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2015 ; 94
(29
): e1178
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Pediatric Online Evidence-Based Medicine Assignment Is a Novel Effective
Enjoyable Undergraduate Medical Teaching Tool: A SQUIRE Compliant Study
#MMPMID26200621
Kotb MA
; Elmahdy HN
; Khalifa NEDM
; El-Deen MHN
; Lotfi MAN
Medicine (Baltimore)
2015[Jul]; 94
(29
): e1178
PMID26200621
show ga
Evidence-based medicine (EBM) is delivered through a didactic, blended learning,
and mixed models. Students are supposed to construct an answerable question in
PICO (patient, intervention, comparison, and outcome) framework, acquire evidence
through search of literature, appraise evidence, apply it to the clinical case
scenario, and assess the evidence in relation to clinical context. Yet these
teaching models have limitations especially those related to group work, for
example, handling uncooperative students, students who fail to contribute,
students who domineer, students who have personal conflict, their impact upon
progress of their groups, and inconsistent individual acquisition of required
skills. At Pediatrics Department, Faculty of Medicine, Cairo University, we
designed a novel undergraduate pediatric EBM assignment online system to overcome
shortcomings of previous didactic method and aimed to assess its effectiveness by
prospective follow-up during academic years 2012 to 2013 and 2013 to 2014. The
novel web-based online interactive system was tailored to provide sequential
single and group assignments for each student. Single assignment addressed a
specific case scenario question, while group assignment was teamwork that
addressed different questions of same case scenario. Assignment comprised scholar
content and skills. We objectively analyzed students' performance by
criterion-based assessment and subjectively by anonymous student questionnaire. A
total of 2879 were enrolled in 5th year Pediatrics Course consecutively, of them
2779 (96.5%) logged in and 2554 (88.7%) submitted their work. They were randomly
assigned to 292 groups. A total of 2277 (89.15%) achieved ? 80% of total mark
(4/5), of them 717 (28.1%) achieved a full mark. A total of 2178 (85.27%) and
2359 (92.36%) made evidence-based conclusions and recommendations in single and
group assignment, respectively (P < 0.001). A total of 1102 (43.1%) answered
student questionnaire, of them 898 (81.48%) found e-educational experience
satisfactory, 175 (15.88%) disagreed, and 29 (2.6%) could not decide. A total of
964 (87.47%) found single assignment educational, 913 (82.84%) found group
assignment educational, and 794 (72.3%) enjoyed it. Web-based online interactive
undergraduate EBM assignment was found effective in teaching medical students and
assured individual student acquisition of concepts and skills of pediatric EMB.
It was effective in mass education, data collection, and storage essential for
system and student assessment.