IJAR.2016.488

Type of Article:  Original Research

Volume 5; Issue 1 (January 2017)

Page No.: 3398-3403

DOI: https://dx.doi.org/10.16965/ijar.2016.488

THE EFFECTIVENESS OF EARLY CLINICAL EXPOSURE AND E-LEARNING IN TEACHING ANATOMY

Chimmalgi M *1, Regi Jose 2, K Chandra Kumari 1.

*1 Professor of Anatomy, Sree Gokulam Medical College & Research Foundation, Venjaramoodu, Trivandrum, Kerala, India.

2 Professor of Community Medicine, Sree Gokulam Medical College & Research Foundation, Venjaramoodu, Trivandrum, Kerala, India.

Corresponding Author: Dr. Mamata Chimmalgi, Professor, Department of Anatomy, Sree Gokulam Medical College & Research Foundation, Venjaramoodu, Trivandrum – 695607 Telephone: 91-9387122769 / 9763887130 

E-Mail: mamatachimmalgi@gmail.com

ABSTRACT

Objectives: The primary objective of this study was to determine if Early Clinical Exposure (ECE) and E-learning can be effective alternative methods of teaching anatomy for the first-year medical students. Secondary objectives were to determine (a) if there was gender bias with these methods and (b) if these methods influenced high, average or low achievers selectively.

Materials and Methods:  Study was conducted in the department of anatomy with 150 first-year medical students participating in it. Students were randomly divided into three groups of 50 each. Six selected topics were taught to the three groups using ECE, e-learning and traditional lecture alternatively. After each session, a test was conducted using 20 objective questions to assess the learning outcome. Average score of the groups were analysed using Fisher one-way ANOVA or Welch test. Multiple comparisons were done using post-hoc tests when the difference between the average scores was found to be significant. Gender difference in the scores for each method was noted. Learning outcome of high, average and low achievers with ECE and e-learning were compared.

Results: Average total scores after ECE were comparable to lecture and superior to e-learning in five of the six sessions. E-learning, however, was not as effective as ECE in improving the test scores. Except for one group, where the boys outperformed the girls after e-learning, girls outperformed the boys in all the groups with all the three methods of instruction. ECE or e-learning did not influence high, average or low achievers selectively.

Conclusion: Based on the learning outcome, ECE can be an effective method to teach Anatomy in the described format. E-learning did not improve the test scores in the self-study format used in this study, but, 3D visualization can benefit the students when used as an adjunct to the traditional methods.

Key words: Early Clinical Exposure, E-learning, Blended Learning, learning outcome.

REFERENCES

  1. Johnson AK, Scott CS. Relationship between early clinical exposure & first year students’ attitudes towards medical education. Acad Med. 1998;73(4):430-432.
  2. Duque G, Gold S & Bergman H. Early Clinical Exposure to Geriatric Medicine in Second-Year Medical School Students—The McGill Experience. J of the Am Ger Soc. 2003;51(4):544-548.
  3. Tayade MC, Bhimani N, Kulkarni NB, et al. The impact of early clinical exposure on first MBBS students. Int. J of Healthcare & Biomed Res. 2014;2(4):176-181.
  4. Boucher B, Hunter D & Henry J. The effectiveness of computer-assisted instruction in teaching biomechanics of the temporomandibular joint. J of Phys Ther Educ. 1999;13:47.
  5. Izet M. E-learning as new method of Medical Education. Acta Inform Med. 2008;16(2):102-117.
  6. Elizondo-Omana RE, Morales-Gomez JA, Guzman SL, et al. Traditional Teaching Supported by Computer Assisted Learning for Macroscopic Anatomy. Anat Rec. 2004;278B:18-22.
  7. Levinson AJ, Weaver B, Garside S, et al. Virtual reality and brain anatomy: A randomized trial of e-learning instructional designs. Med Educ. 2007;41:495-501.
  8. Chopra J, Rani A, Rani A, et al. Traditional versus Computer Assisted Teaching of Human Osteology: A Randomized Control Trial Study. Ind J of Basic & App Med Res. 2012:5(2):370-374.
  9. Roth JA, Wilson TD, Sandig M. The development of a virtual 3D model of the renal corpuscle from serial histological sections for E-learning environments. Anat Sci Educ. 2015;8(6):574-583.
  10. Webb AL, Choi S. Interactive radiological anatomy eLearning solution for first year medical students: Development, integration, and impact on learning. Anat Sci Educ. 2015;7(5):350-360.
  11. Ruiz JG, Mintzer MJ, Leipzig RM. The impact of e-learning in medical education. Acad Med. 2006;81:207-212.
  12. Holden KR, Cooper SL, Wong JG. Neuroscience curriculum changes and outcomes: medical university of South Carolina, 2006 to 2010. Neurologist. 2012;18(4):190-195.
  13. Barry DS, Marzouk F, Chulak-oqlu K, et al. Anatomy education for the YouTube generation. Anat Sci Educ. 2016;9(1):90-96
  14. Hallgren R. An interactive, web-based tool for learning anatomic landmarks. Acad Med. 2002;77(3):263-265.
  15. Qayumi A. Comparison of computer-assisted instruction (CAI) versus traditional textbook methods for training in abdominal examination (Japanese experience). Med Educ. 2004;38:1080-1088.
  16. Nicholson D. Can virtual reality improve anatomy education? A randomized controlled study of a computer-generated three-dimensional anatomical ear model. Med Educ. 2006;40:1081-1087.
  17. Silva CS, Souza MB, Silva FRS, et al. E-learning program for medical students in dermatology. Clinics (Sao Paulo). 2011;66(4):619-622.
  18. Pereira JA, Pleguezuelos E, Merı´ A, et al. Effectiveness of using blended learning strategies for teaching and learning human anatomy. Med Edu. 2007;41(2):189-195.

Cite this article: Chimmalgi M, Regi Jose, K Chandra Kumari. THE EFFECTIVENESS OF EARLY CLINICAL EXPOSURE AND E-LEARNING IN TEACHING ANATOMY. Int J Anat Res 2017;5(1):3398-3403. DOI: 10.16965/ijar.2016.488