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Case-based practical examination as an introduction to formative assessment in pathology: Undergraduate student’s perception

Anandkumar A Kanasagara, Yagnik P Tank, Parth S Bhatt, Alpeshkumar M Maru.




Abstract

Background: In pathology, students are assessed by both theory as well as practical examination, but we have more upper hand and regularity in conducting theory assessment over practical evaluation. We have put newer case-based practical examination (CBPE) module over traditional one to achieve better practical approach which consists of case scenario pertaining to hematology and urine exercise followed by its interpretation without performing procedure.

Aim and Objectives: The objective of this study were to develop and implement this new method of CBPE as a formative assessment tool for undergraduate 2nd year medical students.

Materials and Methods: We have included MBBS undergraduate students of 4th semester by dividing students into two groups. Each group consists of 25 students. Group 1 was exposed to CBPE of hematology and urine exercises, while Group 2 was exposed to conventional method of hematology and urine exercises. Evaluation form was given to each student at the end of session to know their perception and opinion regarding this newer form of practical examination.

Results: Mean marks scored in Group 1(CBPE) were 28 and in Group 2 (conventional) were 20.32 out of 40 marks. We had used unpaired t-test to calculate significance with P value which was found to be 0.0012. Feedback was based on five-point Likert scale. Most of the faculty members and students gave positive opinion for case-based pattern.

Conclusion: CBPE can be used as alternative to conventional practical examination for formative assessment with improvement in performance of students.

Key words: Competency Based Medical Education; Miller’s Pyramid; Likert Scale; Hematology






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