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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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pbl case scenario writing for 2 nd class students
PBL Case Scenario Writing for 2nd Class students

Prepared by

Dr. Aminullah Hamkar

Chief Department Pathology

Kabul Medical University

background
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…
background cont
Background (Cont.)
  • Weak integration of contents in scenarios for all preclinical subjects
  • 1 hour x 2 days for each scenario
slide4
Goal
  • Improvement of teaching methods in KMU
  • Student Motivation
  • Improvement of education level
objectives
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
standardized scenario consist
Standardized Scenario consist
  • Set learning objectives first
  • Have key words
  • Describe clinical situation
  • Stimulate discussion among students
  • Motivate students toward learning
strengths
Strengths
  • Motivation of our team members for implementation of PBL
  • Strong team
  • Support from KMU Leadership
weaknesses
Weaknesses
  • Insufficient experiences in Scenario writing
  • Lack of supportive materials (Guidelines, Textbooks….)
  • Discipline Based Curriculum
methodology
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.
sample case scenario
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

sample case scenario cont
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
slide12
Thank You

Arigatu Guzaimasu