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Humanising case-based learning

Bibliographic Data

ID21447459
AuthorsRoaa Al-bedaery (St George's, University of London), Roaa Al‐bedaery (St George's, University of London, corresponding author), Shehla Baig (0009-0004-3738-8608, St George's, University of London), Yuti Khare (Medical school, St George’s University of London), James Sullivan-Mchale (Medical school, St George’s University of London)
Year2024
Volume46
Issue10
Pages1348-1355
Publication date2024-10-02
Open AccessYes
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2024.2308066
PMID38285885
OpenAlexW4391305397
LanguageEN
Citations received4
References cited28

PURPOSE OF THE ARTICLE: Medical undergraduates at St George's, University of London (SGUL) study a weekly clinical case during their clinical science years. Audit of the human stories demonstrated lack of diversity, mono-professionalism, and objectification of some patients. A collaborative partnership with staff, student and patient representation implemented curriculum change, including an inclusive case-writing initiative. We explored whether the reformed written cases supported the development of positive attitudes by sampling perceptions of the cases amongst students. METHODS: Sixteen semi-structured interviews were conducted (Feb-November 2022) with first year medical students. We applied an interpretative phenomenological analysis approach. Verbatim transcripts were coded and analysed to elucidate themes. RESULTS: Four themes were identified: (i) effective learning, (ii) clinical authenticity, (iii) authentic human stories, and (iv) opportunity for rehearsing the role of a doctor. Students perceived the cases as an effective, contextual learning method, with a high degree of clinical authenticity, allowing mentalisation of doctor attitudes and behaviours in relation to patient-centredness, multidisciplinary team working and diversity. CONCLUSION: The results suggest the reformed cases created positive attitudinal change amongst students and supported transition to clinical roles. Memorable human stories had the greatest impact. Dynamic, inclusive, and collaborative case writing initiatives which integrate realism, diversity and multi-professionalism may help to foster positive experiences in students undertaking CBL sessions

Medical education · MEDLINE · Political science · Clinical Reasoning and Diagnostic Skills · Innovations in Medical Education · Medicine · Problem and Project Based Learning · Psychology

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Citations per year4
Citation span2025 - 2026 (2)
Highly citedNo

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Open DOIOpen Access
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