Transcript PBL Case Scenarios for 2nd for Prepared by, Professor

PBL Case Scenario Writing for 2nd
Class students
Prepared by
Dr. Aminullah Hamkar
Chief Department Pathology
Kabul Medical University
Background
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PBL program was started in 2006 as a pilot
program in the KMU
In all semesters only three case scenarios
were developed
The scenarios’ objectives were not identified
All three case scenarios covered narrow
areas or only single subject…
Background (Cont.)
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Weak integration of contents in scenarios for
all preclinical subjects
1 hour x 2 days for each scenario
Goal
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Improvement of teaching methods in KMU
Student Motivation
Improvement of education level
Objectives
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Standardization of Scenarios for 2nd year
Medical students
Setting Objectives of the Scenarios
Timeline for each Scenario
Integrated Scenario (Contains all related
Preclinical Subjects)
Preparation of Tutor guide for each Scenario
Standardized Scenario consist
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Set learning objectives first
Have key words
Describe clinical situation
Stimulate discussion among students
Motivate students toward learning
Strengths
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Motivation of our team members for
implementation of PBL
Strong team
Support from KMU Leadership
Weaknesses
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Insufficient experiences in Scenario writing
Lack of supportive materials (Guidelines,
Textbooks….)
Discipline Based Curriculum
Methodology
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Identifying topics for each scenario based on
curriculum
Based on the objectives preparation of 14
scenarios
14 tutor guide for each scenario
Preparation of questions for biweekly PBL
Class exam.
Sample Case Scenario
A 62 year old woman presented with Stridor, due to a neck mass,
which was clinically suspicious of Multinodular goiter. The patient
was placed on Euthyroid; however the gland continuously
enlarged, over the course of three weeks as evidenced by
increased Stridor and Dysphagia. She lost a 15 Kg weight loss in
the last six months. Additional symptoms included Chronic
Fatigue, and occasional Chills. She was a smoker.
Thyroid Studies are as follows:
Total Thyroxin = 19 ng/dl (Normal Range: 4.5-10.9 ng/dl)
TSH = 0.004 IU/dl (Normal Range: 0.4-6)
Due to compression of trachea, Total Thyroidectomy was done.
The gland measured, 14x12x8cm and weighed 450 grams
Sample Case Scenario (Cont.)
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Objectives of the
Scenario
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At the end of analysis of
this scenario, the students
will be able to explain the
following topics:
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Thyroid gland Anatomy
Thyroid gland Histology
Physiology of thyroid
hormones
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Key Words
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Stridor
Dysphagia
Chronic Fatigue
Chills
Euthyroid
Multinodular
goiter
Thank You
Arigatu Guzaimasu