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      Perception of Pathology of Otolaryngology-Related Subjects: Students’ Perspective in an Innovative Multidisciplinary Classroom

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          Abstract

          Aim

          Multidisciplinary, as a term, is used to define people from different scientific backgrounds working together, each drawing on their field of expertise. Some related terms are frequently used interchangeably, such as interdisciplinary and transdisciplinary, but they are confusing and ambiguous. Introduction of a multidisciplinary teaching method in the early phases of medical curricula is insufficient for effective learning. Here, we aim to implement a multidisciplinary approach in the early phase of medical education and identify outcomes.

          Methods

          Two groups were evaluated in this study, each representing phases II and III of the Albaha medical curriculum, and including 90 and 86 students, respectively. “Hearing tests and their clinical applications” was selected as a subject to evaluate the understanding of special senses as studied by the phase II group, while “pathology of otolaryngology-related tumors and clinical correlations” was selected as a subject to evaluate the understanding of otolaryngology as studied by the phase III group. These subjects were selected by faculty members from otolaryngology, pathology and physiology departments and taught in successive stations. Teaching sessions were followed by a formative test that included 10 multiple-choice questions and a mini-clinical evaluation exercise (mini-CEX). A questionnaire to evaluate student satisfaction was completed after the exam.

          Results

          Students’ satisfaction for the “hearing tests and their clinical applications” and “pathology of otolaryngology-related tumors and clinical correlations” subjects were 80% and 90.5%, respectively. The formative assessment revealed good student performance at 63.28%, and 60.46% of all students in both phases attained scores above 80%.

          Conclusion

          Introduction of a multidisciplinary approach early in the medical curriculum improves knowledge and skill acquisition. This is reflected in student performance, especially if evaluated using the mini-CEX format, thus providing rapid feedback to students concerning their performance.

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          Most cited references32

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          Selecting, designing, and developing your questionnaire.

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            American medical education 100 years after the Flexner report.

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              Idiopathic interstitial pneumonia: what is the effect of a multidisciplinary approach to diagnosis?

              Current guidelines recommend that the clinician, radiologist, and pathologist work together to establish a diagnosis of idiopathic interstitial pneumonia. Three clinicians, two radiologists, and two pathologists reviewed 58 consecutive cases of suspected idiopathic interstitial pneumonia. Each participant was provided information in a sequential manner and was asked to record their diagnostic impression and level of confidence at each step. Interobserver agreement improved from the beginning to the end of the review. After the presentation of histopathologic information, radiologists changed their diagnostic impression more often than did clinicians. In general, as more information was provided the confidence level for a given diagnosis improved, and the diagnoses rendered with a high level of confidence were more likely congruent with the final pathologic consensus diagnosis. The final consensus pathologist diagnosis was idiopathic pulmonary fibrosis in 30 cases. Clinicians identified 75% and radiologists identified 48% of these cases before presentation of the histopathologic information. Histopathologic information has the greatest impact on the final diagnosis, especially when the initial clinical/radiographic diagnosis is not idiopathic pulmonary fibrosis. We conclude that dynamic interactions between clinicians, radiologists, and pathologists improve interobserver agreement and diagnostic confidence.
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                Author and article information

                Journal
                Adv Med Educ Pract
                Adv Med Educ Pract
                AMEP
                amep
                Advances in Medical Education and Practice
                Dove
                1179-7258
                29 May 2020
                2020
                : 11
                : 359-367
                Affiliations
                [1 ]Pathology Department, Faculty of Medicine, Al-Azhar University , Assuit, Egypt
                [2 ]Pathology Department, Faculty of Medicine, Albaha University , Albaha, Saudi Arabia
                [3 ]Surgery Department, Otolaryngology Division, Faculty of Medicine, Albaha University , Albaha, Saudi Arabia
                Author notes
                Correspondence: Ihab Shafek Atta Pathology Department, Faculty of Medicine, Al-Azhar University , Assuit71524, EgyptTel +20882148103/4Fax + 20882148119 Email Ihab.bassyouny@azhar.edu.eg
                Rajab A Alzahrani Surgery Department, Otolaryngology Division, Faculty of Medicine , Albaha University, Saud ArabiaTel +966509766298 Email drrajabg@gmail.com
                Author information
                http://orcid.org/0000-0002-8538-7894
                Article
                256693
                10.2147/AMEP.S256693
                7266823
                32581618
                9a4634b1-3d47-40a4-b7b9-ec2a3d365708
                © 2020 Atta and Alzahrani.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 03 April 2020
                : 13 May 2020
                Page count
                Figures: 1, Tables: 5, References: 40, Pages: 9
                Categories
                Methodology

                integration,multidisciplinary,mini-cex,otolaryngology,pathology,student performance

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