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Introduction of Early Clinical Exposure(ECE) in 1st year M.B.B.S Students in the Department of Physiology


Affiliations
1 Department of Physiology. PIMS, Jalandhar, India
     

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Background: Medical council of India regulations on Graduate Medical education 2012 states that “Indian Medical Graduate should possess requisite knowledge, skills, attitudes, values and responsiveness, so that he or she may function appropriately and effectively as a physician of the community while being globally relevant”1.

Early Clinical exposure (ECE) is a teaching learning methodology, which orients medical students towards actual clinical scenarios and helps them correlate their theoretical knowledge with real life situations in the first year of medical college.

Methodology: The project was done in the department of physiology at PIMS Medical College, Jalandhar. The ECE program was used as a supplement to the traditional lectures in Nervous System Physiology. One hundred and fifty (150) first year MBBS students participated in early clinical exposure program conducted in the year 2017–18. A Feedback questionnaire (including both open and closed ended questions), after getting validated by the faculty were filled by the students. Students were also encouraged to give their written open comments anonymously.

Post session feedback from the students was taken by Questionnaire graded on Likert’s scale.

Results: All the students commented that ECE helped them in their understanding of Nervous system Physiology. Most (63%) appreciated the synchronization of classroom knowledge with clinical exposures, and thought that integrated teaching helped in better understanding of practical applications of physiology (65%).


Keywords

Early Clinical Exposure, First Year Medical Students, Traditional Teaching.
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  • Medical Council of India Vision 2015. Available from http://www.mciindia.org/tools/announcement/MCI_booklet.pdf.
  • Medical Council of India. Early Clinical Exposure for the Undergraduate Medical Education Training Program, 2019: pp 1-43.
  • Chinmay Shah. Early clinical exposure- Why and how? Journal of Education Technology in Health sciences DOI: 10.18231/2393-8005.2018.0002.
  • Dyrbye LN, Harris I, Rohren CH. Early clinical experiences from students’ perspectives: A qualitative study of narratives. Academic Medicine, 2007;82(10):979-88.
  • Dornan T, Littlewood S, Margolis SA, Schrpbier A, Spencer J, Ypinzar V. How can experience in clinical and community settings contribute to early medical education? A BEME systematic review. Med Teach 2006, 28(1):3-183
  • Bas O, John Yaphe J, Wolfgang Spiegel W, Wilm S, Carelli F, Metsemakers J F M. Early clinical exposure in medical curricula across Europe: An overview. European Journal of General Practice. 2009; 15: 4-1
  • SHESHGIRI, Chowdapurkar; KOMALA, Nanjundaiah; ASHWINI, ChamanahalliAppaji. Early Clinical Exposure In Anatomy. National Journal of Integrated Research in Medicine, [S.l.], v. 8, n. 5, p. 53-56, feb. 2018. ISSN 0975-9840.
  • Jouhari Z, Haghani F, Changiz T. Factors affecting self-regulated learning in medical students: a qualitative study. Med Educ Online 20: 28694, 2015. doi:10.3402/meo. v20.28694.
  • Dornan T, Bundy C. What can experience add to early medical education? Consensus survey. BMJ 2006, 329:1-6.
  • McLean M. Sometimes We Do Get it Right! Early ClinicalContact is a Rewarding Experience. Education for Health 2004, 17(1): 42-52. 13. O’Brien-Gonzales A, Blavo C, Barley G, Steinkohl DC, Loeser H. What Did We Learn about Early Clinical Experience? Acad Med 2001, 76 (4): S49
  • Dyrbye LN, Harris I, Rohren CH. Early clinical experiences from students’ perspectives: A qualitative study of narratives. Academic Medicine, 2007;82(10):979-88.
  • Rashmi Vyas, Solomon Sathishkumar. Recent Trends In Teaching and Learning In Physiology Education Early Clinical Exposure And Integration, International Journal of Basic and Applied Physiology, 2012;1(1).
  • Michalec B. Clinical experiences during preclinical training: The function of modelled behaviour and The evidence of professionalism principles. Int J Med Edu. 2012;3:37-45
  • Saipanish R. Stress among medical students in a Thai medical school. Med Teach 25: 502–506, 2003. doi:10.1080/0142159031000136716.
  • Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ 7: 26, 2007. doi:10.1186/1472-6920-7-26
  • Yusoff MSB, Abdul Rahim AF, Yaacob MJ. Prevalence and Sources of Stress among university Malaysia Medical Students. Malays J Med Sci 17: 30–37, 2010.
  • Chari S, Gupta M, Gade S. The Early Clinical Exposure Experience Motivates First Year MBBS Students: A Study. Int J Edu Sci. 2015;8(2):403– 05.
  • Baheti SN, Maheshgauri D. Early Clinical Micro exposure (Ecmix) (A Path from Early Clinical Micro Exposure to Early Clinical Macro Exposure (Ecmax) Global Journal for Research Analysis. 2015;4(3):1–2.
  • Tayade MC, Bhimani N, Kulkarni NB, et al. The impact of early clinical exposure on first M.B.B.S students. International J of Healthcare and Biomedical Research 2014; 2: 176-181.
  • Dorman T, Littlewood S, Margolis S, Scherpbier A, Spencer J, Ypinazar V. How can experience in clinical and community settings contribute to early medical education? A BEME systematic review. Med Teach. 2006;28(1):3–18.
  • Littlewood S, Ypinazar V, Margolis SA, Scherpbier A, Spencer J, Dornan T. Early practical experience and the social responsiveness of clinical education: systematic review. BMJ. 2005;331(7513):387–91.
  • Dornan T, Littlewood S, Margolis SA, Schrpbier A, Spencer J, Ypinzar V. How can experience in clinical and community settings contribute to early medical education? A BEME systematic review. Med Teach 2006, 28(1):3-18.
  • Impact of a Comprehensive Early Clinical Exposure Program for Preclinical Students Ganesan Vasanthb et al Health Professions EducationVolume 4, Issue 2, June 2018, Pages 133-138

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  • Introduction of Early Clinical Exposure(ECE) in 1st year M.B.B.S Students in the Department of Physiology

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Authors

Avjot K. Miglani
Department of Physiology. PIMS, Jalandhar, India
Rajiv Arora
Department of Physiology. PIMS, Jalandhar, India

Abstract


Background: Medical council of India regulations on Graduate Medical education 2012 states that “Indian Medical Graduate should possess requisite knowledge, skills, attitudes, values and responsiveness, so that he or she may function appropriately and effectively as a physician of the community while being globally relevant”1.

Early Clinical exposure (ECE) is a teaching learning methodology, which orients medical students towards actual clinical scenarios and helps them correlate their theoretical knowledge with real life situations in the first year of medical college.

Methodology: The project was done in the department of physiology at PIMS Medical College, Jalandhar. The ECE program was used as a supplement to the traditional lectures in Nervous System Physiology. One hundred and fifty (150) first year MBBS students participated in early clinical exposure program conducted in the year 2017–18. A Feedback questionnaire (including both open and closed ended questions), after getting validated by the faculty were filled by the students. Students were also encouraged to give their written open comments anonymously.

Post session feedback from the students was taken by Questionnaire graded on Likert’s scale.

Results: All the students commented that ECE helped them in their understanding of Nervous system Physiology. Most (63%) appreciated the synchronization of classroom knowledge with clinical exposures, and thought that integrated teaching helped in better understanding of practical applications of physiology (65%).


Keywords


Early Clinical Exposure, First Year Medical Students, Traditional Teaching.

References