EMERGENCY OBSTETRIC CARE: A CASE-BASED COURSE MODULE STUDENT FEEDBACKS

Abstract

Aim: In this study, it was aimed to increase the knowledge and awareness of intern physicians with a case-based course module, on postpartum haemorrhage and Emergency Obstetric Care, to teach basic life-saving approaches and thus to contribute on reducing maternal deaths.
Methods: A case-based course module structured in three parts was practised on six different internship groups of 82 students in total who took Family Medicine internship. Written feedback were received from all students at the end of the training module.
Results: 43% (n=35) of the participating students were female while 57% (n=47) were male. It was observed that all the students (n=82, 100%) participating in the case-based course module were highly satisfied. In addition to their positive opinions, twelve students (14.6%) also reported negative opinions. Ten of them (12.1%) stated that the theoretical course was long, two of them (0.02%) reported that they were discouraged by cases and medicolegal evaluation. Students recommended shortening the theoretical part of the course (n=10, 12.1%), increasing such courses related to emergencies (n=73, 89%), including case-based courses in all internships (n=66, 80%), also having simulation of the course (n=18, 22%). All of the students suggested continuing the course in the next years.
Conclusion: It was observed that case-based learning had a very positive effect on student participation, interest and satisfaction. In parallel with these results, the inclusion of case-based courses into the program, especially for important emergencies, and the planning of the simulation training for specific cases will contribute to the process.

Keywords

• Emergency Obstetric Care
• Case-based learning
• postpartum haemorrhage

ACİL OBSTETRİK BAKIM: OLGU TEMELLİ BİR DERS MODÜLÜ, ÖĞRENCİ GERİ BİLDİRİMLERİ

Abstract

Amaç: Bu çalışma ile olgu temelli bir ders modülü ile intörn hekimlerin, postpartum kanamalar ve Acil Obstetrik Bakım konusunda bilgi ve farkındalıklarının arttırılması, hayat kurtarıcı temel yaklaşımlarının öğretilmesi, bu sayede anne ölümlerinin azaltılmasına katkı sağlanması ve ders ile ilgili öğrenci görüşlerinin değerlendirilmesi amaçlanmıştır.
Yöntem: Aile Hekimliği intörnlük dönemi stajı alan, altı grupta, 82 öğrenciye, üç bölüm halinde yapılandırılmış bir eğitim modülü uygulandı. Eğitim sonunda tüm öğrencilerden yazılı geribildirim alındı.
Bulgular: Çalışmaya katılan öğrencilerin %43’ü (n=35) kadın, %57’si (n=47) erkekti. Öğrencilerin tamamı (n=82, %100) dersle ilgili olumlu görüş belirtti. Geribildirimlerde, öğrencilerin en çok memnun kaldıkları uygulama gerçek olgular üzerinden yapılan olgu analizleri idi. Öğrenciler, kuramsal dersler sayesinde bilgi ve farkındalıklarının, olgu temelli oturumlarla derse olan ilgi ve katılımlarının, olgu analizleri sayesinde bütüncül değerlendirme ve kritik karar verme becerilerinin arttığını belirtmişlerdir. On iki öğrenci (%14.6), olumlu görüşlerinin yanında olumsuz görüş de bildirmiştir. Olumsuz görüş bildiren, on öğrenci (%12.1) kuramsal dersin uzun olduğunu, iki öğrenci (%0.02) olgular ve medikolegal değerlendirmenin cesaretini kırdığını belirtmiştir. Öğrencilerin tümü dersin sonraki yıllarda da devam ettirilmesini isterken, %80’i (n=66) olgu temelli derslere tüm stajlarda yer verilmesi, %89’u (n=73) acillerle ilgili olgu temelli derslerin arttırılması, %22’si (n=18) dersin simülasyonunun da yapılması önerisinde bulunmuştur.
Sonuç: Olgu temelli öğrenmenin öğrencilerin derse katılımı, ilgisi, öğrenmeleri ve memnuniyetleri üzerinde olumlu bir etkisinin olduğu görülmüştür. Hayati önemi olan aciller için, müfredatta olguya dayalı derslere yer verilmesi ve simülasyon eğitimlerinin de planlanmasının öğrenme sürecine katkısı olacaktır.

Keywords

• Acil Obstetrik Bakım
• olgu temelli öğrenme
• postpartum kanama

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