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      The Treatment of Metabolic Acidosis: An Interactive Case-Based Learning Activity

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          Abstract

          Introduction

          Metabolic acidosis is a dangerous and potentially life-threatening condition encountered in the inpatient and emergency department setting. Metabolic acidoses due to renal failure, bicarbonate losses, or lactic acidosis are common conditions, and the appropriate medical management of each is relevant to any inpatient medical provider. Therefore, we created a learning activity that utilizes blackboard-style videos followed by an interactive case-based learning session to help the medical student recognize, diagnose, and manage common causes of metabolic acidosis.

          Methods

          We organized this learning activity by assigning digital videos, followed by application in an interactive team-based format. We created electronic blackboard-style videos and a quiz to assess medical knowledge related to concepts discussed in the videos. Next, we created case resources that facilitate an interactive case-based teaching session so the learners could apply their knowledge and simulate the management of metabolic acidosis.

          Results

          We implemented this activity for 34 medical students. All students viewed the videos prior to the in-class session. In a pre/post assessment of medical knowledge, we observed a significant improvement in quiz scores. Next, we successfully facilitated the case-based active learning session, allowing the assessment of higher-order cognitive skills related to management of patients with metabolic acidosis. Our medical students felt highly satisfied and competent at the completion of our course.

          Discussion

          Our medical students rated this as an excellent learning activity. Others may find this activity useful within the context of any course or rotation related to patients with metabolic acidosis.

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          Most cited references10

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          How Long Can Students Pay Attention in Class? A Study of Student Attention Decline Using Clickers

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            How video production affects student engagement: An empirical study of mooc videos

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              Pediatric Toxidrome Simulation Curriculum: Salicylate Toxidrome

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                Author and article information

                Journal
                MedEdPORTAL
                MedEdPORTAL
                MEP
                MedEdPORTAL : the Journal of Teaching and Learning Resources
                Association of American Medical Colleges
                2374-8265
                2019
                27 September 2019
                : 15
                : 10835
                Affiliations
                [1 ]Associate Professor, Department of Medicine, Division of Nephrology, Duke University Medical Center
                [2 ]Assistant Professor, Department of Medicine, Division of Nephrology, Duke University Medical Center
                Author notes
                *Corresponding author: john.roberts@ 123456duke.edu
                Article
                10.15766/mep_2374-8265.10835
                6897540
                31890870
                03e632b2-db71-40a9-b5a5-21da8dbab79a
                Copyright © 2019 Berkoben and Roberts.

                This is an open-access publication distributed under the terms of the Creative Commons Attribution license.

                History
                : 18 December 2018
                : 21 May 2019
                Page count
                References: 11, Pages: 7
                Categories
                Original Publication

                metabolic acidosis,physiology,nephrology,lactic acidosis,renal failure,critical care medicine,emergency medicine,flipped classroom

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