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PBL Case Scenario Writing for 2 nd Class students

PBL Case Scenario Writing for 2 nd Class students . Prepared by Dr. Aminullah Hamkar Chief Department Pathology Kabul Medical University. Background. PBL program was started in 2006 as a pilot program in the KMU In all semesters only three case scenarios were developed

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PBL Case Scenario Writing for 2 nd Class students

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  1. PBL Case Scenario Writing for 2nd Class students Prepared by Dr. Aminullah Hamkar Chief Department Pathology Kabul Medical University

  2. Background • PBL program was started in 2006 as a pilot program in the KMU • In all semesters only three case scenarios were developed • The scenarios’ objectives were not identified • All three case scenarios covered narrow areas or only single subject…

  3. Background (Cont.) • Weak integration of contents in scenarios for all preclinical subjects • 1 hour x 2 days for each scenario

  4. Goal • Improvement of teaching methods in KMU • Student Motivation • Improvement of education level

  5. Objectives • Standardization of Scenarios for 2nd year Medical students • Setting Objectives of the Scenarios • Timeline for each Scenario • Integrated Scenario (Contains all related Preclinical Subjects) • Preparation of Tutor guide for each Scenario

  6. Standardized Scenario consist • Set learning objectives first • Have key words • Describe clinical situation • Stimulate discussion among students • Motivate students toward learning

  7. Strengths • Motivation of our team members for implementation of PBL • Strong team • Support from KMU Leadership

  8. Weaknesses • Insufficient experiences in Scenario writing • Lack of supportive materials (Guidelines, Textbooks….) • Discipline Based Curriculum

  9. Methodology • Identifying topics for each scenario based on curriculum • Based on the objectives preparation of 14 scenarios • 14 tutor guide for each scenario • Preparation of questions for biweekly PBL Class exam.

  10. Sample Case Scenario A 62 year old woman presented with Stridor, due to a neck mass, which was clinically suspicious of Multinodular goiter. The patient was placed on Euthyroid; however the gland continuously enlarged, over the course of three weeks as evidenced by increased Stridor and Dysphagia. She lost a 15 Kg weight loss in the last six months. Additional symptoms included Chronic Fatigue, and occasional Chills. She was a smoker. Thyroid Studies are as follows: Total Thyroxin = 19 ng/dl (Normal Range: 4.5-10.9 ng/dl) TSH = 0.004 IU/dl (Normal Range: 0.4-6) Due to compression of trachea, Total Thyroidectomy was done. The gland measured, 14x12x8cm and weighed 450 grams

  11. Sample Case Scenario (Cont.) • Key Words • Stridor • Dysphagia • Chronic Fatigue • Chills • Euthyroid • Multinodular goiter • Objectives of the Scenario • At the end of analysis of this scenario, the students will be able to explain the following topics: • Thyroid gland Anatomy • Thyroid gland Histology • Physiology of thyroid hormones

  12. Thank You Arigatu Guzaimasu

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