A PowerPoint presentation prepared by Dr.Hamkar

PBL for Medical Students. Prepared by Dr. Hamkar. Basic PBL foundation for the medical students.

1. PBL Case Scenario Writing for 2
nd
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 2
nd
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