Guest Editors Tim Shaw & Nick Cooling
Table of contents (Vol 4, No 6)

Undergraduate Medical Sciences at a Nepalese Medical School
 
KIST Medical College, Nepal follows the curriculum of the Institute of Medicine, Tribhuvan University. The basic science subjects are taught in an integrated, organ-system-based manner with community medicine during the first two years. The author was appointed as the MBBS Phase I programme coordinator in September 2008 and in this article he shares his experiences of running the programme.

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By Ravi Shankar

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RESEARCH

E-learning to Enhance the Acquisition of Consulting Skills
 

Medical students found this e-learning package to be enjoyable, useful and effective in increasing knowledge in, and preparation for, consulting skills. Authors conclude that E-learning should be further utilised in a blended learning environment to support face-to-face teaching in consulting skills and allow for flexibility in delivery of medical education.

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By Sue Pearson, E Warnecke

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Rasch Analysis on OSCE Data: An Illustrative Example
 

Through a case study and retrospective analysis of a real Objective Structured Clinical Examination (OSCE) data set for fourth year undergraduate medical students, this paper provides an illustrative example on the use of Rasch modelling as a quality assurance tool for OSCE data. Potential insights from Rasch analysis for clinical teachers and implications for future development of assessment in medical education are highlighted, exemplified and discussed.

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By Elina Tor, Carole Steketee

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Small Teaching at a Nepalese Medical School
 

The study explored small group teaching for pharmacology at a Nepalese medical school. Group effectiveness improved after an educational intervention analysing problems observed, the theoretical aspects of small group dynamics and how they can be applied in practice. Problem Based Learning is becoming an important method of learning in medical schools in Nepal.

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By Ravi P Shankar, Sukh B Gurung, Nisha Jha, Omi Bajracharya, Balman S Karki, Trilok P Thapa

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Multiple-Choice Questions or Short-Answer Tests?
 
Multiple-choice tests promote retention of information contained in the immediate post-tests as compared to the short-answer tests because the correct answer to each item is provided along with the distracters in the multiple choice items. The advantage of short-answer tests is that students do not have to choose from a set of responses. Teachers who find constructing multiple-choice items difficult could make do with short-answer items which are relatively easy to prepare.

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By Sushma Nagsen Ramraje, P L Sable

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The General Practice Registrar Needing Assistance
 

This study suggests that the most common way for general practitioners in training (registrars) needing assistance to be identified is via feedback from the supervisor and teaching practice. The most useful and timely feedback occurred in an informal manner, mostly by telephone or direct contact. Similar findings have been suggested in other training programmes.

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By Greg Gladman

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Nursing Students and Gluteal Intramuscular Injection
 

This study indicates some nursing students lack knowledge surrounding correct placement of intramuscular injections. It also indicates some students have a lack of theoretical knowledge about safe injection practice with gluteal injections and highlights the importance of checking student technique prior to clinical placement.

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By Jon Cornwall

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Introducing Geriatric Health in Medical Training in Ajman, United Arab Emirates
 

In this report a 10-hour introductory co-curricular workshop made no significant change in the knowledge on geriatric health or attitude of fourth year medical students though they reported it as a very enriching experience. The authors suggest that a reflective report may have been a better assessment tool. The impact on clinical practice of the current course cannot be predicted.

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By Elsheba Mathew

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Hypertension Among Older Malays living in Rural Malaysia
 

These researchers report a high prevalence of undetected cases of hypertension among the elderly Malays living in rural communities. There also appears to be a high prevalence of uncontrolled blood pressure among those with known hypertension. The team suggest that employment is an important factor associated with hypertension in this population.

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By Abdul Khan Rashid

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BRIEF REPORT

Clinical Observership: An Adjunct to Preclinical Training
 

As part of medical training in India, students are exposed to the hospital environment only after they start their clinical training. During the preclinical phase most students may be unaware of the relevance of basic sciences to clinical practice. The authors contend that the preclinical student needs to be made aware of the relevance of basic sciences in clinical practice as early as possible during their training. As induction first year medical students at a private medical school in India were exposed to a ‘clinical observership’ programme. The course is described in this brief report.

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By Pananghat Achutha Kumar, Prasanna N Kumar

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CASE STUDY

Neonatal Varicella: A Rare Case Report
 

Chicken pox is an infectious disease of childhood. It is rare in infants and newborns due to passive immunity received from the mother. The characteristic skin eruptions are vesicular with erythematous base and accompanied by pruritus. Skin of palms and soles is typically spared. This team reports a case of neonatal varicella where the mother had skin eruptions at the time of delivery. The neonate contracted it during the perinatal period, developing clinical disease on the day five of life. Specific anti viral therapy was given to mother and baby. Recovery was uneventful

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By Anand Kumar Bhardwaj, Prem Dass Sharma, Akshay Sharma

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LETTER TO THE EDITOR

Letter to the Editor
 
Interaction between Clopidogrel and Proton Pump Inhibitors: Literature to Clinical Practice; A study of deliberate self-harm patients attending tertiary care teaching hospitals in south India;Scholarship students in private medical schools: An important source of support to Nepal’s primary health system
By Muhammad Abdul Hadi, Tan Chong Lip, Ravi Shankar, Shailaja Patil, Chaukimath Shivakumar

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