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Facilitator guide

Template for creating a small group activity

 

A write-up of the activity should include:

  1. Name of the competency: Doctor-in-training is able to manage and improve the services as a leader of the healthcare team.

2.    Title of the activity: Recognise the need for an audit of services.

  1. Learning Objectives:

a)    Identify the need and importance of an audit of services.

b)    Enumerate types of audit in healthcare services.

c)    Describe the benefits of audits in healthcare.

 

  1. Method used: Small group interactive activity.

Duration 90 minutes

 

  1. Workflow:

Activity

Time

Brief presentation in the topic area

20 minutes

Hands on

30 minutes

Compilation

10  minutes

Reflection

10 minutes

Summary and feedback

20 minutes

Total duration

90 minutes

 

 

  1. Facilitator’s instructions:

 

·       Provide conceptual learning, factual knowledge and content about audit of services.

·       Establish ground rules

·       Keep the group on task

·       Involving everyone in the hands-on activity.

 

 

  1. Mode of delivery:

 

Video clip:

 

https://www.youtube.com/watch?v=VngmselEZ9o&t=27s

 

Video Presentation:

 

https://www.youtube.com/watch?v=SUc32Rr8lNM

 

 

  1. Discussion questions with answers for students from the method used above:

 

1. What is the purpose of an audit in healthcare?

Clinical audit is a way to find out if healthcare is being provided in line with standards and lets care provider and patient know where their service is doing is well, and were there could be improvement.

 

2. What are the benefits of auditing?

    It helps identify potential issues early. It helps identify areas (or risks ) where improvements need to be made. It helps improve the overall effectiveness of the organization. It helps identify if the final product is fit for use and meets customer requirements.

 

3. What are the principles of auditing?

Six Auditing Principles are- Integrity, Fair Presentation, Confidentiality, Due professional care, Independence and Evidence based approach.

 

4. What are the qualities of a good auditor?

·       They show integrity.

·       They are effective communicators.

·       They are good with technology.

·       They are good at building collaborative relationships.

·       They are always learning.

·       They leverage data analytics.

·       They are innovative.

·       They are team orientated.

 

  1. Summary:

Each group will present summary of the discussion.

10. Feedback from students:

·       Collect the feedback for the session from the students on a paper note.

 

 

 

 

8th ACME Course 1st Contact Session at PSMC, Karamsad, Anand, Gujarat

Dr. Ranjit Guha

Principal

Professor of Anatomy

Indira Gandhi Institute of Medical Sciences, Patna

 

                                                                                           

PROJECT

a.     Title: “Evaluation of Perception of Second Professional MBBS Students About Medical Research at IGIMS, Patna.”

 

b.     Introduction: Nowadays patient care is solely based on EBM (Evidence based medicine) and the generation of evidence requires sound knowledge of research methodologies. A pass out MBBS student is a primary contact of patient care and also a future researcher, hence he requires an early and systematic exposure to the research methods1.

           The current undergraduate academic programmes in India are not producing enough personnel for research purposes in the various medical fields. The main reason for this is the medieval curriculum which focuses on didactic learning. This curriculum does not motivate students’ interests in research during their study in medical school and hence they are less likely to seek a research experience2.

The question of whether a research component should be an integral part of medical curriculum has been debated in the past and is still controversial. Patient care is the most important aspect of a medical graduate but teaching, administration and research are also essential aspects. The implementation of a research component is more important at a student level as it helps to develop a judicious insight in their academic and clinical practice, which every medical person should possess3. Evidence based medical practice is now receiving great emphasis internationally4. Scholarly activity programmes are essential components of the modern undergraduate medical curriculum5. To make ‘importing’ knowledge to indigenous generation of knowledge, it is important to develop research oriented educational programmes both at the undergraduate and postgraduate level6,.

In the past few decades, there is a trend of including research component in the undergraduate medical curriculum and this is shown to increase the interest of the students to conduct research after their graduation7. The changes of including the research component as curricular or extra-curricular component in undergraduate medical curriculum in many countries during the last few decades began in some of the universities in US and Europe. Many of the South Asian countries are going to start the change in the next few years. Thus there is an increasing trend of including research component in the medical curriculum over the years8.

Undergraduate students will also be involved in research and they may become acquainted to publish research article either alone or in groups with the help of faculty members as well as PG’s. This might also help them in getting grants from different funding agencies like ICMR. They will also become a good physician at community level because they will be able to separate out reliable medical information based on EBM out of sea of web and text based knowledge9.

 

c.     Objectives:

Ø  To know the perception of undergraduate medical students about medical research and to sensitize them with it in an attempt to generate interest and spirit of inquiry.

Ø  To guide and train them regarding how to write a research protocol for project and publish scientific articles.

.

 

d.      Methodology: A cross-sectional questionnaire-based study will be conducted after obtaining approval of Institutional Ethics Committee and written informed consent from participants. A group of MBBS students (batches of 25) of third semesters (2nd Prof. MBBS) will be sensitized with the importance of medical research and research methodologies during workshop of two days in form of theory with practical examples. Then they will be asked to bring a simple topic of their choice and do the review of literature. Finally, they will be asked to prepare a research protocol. At each step, they will be guided by faculty members. The project will span over six months (June to November 2019) and will be started after submission to and subsequent approval by Institutional Ethics committee.

 

e.     Outcome Matrix:

Outcome

Indicators

Data Source

Data Collection Method

Short term:

To know the perception, to sensitize and to generate interest and spirit in inquiry

Percentage of  students with increased interest in research

2nd Prof. MBBS students

Pre- and post-test questionnaires (both closed and open ended questions) and perception feedback (questionnaire based with open ended questions)

Intermediate term:

Short term research projects taken and successfully completed

Percentage of students undertaken research project and successfully completed

2nd Prof. MBBS students

Institutional Ethics Committee (IEC) Audit Report

Long term:

Scientific

publications and presentations at state, national and international conferences.

Percentage of students published and presented scientific papers

2nd Prof. MBBS students

IEC Audit Report, publications (hard/soft copy), abstracts and certificates of conferences

 

 

 

 

 

 

 

f.      Evaluation: Measurement of outcome will be tested by predesigned validated Pre and Post test questionnaire containing both open- and close-ended questions. Filled questionnaires will be received from second professional MBBS students of my institute. Protocol submitted by each group will be assessed on pre set   defined criteria. Feedback of each student will also be taken at the end of project using Likert scale. The questionnaire will be self-designed after literature search and relevance will be verified by senior faculty and colleagues.  The understandability will be checked by administering the questionnaire to undergraduate students. The questions will be modified according to suggestions. Perception feedback will be taken by questionnaire method containing open ended questions to check common response for qualitative analysis. All data will be analyzed using descriptive statistics. Quantitative analysis will be checked by calculating the statistical differences (p value) of pre- and post-test questionnaire.

 

 

 

 

g.     Evaluation Matrix:

Evaluation

questions

Indicators

Data Source           

Data Collection

 

Do the students become interested in research?

Number of students interested

2nd prof MBBS students

Feedback

 

How many students do undertake and successfully complete short term research project

Number of students

Undertaken and successfully completed project

2nd prof MBBS students

IEC Audit

 

How many students efficiently present scientific papers at state, national and international conferences

Number of students  presented scientific papers at conferences

2nd prof MBBS students

Feedback/Audit from abstracts/certificates

 

How many students do publish good scientific papers

Number of students published scientific papers

2nd prof MBBS students

Feedback/Audit from hard and soft copies of publications

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h.     Contact Map:

 

 

 

 

i.      Gantt Chart:

 

 

 

j.      References:

                  1.         Vujaklija A, Hren D, Sambunjak D, Vodopivec I, Ivanis A, Marusic A, et al. Can teaching research methodology influence students’ attitude towards science? Cohort study and nonrandomized trial in a single medical school. J Investig Med. 2010;58:282-6.

                  2.         Memarpour M, Fard AP, Ghasemi R. Evaluation of attitude to, knowledge of and barrirs toward research among medical science students. Asia Pac Fam Med. 2015;14:1.[PMC free article].

                  3.         Lavis JN, Oxman AD, Moynihan R, Paulsen EJ. Evidence-informed health policy 1 – Synthesis of findings from a multi-method study of organizations that support the use of research evidence. Implement Sci. 2008;3:53.[PMC free article].

                  4.         Amin t, Kaliyadan f, Abdulatheem EA, Majed M, Khanjaf H, Mirza M. knowledge, attitudes and barriers related to participation of medical students in research in three Arab Universities. Educ Med J. 2012;4:e47-55.

                  5.         Noorelahi MM, Soubhanneyaz AA, Kasim KA. Perceptions, barriers and practices of medical research among students at Taibah College of medicine, Madinah, Saudi Arabia. Adv Med Educ Pract. 2015;6:479-85.

                  6.         Burgoyne LN, O’Flynn S, Boylan GB. Undergraduate medical research: The student perspective. Med Educ Online. 2010;15:1-9.

                  7.         Park SJ, McGhee CN, Sherwin T. Medical students’ attitudes towards research and a career in research: An Auckland, New Zealand study. N Z Med J. 2010;123:34-42.

                  8.         Chakraborti C, Bourgeois DJ, Gleeson E, Gunderson W. identifying barriers to successful research during medical school. Med Educ Dev. 2012;2:1-7.

                  9.         Pallamparthy S, Basavareddy A. Knowledge, attitude, practice, and barriers toward research among medical students: A cross-sectional questionnaire-based survey. Perspect Clin Res. 2019 Apr-Jun.[PMC free article].