LEARNING STARTIGIES.pdf

Dr.Lama Al-Mehasien ,MD,FRCOG Professor Obstetrics&/Gynaecology Vice Dean ,Medical School /BAU Learning Techniques in the clinical years Insight into Gyne/Obestetrics diseases Overview: Importance of effective learning techniques in clinical education Fo...

Dr.Lama Al-Mehasien ,MD,FRCOG Professor Obstetrics&/Gynaecology Vice Dean ,Medical School /BAU Learning Techniques in the clinical years Insight into Gyne/Obestetrics diseases Overview: Importance of effective learning techniques in clinical education Focus on Gynecology and Obstetrics (Gyn/Ob) Goals Excellence&Leadership,Resourcefulness, Community Service, Respect&Safety. Enhance understanding, improve patient care, and prepare for exams Guiding Principles Provision of a psychologically safe environment Teachers approach all teaching endeavors with respect and concern for all participants. High-quality and safe patient care are the endpoints for all learning activities. learners should develop competency by identifying learning gaps and encouraging constructive feedback. Simulation education includes evidence-based curriculum development, teaching, and assessment. Services and activities aim to comply with applicable accreditation standards. We encourage participants to experience a realistic practice environment during their simulation experience. Encourage simulation-based education and research priorities. Active Definition: Engaging directly with the material through activities and discussions Modern Methods: Learning Case-Based Learning (CBL): Analyzing real-life cases Methods Problem-Based Learning (PBL): Solving clinical problems Simulation Training: Practicing procedures in a controlled environment Communication Skills: Essential for patient care and teamwork WHY Benefits: Encourages critical thinking Enhances retention of knowledge Provides hands-on experience Case-Based Approach: Present real or simulated patient cases Learning Discuss differential diagnoses, investigations, and management plans (CBL): Example Case: Analyzing real- Patient: 32-year-old female, 20 weeks pregnant Symptoms: Abdominal pain, bleeding life cases Discussion Points: Differential diagnosis (e.g., miscarriage, placental abruption) Investigations Management Strategies Benefits: Enhances clinical reasoning skills Provides context to theoretical knowledge Encourages teamwork and communication  Approach: Students work in small groups on complex clinical problems Problem-Based Facilitator guides the discussion, Learning in encouraging self-directed learning Gyn/Ob Example Problem: Scenario: Pre-eclampsia in a pregnant woman Tasks: Identify symptoms, interpret lab results, plan treatment, and discuss potential complications  Purpose: Provide hands-on practice in a risk-free environment Simulation Improve technical and non-technical skills Training in Examples: Gyn/Ob Obstetric Emergencies: Managing shoulder dystocia, postpartum hemorrhage Gynecological Procedures: Performing pelvic exams, managing ectopic pregnancies Benefits: Builds confidence Allows for immediate feedback and correction  Importance: Key Skills: Essential for Active listening patient care Empathy and Communication and teamwork Builds trust and compassion Clear and Skills in Medical rapport with concise patients information Education Improves delivery patient Non-verbal outcomes and communication satisfaction Effective questioning techniques  Role-playing scenarios Communication workshops Reflective practice and feedback sessions Implementation: Examples in Gyn/Ob: Discussing sensitive topics (e.g., infertility, miscarriage) Breaking bad news Counseling patients on treatment options  Traditional Techniques of Evidence-Based Medicine (EBM) teaching and Peer Learning and Collaboration learning Self-Directed Learning Reflection and Feedback?? Other Techniques of teaching and learning Social media and video lectures (e-learning) Observational learning Flipped classroom Team-based learning Evidence- Using Using current best evidence in making decisions about patient care Based Medicine (EBM) Combining Combining clinical expertise with the best available clinical evidence from systematic research  Definition: Using current best evidence in making decisions about patient care Integrating Evidence-based Techniques: Medicine (EBM) Regularly review medical Attend journal clubs and Apply guidelines and literature seminars protocols in clinical practice Example: Use of updated guidelines for managing gestational diabetes  Methods: Study groups Peer Learning Peer teaching and feedback and Collaborative research projects Collaboration Benefits: Enhances understanding through discussion Provides diverse perspectives Builds teamwork skills  Definition: Taking initiative in diagnosing learning needs and locating resources Self-Directed Set personal learning goals Learning Strategies: Use online resources (e.g., medical databases, e-learning platforms) Reflect on clinical experiences and identify areas for improvement Example UpToDate PubMed Resources: Cochrane Library  Importance: Continuous improvement through self- Reflection assessment and external feedback and Methods: Feedback Reflective journaling Seeking feedback from mentors and peers Participating in debriefing sessions after clinical activities Benefits: Identifies strengths and areas for growth Promotes lifelong learning  Integration with PBL:Process: Identify a clinical problem Formulate clinical questions Integrating Search for and appraise relevant evidence Evidence-based Apply findings to the problem Medicine (EBM) with Problem-Based Example: Learning Problem: Managing gestational diabetes Question: What are the latest guidelines for gestational diabetes management? Search and Appraisal: Review recent studies and guidelines Application: Discuss and apply findings to a patient scenario  Process: Identify a Clinical Problem: Integrating EBM Start with a patient scenario or clinical issue. Formulate Clinical Questions: with Problem- Use the PICO (Population, Intervention, Based Learning Comparison, Outcome) framework. Search for Evidence: (PBL) example Use medical databases like PubMed, Cochrane Library, and clinical guidelines. Appraise the Evidence: Evaluate the quality and relevance of the research. Apply Findings to the Problem: Discuss how the evidence can be integrated into clinical practice.  Example: Problem: Managing gestational diabetes Question: What are the latest guidelines for gestational diabetes management? Search and Appraisal: Review recent studies and guidelines. Application: Discuss and apply findings to a patient scenario.  Process: Present a case Integrating Identify key issues and knowledge gaps Search for and integrate evidence to address Evidence-based these gaps Discuss and implement evidence-based Medicine (EBM) management plans Example: with case-Based Case: A pregnant woman with pre-eclampsia Issues: Optimal management strategies Learning Evidence Search: Latest clinical trials and guidelines on pre-eclampsia management Discussion: Develop an evidence-based treatment plan Benefits: Enhances critical thinking and clinical decision- making Keeps learning up-to-date with current research Improves patient care outcomes Example:Case: A pregnant woman with pre- eclampsia Issues: Optimal management strategies Evidence Search: Latest clinical trials and guidelines on pre-eclampsia management Discussion: Develop an evidence-based treatment plan  Enhances Critical Thinking: Encourages the application of research to clinical scenarios. Benefits of Promotes Lifelong Learning: Integrating EBM Keeps learners up-to-date with the latest medical with PBL and advancements. prepares clinicians for effective, evidence-based practice. CBL Improves Clinical Decision-Making: Leads to better patient outcomes through informed decisions. Encourages the use of current best evidence in clinical practice Encourages Collaborative Learning: Fosters teamwork and communication among peers. Practical Tips for Integrating EBM Utilize Medical Databases: Familiarize yourself with PubMed, Cochrane Library, and UpToDate. Develop Good Search Strategies: Use specific keywords and Boolean operators. Appraise Evidence Critically: Assess study design, sample size, and relevance to your clinical question. Stay Current: Regularly review and update your knowledge with new research. Case Study: EBM in Action Scenario: A 30-year-old woman presents with symptoms of endometriosis. Steps: Clinical Question: What is the most effective treatment for endometriosis? Evidence Search: Review guidelines and recent studies on endometriosis management. Evidence Appraisal: Compare the effectiveness of medical vs. surgical treatments. Discussion and Plan: Develop an evidence-based treatment plan considering patient preferences and clinical evidence. Challenges and Solutions Challenges: Time constraints Balancing clinical duties with study Information overload Solutions: Time management strategies Prioritizing high-yield topics Using technology to streamline learning (e.g., apps, podcasts) Conclusion Best 1. Make a Daily Study Schedule Study 2. Memorize With Mnemonics 3. Use Visual Aids As a med student, you can use visual diagrams or sketches to improve your grasp on your studies. Try Practices recreating the diagrams and notations that you need to focus on to improve your understanding. 4. Listen to Audio Lectures Some individuals show improvements in retaining information from audio assets over other forms of for Med learning. Some students like to listen to recordings of lectures while tending to other activities in everyday life, like working out or sitting in traffic on errands. This approach to studying can help you save a bit of time, depending on your lifestyle and preferred learning methods. Students 5. Write Out Your Notes You can also use written notes to create flashcards for specific terms and definitions or other critical knowledge for your exams.  Best Study Practices for Med Students Take Practice Tests While you work on discovering your ideal learning techniques, you can test how effectively you retain information by using practice tests. Consider creating question banks to simulate the testing method for “the boards.” 7. Identify Your Ideal Learning Environment Every student has different preferences for the ideal space that helps them learn more effectively. Work toward identifying the environment that works best with your learning style and minimizes the things that distract you. 8. Schedule Self-Care remember to set aside time for self-care. Give yourself time to take a walk, go for a swim, or do anything that lets you take a short break to recharge for the rest of your duties. Another part of self-care can include rewards when you complete certain goals that will help you maintain your motivation.  Best Study Practices for Med Students 9. CollaborateWith a Study Group Consider collaborating with students on a similar career path so you can study together. Let’s look at a few guidelines that will help you form the most effective group possible, including: Selecting students outside of your social group (social chats can distract from the study topic) Limiting groups to four or fewer students Studying with those that have similar goals Splitting study tasks evenly among the group 10. Seek Counsel From School Staff Medical school is an intensive program, and the staff around you knows this from experience. Don’t hesitate to ask school staff, like counselors and instructors, or even your classmates, for assistance or guidance to help you overcome any obstacles you might find.  Modern techniques of teaching and learning in medical education: a descriptive literature review Krishna Teja Challa, a,1 Abida REFERENCE Sayed,1 and Yogesh Acharya2] PMCID: PMC10939590 PMID: 38486533 Q&A