Pre Clinical- Basic Sciences Teaching Curriculum Of A Medical School in A Developing Country -Are We Doing It Right.
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Date
2014-12
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Abstract
Background: Preclinical teaching of basic sciences provides the basis for the development of clinical
reasoning skills and the ability to make management decisions. However, many senior undergraduates,
pre-interns and doctors indicate that basic sciences knowledge is poorly recalled and has little relevance
to their clinical practice. Objectives: To explore the perceptions of medical students in their clinical
years, and pre-interns about the basic sciences courses taught to them in the preclinical years, and to
assess how each group rates the applicability of these courses to current clinical training. Methods: A
descriptive cross-sectional study was conducted among 118 pre-interns and 146 undergraduate medical
students using a self-administered questionnaire, regarding their perceptions on preclinical basic
sciences teaching. For statistical analysis chi square test was applied. Results: More than 75% both
pre-interns and undergraduates agreed that preclinical teaching was useful and relevant for future
clinical work. 50-75% frequently revisited preclinical subjects despite unapparent clinical significance.
55% couldn’t remember most of preclinical content. Physiology was the most retained (76%) and most
clinically relevant subject (80%). Majority of (>60%) both the groups suggested more teaching time
and >75% suggested concurrent clinical exposure for preclinical teaching. Undergraduates and preinterns
differed in that 56% of undergraduates and 37% of pre-interns had studied pre clinical subjects
just to pass examinations (p<0.01).Conclusions: Majority of undergraduates and pre-interns felt that
preclinical teaching is interesting and relevant for future clinical practice, though recall and clinical
significance were suboptimal. Revising teaching methods with interdisciplinary integration, early
clinical exposure showing relevance of basic sciences and allocating more teaching time utilizing
clinicians should be considered.
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Keywords
Pre Clinical teaching, Basic sciences, Physiology, Undergraduates
Citation
Atukorala Kushani Rasangika, Atapattu Piyusha. Pre Clinical- Basic Sciences Teaching Curriculum Of A Medical School in A Developing Country -Are We Doing It Right. Journal of Bangladesh Society of Physiologists. 2014 Dec; 9(2): 98.104.