Active learning on the ward: outcomes from a comparative trial with traditional methods.

Medical Education 2011: : 273-279 Academic activity during internship is essentially practical and ward rounds are traditionally considered the cornerstone of clinical education. However, the efficacy and effectiveness of ward rounds for learning purposes have been under-investigated and it is neces...

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Publicado en:Medical Education Vol. 45; no. 3; pp. 273 - 280
Autores principales: Melo Prado H, Hannois Falbo G, Rodrigues Falbo A, Natal Figueirôa J
Formato: clinical trial research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Active learning on the ward: outcomes from a comparative trial with traditional methods.
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          Melo Prado H
          Hannois Falbo G
          Rodrigues Falbo A
          Natal Figueirôa J
        affil: Instituto de Medicina Integral Professor Fernando Figueira IMIP, Recife, Pernambuco, Brazil
      sug:
        subj:
          Patient Rounds Evaluation
          Education, Medical Evaluation
          Teaching Methods Evaluation
          Pediatric Care Education
          Human
          Descriptive Statistics
          P-Value
          Student Performance Appraisal
          Health Knowledge Evaluation
          Brazil
          McNemar's Test
          Data Analysis, Statistical
          Data Analysis Software
          Male
          Female
          Adult
          Child
          Diarrhea Education
          Pneumonia Education
          Clinical Trials
          Adult: 19-44 years
          Child: 6-12 years
          Male
          Female
      ab: Medical Education 2011: : 273-279 Academic activity during internship is essentially practical and ward rounds are traditionally considered the cornerstone of clinical education. However, the efficacy and effectiveness of ward rounds for learning purposes have been under-investigated and it is necessary to assess alternative educational paradigms for this activity. This study aimed to compare the educational effectiveness of ward rounds conducted with two different learning methodologies. Student subjects were first tested on 30 true/false questions to assess their initial degree of knowledge on pneumonia and diarrhoea. Afterwards, they attended ward rounds conducted using an active and a traditional learning methodology. The participants were submitted to a second test 48 hours later in order to assess knowledge acquisition and were asked to answer two questions about self-directed learning and their opinions on the two learning methodologies used. Seventy-two medical students taking part in a paediatric clinic rotation were enrolled. The active methodology proved to be more effective than the traditional methodology for the three outcomes considered: knowledge acquisition (33 students [45.8%] versus 21 students [29.2%]; p = 0.03); self-directed learning (38 students [52.8%] versus 11 students [15.3%]; p < 0.001), and student opinion on the methods (61 students [84.7%] versus 38 students [52.8%]; p < 0.001). The active methodology produced better results than the traditional methodology in a ward-based context. This study seems to be valuable in terms of the new evidence it demonstrates on learning methodologies in the context of the ward round.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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