Clinical Skills Training in Medical Clerkships: The Effectiveness of Integration of Mobile Learning
Heyson C.H. Chan, Taylor L.H. Tang, Olivia M.Y. Ngan and Florence M.K. Tang
Current MBChB programme integrates the concept of the flipped classroom in the teaching curriculum, where students receive the exposure of basic knowledge before the didactic practicums. There are plenty of teaching tools in the learning of science but lack a cognitive integration in critical connections to clinical signs and symptoms for differential diagnosis of the diseases.
Our team has been built up an interactive mobile application entitled mPACS (mobile Pass A+ in Clinical Studies) to facilitate the development of critical thinking in clinical practice among clerkship training. The pilot study of the project aims to develop micro-modules related to bedside physical examination, chronic liver diseases and its clinical signs for training the ability to think critically, where students acquire skills in the differential diagnosis as such logistic connection is no rules or textbook to define, quantity or teach. It is helpful in preparing students' competence in clinical clerkship training and reinforcing students' commitment to professional principles on health care teams.
Project outcome has been evaluated by an anonymous survey and focus group among students. Overall, there were 87.5% of students who liked and rated the mPACS at 5 out of 5-point Likert Scale. According to the data analysis, our team concluded that the mPACS is the innovative and interactive courseware that can engage students learning experience via mobile devices in combination of traditional face-to-face delivery learning, reinforce their cognitive connections in foundational knowledge and clinical skills through case scenarios studies exercise for differential diagnosis of the diseases for experiential learning; and deepen the clinical skill by on-line formative assessment by personalized instruction study approach in the sophistication of professional knowledge.