something that needed to be taught at the bedside: “Medicine is learned by the bedside and not in the classroom2.Although bedside teaching is considered to be a valuable teaching tool in clinical medicine, several surveys indicate that clinical teaching is moving away from the patient's bedside into conference rooms and hallways. Estimates of time actually spent at the bedside vary from 15% to 25%. The reasons for this decline are not completely clear6.The fervent power of bedside teaching is that it makes patients and their illnesses tangible, thus helping the student to comprehend the disease in its entirety7.The growing concern among medical fraternity and students that the teaching learning methodology in bed side clinics is not optimal. Previous reports document diminishing time spent on bed side teaching in present days with a shift more towards conference and corridor rooms. Hence, the current study has been under taken to assess the perception of medical students on bed side clinical teaching in medical college in government setup. OBJECTIVES: 1. To know the Perceptions of final MBBS students on bed side clinical teaching. 2.
To compare various departments on bed side teaching.
METHODOLOGY: Study Design: An Observational Cross Sectional analytical study. Study Setting: Government medical college in north coastal Andhra Pradesh. Study Participants: Final year part -2under graduate students in government medical college in north coastal Andhra Pradesh. Sampling Technique: A purposive sample of120 final MBBS students in Government Medical College.
Study Period: September and October of 2019. Inclusion Criteria: Final year MBBS students who are attending their clinical postings in medicine, surgery, obstetrics and gynecology ,pediatrics at KGH during study period and willing to participate in the study. Exclusion Criteria: Students who have not attended the postings and not given consent. Study Tool: A validated structured questionnaire containing questions to rate various aspects such as learning climate, Focus on student learning, Developing and delivering a tutorial and overall impression of the teaching on linkert scale of grading 1 to5; 1=bad, 2=poor, 3=average, 4=good, 5=excellent was used based on a study by L. Green-Thompson,P. Mcinerney3, for bed side teaching, adopted to Indian scenario which was validated by doing a pilot study and applying cronbach alpha [0.89] which is significant . Study Variables: Under four broad headings- Learning climate, Focus on student learning, Delivering and developing the tutorial, conclusion and an overall impression. Data Collection Method: All the study subjects were given self-administered questionnaire through KOBO TOOL BOX application in android mobile phones. They were asked to fill their perception about their completed clinical ward posting . Ethical Considerations: Participation in the study was voluntary – participants were assured that their responses would be treated confidentially and that the completed evaluation forms would not be shown to the teachers. Permissions were obtained from Head of the institute and concerned Head of the departments. Consent was obtained from the participants who are willing to participate in the study through Google forms platform. Data Analysis: Excel sheet was derived from KOBO TOOL BOX account after data entry using KOBO COLLECT, analysis done using SPSS DEMO VERSION 17. Continuous variables were expressed as Mean and standard deviation, categorical variables were expressed as proportions. Applied ANOVA for statistical analysis. RESULTS: All 120 students' opinions were obtained.30 students were selected from each
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