Basic medical sciences

  • 文章类型: Journal Article
    背景:在基础医学学科中实现医学课程的整合而不冗余是一项重大挑战。在这样的课程中引入联合教学,积极跨学科的参与被认为是最好的利用教师和学生的教学和学习时间,为了激励学生,并为弥合医学院的基础医学和临床医学之间的差距提供更强大的基础。此外,在一次会议中包括多个以学生为中心的活动,预计将增加学生的参与度并提高知识的保留率。我们的研究旨在最大程度地减少冗余,并提高学生在Galala大学向三年级学生教授的内分泌和代谢模块期间学习“胰岛素-葡萄糖调节”主题的动机,埃及医学院。
    方法:作者设计了一个由3个基础医学科学组成的3小时联合教学综合课程,旨在解释临床术语,包括在线访问的前/后测试,小型学生团体创建的会前/会后MCQ,与学生共同分享科学材料的介绍。
    结果:学生在后测中的分数表明,与以前相比,他们获得了更多的知识。有趣的是,学生在会议前后产生问题的表现只有改善,以及在学期末考试的综合问题中,我们建议在医学院的其他主题和模块中实施这种方法。与使用这种方法的学生和以不同方式教授的学生跟进,以受控的方式评估这种方法的有效性也是有利的。
    结论:综合课程有效地提高了学生对医学概念的认识,并减少了基础医学的冗余。这种方法使学生对主题有了更全面的了解,提高他们的理解力和记忆力。对于寻求增强学生在医学领域的学习经验的教育者和指导者来说,这是一种有价值的方法。
    BACKGROUND: Achieving integration in medical curricula without redundancy in basic medical sciences disciplines is a substantial challenge. Introducing co-teaching in such curricula with active inter-disciplinary participation is believed to best utilize the teaching and learning time for instructors and students, to motivate the students, and to provide a more robust base for bridging the gap between basic and clinical medical sciences in medical schools. Additionally, including more than one student-centered activity in one session is expected to increase the students\' involvement and improve the retention of knowledge. Our study aims at minimizing redundancy and improving the students\' motivation in learning the topic \"insulin-glucose regulation\" during the Endocrine and Metabolism module taught to year three students at Galala University, Faculty of Medicine in Egypt.
    METHODS: The authors designed a 3-hr co-teaching integrated session with 3 basic medical sciences aimed to explain the clinical terms including online accessed pre/post-tests, small student groups-created pre/post-session MCQ, with co-sharing of students in the introduction of scientific materials.
    RESULTS: The students\' scores in the post-test showed that they gained more knowledge compared to before. Interestingly, there was only an improvement in the students\' performance in generating questions before and after the session, as well as in the integrated question in the end-of-semester exam, we suggest implementing this approach in other topics and modules in medical schools. It would also be favorable to follow up with the students taught using this approach and those taught differently to assess the effectiveness of this approach in a controlled manner.
    CONCLUSIONS: Integrated sessions effectively increase student awareness of medical concepts and reduce redundancy in basic medical sciences. This approach exposes students to a more comprehensive understanding of the subject matter, improving their comprehension and retention. It is a valuable method for educators and instructors seeking to enhance their students\' learning experience in the field of medical sciences.
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  • 文章类型: Journal Article
    在COVID-19大流行之后,对远程学习的需求越来越大,并且用基于实验室的虚拟工具代替传统的实践课程也在扩大。本研究旨在评估虚拟实验室在生化实验中的有效性,并检查学生对该工具的反馈。在一年级医学生的蛋白质和碳水化合物实验定性分析教学中,比较了虚拟和传统实验室培训。学生的成绩进行了评估,他们对虚拟实验室的满意度是通过问卷调查来估计的。共有633名学生参加了这项研究。与在真实实验室接受培训的学生和观看解释实验的视频的学生相比,进行蛋白质分析虚拟实验室的学生的平均分数显着提高(p<0.001)。在碳水化合物的定性分析中发现了相反的情况,与那些在虚拟实验室中练习的学生相比,常规训练的学生的成绩明显较高(p<0.001)。学生对虚拟实验室的反馈率很高(满意度>70%)。大多数学生认为虚拟实验室得到了明确的解释,然而他们认为这并没有给出现实的经验。学生接受了虚拟实验室,但他们仍然喜欢用它们作为经典实验室的准备。总之,虚拟实验室可以在医学生物化学课程中提供良好的实验室实践。如果谨慎选择并在课程中正确实施,它们对学生学习的影响可能会增加。
    After the COVID-19 pandemic, there was an increasing demand for remote learning and an expansion in the substitution of traditional practical sessions with lab-based virtual tools. This study aimed to assess the effectiveness of virtual labs in practicing biochemical experiments and to examine the student\'s feedback regarding this tool. Virtual and traditional labs training were compared in teaching qualitative analysis of proteins and carbohydrates experiments for first-year medical students. Students\' achievements were assessed, and their satisfaction regarding virtual labs was estimated using a questionnaire. A total of 633 students were enrolled in the study. There was a significant increase in the average scores of students performing the virtual lab of protein analysis compared with those trained in a real lab and those who watched videos explaining the experiment (p < 0.001). The opposite was noticed in the qualitative analysis of carbohydrates with significantly high grades of students trained conventionally compared with those who practiced with virtual labs (p < 0.001). Students\' feedback rates on the virtual labs were high (>70% satisfaction rate). Most students believed virtual labs were supported with a clear explanation, yet they thought it did not give a realistic experience. Students accepted virtual labs, but they still prefer using them as preparatory to classic labs. In conclusion, virtual labs can offer good laboratory practice in the Medical Biochemistry course. Their impact on students\' learning might be increased if selected cautiously and implemented properly in the curriculum.
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  • 文章类型: Journal Article
    ERBB3是受体酪氨酸激酶(RTK)的ERBB家族的含有假激酶结构域的成员。配体结合后,ERBB受体同源或异源二聚化,导致细胞内激酶结构域的头尾排列,其中一个ERBB的“受体”激酶结构域被二聚体中另一个ERBB的“激活剂”结构域激活。在ERBB3中,激酶C末端结构域中密码子943(V943)处的保守缬氨酸已被证明对其在体外作为“激活剂”激酶的功能很重要。在这里,我们报告了一个敲入小鼠模型,其中我们修改了内源性Erbb3等位基因以允许Erbb3V943R(Erbb3CKI-V943R)的组织特异性条件表达。此外,我们产生了Erbb3D850N(Erbb3CKI-D850N)条件性敲入小鼠模型,其中假激酶结构域的DFG基序中的保守天冬氨酸被突变以消除任何潜在的残余激酶活性。虽然Erbb3D850N/D850N动物发育正常,在发育过程中纯合Erbb3V943R/V943R表达导致胚胎致死。Further,使用MMTV-Cre激活后,乳腺上皮中Erbb3V943R/V943R的组织特异性表达导致青春期导管网络的延迟延长。Erbb3V943R/V943R乳腺的单细胞RNA-seq分析表明,产生纤维蛋白原的腔上皮细胞的特定亚群减少。
    ERBB3 is a pseudokinase domain-containing member of the ERBB family of receptor tyrosine kinases (RTKs). Following ligand binding, ERBB receptors homo- or hetero-dimerize, leading to a head-to-tail arrangement of the intracellular kinase domains, where the \"receiver\" kinase domain of one ERBB is activated by the \"activator\" domain of the other ERBB in the dimer. In ERBB3, a conserved valine at codon 943 (V943) in the kinase C-terminal domain has been shown to be important for its function as an \"activator\" kinase in vitro. Here we report a knock-in mouse model where we have modified the endogenous Erbb3 allele to allow for tissue-specific conditional expression of Erbb3 V943R (Erbb3 CKI-V943R ). Additionally, we generated an Erbb3 D850N (Erbb3 CKI-D850N ) conditional knock-in mouse model where the conserved aspartate in the DFG motif of the pseudokinase domain was mutated to abolish any potential residual kinase activity. While Erbb3 D850N/D850N animals developed normally, homozygous Erbb3 V943R/V943R expression during development resulted in embryonic lethality. Further, tissue specific expression of Erbb3 V943R/V943R in the mammary gland epithelium following its activation using MMTV-Cre resulted in delayed elongation of the ductal network during puberty. Single-cell RNA-seq analysis of Erbb3 V943R/V943R mammary glands showed a reduction in a specific subset of fibrinogen-producing luminal epithelial cells.
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  • 文章类型: Journal Article
    UNASSIGNED:许多医学院已经实施了近亲辅导(NPT)计划,基于这些计划对导师和受训者的实质性好处。这项研究将参加每周NPT会议的频率与学生的学习成绩相关联,并比较了高和低就读学生的表现。
    UNASSIGNED:四年级(M4)学生向一年级(M1)学生提供了第二十一次每周的NPT课程。记录了出席情况,因此,学生被分为三组,高(15-21个会议),温和(7-14届),和低出席率(0-6次)组。计算皮尔逊乘积矩相关系数,以评估学生的出勤频率与他们在M1年末和M2年中的整体基础医学科学方面的整体表现之间的关系。还使用ANCOVA和Bonferroni事后测试分析了学生的表现,以比较三个出勤组之间的差异。
    UNASSIGNED:参加NPT每周课程的数量增加与学生在M1基础科学加权平均值(r(196)=0.240,p≤0.001)和M2年中NBME®CBSE(r(196)=0.325,p≤0.001)方面的表现增加相对应。在基础科学课程的总体M1加权平均值(F(2,192)=8.518,p<.001)和M2年中NBME®CBSE(F(2,192)=15.494,p<.001)上,高入学率的学生的表现明显高于低入学率的学生。
    UNASSIGNED:参加NPT每周会议是一项宝贵的经验,与M1医学生学习成绩的提高有关。然而,表现不佳的学生往往会错过参加NPT每周的会议。
    UNASSIGNED: Many medical schools have implemented near-peer tutoring (NPT) programs based on the substantial benefits of these programs to both tutors and tutees. This study correlated the frequency of attending weekly NPT sessions to students\' academic performance, and also compared performance of high and low attending students.
    UNASSIGNED: Twenty-one weekly NPT sessions were delivered by fourth-year (M4) students to first-year (M1) students. Attendance was recorded, and accordingly students were divided into three groups, high (15-21 sessions), moderate (7-14 sessions), and low (0-6 sessions) attendance groups. Pearson product-moment correlation coefficient was computed to assess the relationship between students\' frequency of attendance and their overall performance on overall basic medical sciences at the end of M1 year and M2 mid-year NBME® CBSE. Students\' performance was also analyzed using ANCOVA and Bonferroni post hoc test to compare differences between the three attendance groups.
    UNASSIGNED: An increase in number of attended NPT weekly sessions corresponds with an increase in students\' performance on overall M1 basic sciences weighted average (r(196) = .240, p ≤ 0.001) and the M2 mid-year NBME® CBSE (r(196) = .325, p ≤ 0.001). High attending students performed significantly higher than low attending students on overall M1 weighted average of basic science courses (F(2, 192) = 8.518, p < .001) and M2 mid-year NBME® CBSE (F(2, 192) = 15.494, p < .001).
    UNASSIGNED: Attending NPT weekly sessions is a valuable experience that is associated with an improvement in M1 medical students\' academic performance. However, low performing students tend to miss attending NPT weekly sessions.
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  • 文章类型: Journal Article
    目的:这项研究的目的是评估土耳其医学院的解剖学讲师(教育工作者)对COVID-19期间本科远程解剖学教育的看法和观点。
    方法:邀请全国的解剖学教育者参加作者开发的在线问卷。91位解剖学教育者参加了问卷调查。通过Likert类型的问题和开放式问题评估了参与者的观点。评估了参与者在2020年3月至7月之间的远程解剖学教育经验。
    结果:参与者发现面对面教育比使用视频录制进行的远程教育课程更有益。他们还报告说,他们同意同步课程比异步课程更有益。他们一致认为时间管理是一个积极的结果。然而,他们担心正式解剖学教育中断对质量的不利影响。在COVID-19大流行期间应用的远程解剖学教育的经验表明,在大流行后时期,对由录像和面对面实用解剖学教育方法(混合)支持的远程理论解剖学教育的需求。
    结论:关于COVID-19大流行对解剖学教育的影响,有很多研究集中在学生身上。解剖学教育者的经验和建议也很重要。当前研究的结果揭示了大流行后时期远程理论解剖学教育和面对面实用解剖学教育方法(混合)的积极方法。
    OBJECTIVE: Aim of this research is to assess the perceptions and views of the anatomy lecturers (educators) of the medical faculties in Turkey on undergraduate distance anatomy education during the COVID-19.
    METHODS: Anatomy educators nationwide were invited to the online questionnaire developed by the authors. Ninety-one anatomy educators participated in the questionnaire. Views of the participants were evaluated by Likert-type questions and open-ended questions. Distance anatomy education experiences of the participants between March and July 2020 were evaluated.
    RESULTS: Participants found face-to-face education more beneficial than distance education courses conducted with video recordings. They also reported that they agreed synchronous lessons were more beneficial than asynchronous lessons. They agreed that time management was a positive result. However, they were concerned about the adverse effects of the interruption of formal anatomy education regarding quality. The experience of distance anatomy education applied during the COVID-19 pandemic has revealed the demand for distance theoretical anatomy education supported by video recordings and face-to-face practical anatomy education methods (blended) for the post-pandemic period.
    CONCLUSIONS: There is much research focusing on the students regarding the effects of the COVID-19 pandemic on anatomy education. The experiences and the suggestions of the anatomy educators are also important. The findings of the current research have revealed the positive approach to distance theoretical anatomy education and face-to-face practical anatomy education methods (blended) for the post-pandemic period.
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  • 文章类型: Journal Article
    这篇文章是一篇关于战略调整的描述性和反思性文章,这些战略调整促进并使一所非洲医学院的医学生能够在2020年COVID-19诱导的封锁期间从未关闭过的解剖学和相关基础医学教学。本文认为教育技术的作用,创新,媒体以及如何在封锁期间使用这些媒体来实现具有最佳结果的学习目标。具体的技术和创新,包括解剖表,完整的3D解剖软件,并部署了高保真人体模型,以促进解剖学和相关基础医学的有效教学。这得益于学习管理系统Canvas的强大使用,以及用于连接的互联网设施,视频会议,战略性组织的在线会议和在线评估。该系统具有足够的活力,可以响应与COVID-19相关的政府政策的变化,包括物理环境中的封锁和与社会距离相关的调整。结果是医学生的教学没有停止,并取得了最佳结果。本文考虑了教育技术和创新以及媒体的作用,以及如何在封锁期间以最佳结果实现学习目标。据信,这一经验性作品将激发并告知其他医学院,以建立强大的动态医学院系统以及在挑战时期使用创新。本文还考虑了技术在解剖学教学中的局限性和益处。非常重要的是,特定的工具,创新,技术被认为是使用过的,提供的信息可能是其他潜在用户的指南。最终,吸取的教训将对我们有用,我们相信我们也可以使许多其他人受益。
    This article is a descriptive and reflective piece on the strategic adaptations that facilitated and enabled the teaching of anatomy and related basic medical sciences to medical students in an African medical school that never shut down during the COVID-19 induced lockdown of the year 2020. The article considers the roles of educational technology, innovations, media and how these were used to achieve learning objectives with optimal outcomes during the lockdown. Specific technologies and innovations including the Anatomage Table, Complete 3D Anatomy software, and the use of High-Fidelity Mannequin were deployed to facilitate effective teaching of anatomy and related basic medical sciences. This was aided by the robust use of a learning management system - Canvas, as well as internet facility for connection, videoconferencing, online sessions and online-based assessment in a strategically organised manner. This system was dynamic enough to respond to changes in COVID-19 related government policies including the lockdown and social distancing-related adjustments in the physical settings. The outcome was that the teaching of medical students did not stop, and optimal results were achieved. The article considers the roles of educational technology and innovations as well as the media and how these were used to achieve learning objectives with optimal outcomes during the lockdown. It is believed that this experiential piece would inspire and inform other medical schools on the benefit of building robustly dynamic medical school systems as well as the use of innovations in times of challenges. The article also considers both the limitations and benefits of technology in teaching anatomy. Very importantly, specific tools, innovations, and technologies were considered as used, and the information provided might be a guide for other potential users. Ultimately, the lesson learned would be of use to us and we believe we could also benefit many others.
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  • 文章类型: Journal Article
    BACKGROUND: Integration is a key concern in discipline-based undergraduate dental curricula. Therefore, this study compared feedback on integration from students who participated in different instructional designs in a Comprehensive Patient Care course.
    METHODS: The study was conducted at the University of Pretoria (2009-2011). Third-year cohorts (Cohorts A, B and C) participated in pre-clinical case-based learning, whilst fourth-year cohorts (Cohorts D and E) received didactic teaching in Comprehensive Patient Care. Cohorts A, D and E practised clinical Comprehensive Patient Care in a discipline-based clinic. Cohort B conducted their Comprehensive Patient Care patient examinations in a dedicated facility supervised by dedicated faculty responsible to teach integration. Students had to indicate on visual analogue scales whether the way they were taught at the school helped them to integrate knowledge from the same (horizontal integration) and preceding (vertical integration) year of study. The end-points of the scales were defined as \'definitely\' and \'not at all\'. Analysis of variance (ANOVA) was employed to measure the differences between cohorts according to the year of study.
    RESULTS: Third-year case-based learning cohorts rated the horizontal integration close to 80/100 and vertical integration ranging from 64 to 71/100. In year four, Cohort B rated vertical and horizontal integration 9-15% higher (ANOVA, P < 0.05) than Cohorts A and D. In year five, Cohort A rated vertical and horizontal integration 11-18% higher (ANOVA, P < 0.05) than Cohorts D and E.
    CONCLUSIONS: Pre-clinical case-based learning and Comprehensive Patient Care supervised by dedicated faculty were associated with more favourable perceptions about integration in the discipline-based undergraduate dental curriculum.
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