Experiences and perceptions of former medical students on the neurology curriculum: A reminiscing focus group discussion
Amado M. San Luis | Cely D. Magpantay | Jose D. Quebral
Abstract:
Introduction The objective of this focus group discussion was to explore the experiences and perceptions
of former medical students with the undergraduate neurology curriculum.
Methods Perceptual patterns were derived from transcriptions of the discussion of the participants in a
focus group discussion involving faculty, residents and postgraduate interns. Data were analyzed using
latent content analysis and constant comparison techniques.
ResultsShared experiences in clinical clerkship were mostly negative. The difficult initial patient encounters
were suggested to be minimized through hierarchal modeling, modification of the subject contents and
early clinical exposures. An environment created to be conducive to learning and neuroscience subjects
suited for the primary physician will equip the medical graduates better. The perceived pressures forced
the participants to find ways to cope. Neuroanatomy helped much in the clinics. The group suggested
more clinical correlates and the use of drawings to aid the graduates attain the competency in neurology
for a primary physician.
Conclusion The participants’ experiences were largely negative and were brought about by a varied form
of pressures. Contributing factors were identified and suggestions to improve learning and retention
were given.
References:
- Glaser BG, Strauss A. Discovery of grounded theory: Strategies for qualitative research. Chicago: Sociology Press; 1967.
- Strauss A. Qualitative analysis for social scientists. Cambridge, England: Cambridge University Press; 1987.
- Glaser B. Basics of Grounded Theory Analysis. Mill Valley, CA: Sociology Press; 1992.
- Krueger RA. Developing Questions for Focus Groups. Thousand Oaks, CA: Sage; 1998.
- Krueger RA. Moderating Focus Groups. Thousand Oaks, CA: Sage; 1998.
- Krueger RA. Analyzing and Reporting Focus Group Results. Thousand Oaks, CA: Sage; 1998.
- Jozefowicz RF. Neurophobia: The fear of neurology among medical students. Arch Neurol 1994: 57(4): 328-9.
- Fantaneanu T, Moreau K, Eady K, et al. Understanding the genesis of neurophobia: A mixed-methods study of trainees’ perceptions of neurology education. Ann AcadMed Singapore 2013; 42: 559-66.
- Zinchuk AV, Flanagan EP, Tubridy NJ, Miller WA, McCullough LD. Attitudes of US medical trainees towards neurology education: “Neurophobia” – a global issue. BMC Med Educ 2010; 10: 49.
- Youssef F. Neurophobia and its implications: Evidence from a Caribbean medical school. BMC Med Educ 2009:9:39.
- McCarron M. A Systematic review of neurophobia and perceived causes among medical students and junior doctors. J Neurol Neurosurg Psychiat 2012; 83(3): e1.
- McColgan P, McKeown PP, Selai C, Doherty-Allan R, McCarron MO. Educational interventions in neurology: A comprehensive systematic review. Eur J Neurol 2013; 20(7): 1006-16.
- Charles PD, Scherokman B, Jozefowicz RF. How much neurology should a medical student learn? Acad Med 1999; 74: 23–6.
- Kamel A, Dhelwal G, Navi BB, et al. A randomized trial of hypothesis driven vs screening neurologic examination. Neurology 2011; 77: 1395-400.
- Karrirer JP. Teaching clinical medicine by iterative hypothesis testing: Let’s preach what we practice. N Engl J Med 1983; 309: 921-3.
- Nigel CK Tan. Educational interventions in neurology: a comprehensive systematic review--reply to letter. Eur J Neurol 2013
- Matthias AT, Nagasingha P, Ranasinghe P, Gunatilake SB. Neurophobia among medical students and non-specialist doctors in Sri Lanka. BMC Med Educ 2013; 13(1): 164.
- Sanya EO, Ayodele OE, Oldanrewaju TO. Interest in neurology during medical clerkship in a Nigerian Medical School. BMC Med Educ 2010; 10; 36.
- Fisch A. Neuroanatomy: Draw it to Know it. 2nd edition. Oxford: Oxford University Press; 2012.
- Lim EC, Ong BK, Seet RC. Using videotaped vignettes to teach medical students to perform the neurologic examination. J Gen Intern Med 2006; 21: 101.
- Cuoco JA. Medical student neurophobia: A review of the current pandemic and proposed educational solutions. Europ J Educ Sci 2016; 3(3): 41-6.