Can integrated interactive modules help enhance learning of anatomy, physiology, embryology and clinical sciences of the cardiovascular system?
Authors: Doroudi Majid , Shepherd David , Cournyea Carol-Ann , Tang Johnathan , Patterson Mike 
Published: April 2020

Background

Integration of the basic and clinical sciences is one of the cornerstones of the medical curricula. Studies have shown that integration helps the learners to not only know the application of what they learn in the lectures and labs but help them to retrieve the information better when they start their clinical rotations. Meantime, interactive modules allow for students to learn at their own pace and engage with their learning through quizzes and media to best supplement learning. Most medical schools have reduced the total hours allocated for anatomy & physiology teaching and laboratory practical hours. These changes have been a continuous debate and triggered the emergence of innovative teaching and learning strategies in order to maximize students’ learning of anatomy, physiology, and embryology in the new context. The purpose of this project was to develop integrated interactive modules that can help support the learning of the medical students in the UBC’s Faculty of Medicine. The modules were based on the content of a week‐long topic on the arterial septal defect and a week‐long topic on the ischemic heart disease and focused on the integration of clinical knowledge with the concurrent instruction of pertinent anatomy, physiology, and embryology of the heart.

Methods

Two interactive virtual patient modules were developed to integrate the anatomy, physiology, embryology, and clinical skills of the cardiovascular system. We used the Articulate Engage software suite to create the modules. The modules progress slide‐by‐slide in order to encourage a logical flow from patient presentation through to treatment. We have used interactive labeled diagrams to review the embryology, anatomy, and physiology of the cardiovascular system and in‐module quizzes to test student knowledge. As well, several multiple choice questions are included throughout the modules that must be completed in order to progress through the cases. We also had the following learning activities in our modules: team work & team communication, diagnosis and decision‐making, and challenging situation in patient care. The modules were made available to students on the curriculum website and completion of a voluntary survey was encouraged at the end of the module.

Results

100% of the participants were either strongly agreed or agreed that the modules complemented or enhanced the learning in lectures, CBL and labs. Basic science knowledge of the heart of the participants improved from 16.7 % to 83.3%. More than 83% of the participants felt that the integration of the clinical case and the anatomy, physiology, and embryology was either effective or very effective in assisting learning of the curricular content. 100% of the participants would like to see more modules like this for curricular content.

Conclusions

The development of integrated interactive modules that explore clinical, anatomical, physiological, and embryological content curricular objectives improve students’ subjective knowledge of clinical and anatomical sciences. Students found it useful for their learning to integrate cases into the core concepts of basic sciences and would like to see more modules like this in the future.