@2024 Afarand., IRAN
ISSN: 2228-5468 Education Strategies in Medical Sciences 2016;9(1):21-27
ISSN: 2228-5468 Education Strategies in Medical Sciences 2016;9(1):21-27
Comparison the Students Satisfaction of Traditional and Integrated Teaching Method in Physiology Course
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Keshavarzi Z. (1)Akbari H. (2)
Forouzanian S. (*)
Sharifian E. (3)
(*) Medical Department, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
(1) Physiology & PharmacologyDepartment, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
(2) English Language & Literature Department, Literature & Humanities Faculty, Ferdowsi University of Mashhad, Mashhad, Iran
(3) Physiology Department, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
Correspondence
Address: College of Medicine, North Khorasan University of Medical Sciences, Taleghani Street, Bojnurd, IranPhone: +985832297157
Fax: +985832297157
aeedfor20.1393@gmail.com
Article History
Received: November 11, 2015Accepted: February 16, 2016
ePublished: March 28, 2016
BRIEF TEXT
… [1-6] New technologies provide more attractive situations in learning according to the abilities of the student [7]. The technologies can facilitate the learning and teaching process [8]. Nowadays, there are a variety of teaching methods for the medical students [9, 10]. … [11-14]
Different training and learning styles are needed to translate knowledge, considering educational situations [5]. Most of the studies emphasize models which are combined of different methods [3].
The aim of this study was to compare the satisfaction levels of medical students with physiology course teaching through traditional and combined methods.
This is a descriptive analytic study.
Four-semester medical students of Bojnoord University of Medical Sciences were studied in 2015.
50 students, including 21 males and 29 females, were randomly selected based on availability. The subjects, aged between 18 and 22 years, had passed basic courses such as anatomy and kidney tissue and endocrines.
Data was collected using two researcher-made questionnaires based on 5-point Likert scale as “completely disagree”, “disagree”, “no idea”, “agree”, and “completely agree”. Questionnaires 1 and 2 included 6 and 7 items, respectively. Their primary reliability was confirmed via a pilot study. Based on Cronbach’s alpha, the reliability values of the questionnaires 1 and 2 were 0.73 and 0.69, respectively. Their validity was assessed by two physiology teachers, one medical education teacher, and one English language teacher. Kidney and endocrine course having been presented via lecture method in four 60-minute sessions, the questionnaire No. 1 was completed before the presentation via combined method. The questionnaires 1 and 2 were completed after four 60-minute kidney and endocrine sessions via combined method. The method included tales about daily life, changes in the sitting mode, students’ playing roles, educational movies and animations, the utilization of models and real animal parts, and clinical topics. The sitting mode and chair-arrangement increased the students’ comprehension and concentration. In order to increase the learning level, each student was asked to explain her own role to other students. Data was analyzed by SPSS 16 software. Dependent T test was used to compare the students’ satisfaction with traditional and combined methods.
Mean scores of the students’ satisfaction with teaching the kidney course via traditional and combined methods were 24.80±3.48 and 22.30±4.03, respectively. The difference was significant (p<0.0001). Then, there was a higher satisfaction level with traditional method than combined method. In traditional and new methods, 24% and, only, 16% of the students either disagree or completely disagree in the item expressing that the teaching method could engage them to learn the topics, respectively. There was no considerable difference between the methods in the students’ satisfaction with participating in the classroom general discussions. In addition, the relation between the physiology course and the field of the study of the medical students was better in the new method. Totally, the traditional and the new methods were assessed as effective methods on the topics understanding by 84% and 52% of the students, respectively. There was a lower anxiety level during the course presentation in the traditional method. Most of the students were either agree or completely agree with daily life tales (to comprehend the issue), sitting mode and attribution of different cell roles to the students (for better comprehension), movies and animations and the utilization of models and real animal parts (for better comprehension of the topics), and clinical issues (to enhance the learning motivations; Table 1). Based on the analysis of the qualitative questions providing the students’ viewpoints, suggestions, and critics about the teaching methods to enhance the satisfaction level and educational quality, group teaching method and the students’ participation in the classroom topics were assessed valuable and useful by most of the students. In addition, the students assessed the expression of the relation between the course topics and daily matters, as well as the utilization of the clinical items, as effective on the relations between the course topics and their field of study, as well as on any increase in their motivations.
The new methods considerably increased the interests in learning and comprehensions of the relations between the issues and field of study. However, the lecture method was assessed more effective on better understanding of the topics. The students tend to traditional methods [7]. There are equal functions in traditional [15] and electronic [16] methods. The educational movies were considerably effective. Such movies can make the students to accept teaching very well [9]. Both lecture and discussion methods effectively increase the comprehension of the subjects [17]. Both lecture method and teaching by movies are effective, while the latter is more effective [18]. There is a significant difference between the quality of teaching via educational movies and the teaching quality through clinical trainings [19]. … [20] Despite the fact that the educational movies might be preferred by the students, the educational movies can enhance the students’ learning [21, 22]. There are better results from the method by educational movies about true orthodontic brackets putting on the tooth than slide show in lecture method [23]. The clinical issues considerably increased learning motivation. There are significant differences between the students’ satisfactions with the case study method and the lecture method in the theoretical teaching of the infectious diseases [24]. There are considerably higher levels of motivations and attitudes in the students trained via clinical issues than those trained by the traditional method in the course of endocrine physiology [25]. The compound teaching of basic sciences and clinical issues leads to an enhancement in the students’ interests in the medical sciences [26, 27]. There are significant differences in the attitudes and motivations of the students taught by lecture method in training blood flow compounded with clinical issues and a computer program [28]. Playing roles is a proper educational method to empower the attitudes [29]. Role playing is effective on the enhancement of attitude and awareness of the intern students compared to group discussion [30]. There is a significant difference between the effectiveness of teaching via role playing and that of lecture method [31]. The role playing method leads to better functions of the students to weaken bad news for the patients’ family [32]. Most of the students agree with both the utilization of models with lecture and educational movies with lecture, while there is no considerable difference between the students’ satisfaction percentage which is a result consistent with the present study. However, in the present study, the students’ satisfaction with models was higher than the educational films, which is a result inconsistent with the aforesaid study [33].
Changes in the students’ skills and knowledge should be studied to acquire more universal information about the efficiency of the combined method.
Two different teachers conducted combined and traditional methods. Any generalization to other students should be done by care.
Favorable satisfaction levels of the students with the lecture method in understanding the topics, as well as their welcome to new and active methods in teaching, show efficiency and effectiveness of the traditional method and requirements to enhance it through combined methods.
The teachers of medical physiology department and the students of North Khorasan University of Medical Sciences are appreciated.
There are no either financial or intellectual conflicts.
The aim of the study was explained for the students and the questionnaires were nameless. The students’ consent was confirmed by the consent forms.
The study was not funded by any organization.
TABLES and CHARTS
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[16]Khatoni A, Dehghan Nayery N, Ahmady F, Haghani H. Comparison the effect of web-based education and traditional education on nurses knowledge about bird flu in continuing education. Iran J Med Educ. 2011;11(2):140-8. [Persian]
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[18]Mohamad Khah F, Amin Shekravi F, Faghih Zadeh S, Babaee Haidar Abadi A, Kazem Begi F, Maghsodi R. Comparison of two methods of dental health education lectures and film screenings on knowledge, attitude and practice of students. J Ilam Univ Med Sci. 2013;20(5):43-50. [Persian]
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[23]Chen MS, Horrocks EN, Evans RD. Video versus lecture: Effective alternative for orthodontic auxiliary training. Br J Orthod. 1998;25(3):191-5.
[24]Ahmadi F, Nashibi R. Evaluation of case-based teaching method for infectious diseases educational course in Ahvaz Iaundishapur University of medical science. Educ Dev Jundishapur. 2014;5(2):88-92. [Persian]
[25]Babaei P. Comparing traditional lecture and combination of case and lecture in teaching endocrine physiology for medical students. Res Med Sci. 2012;4(1):1-8. [Persian]
[26]Kermanian F, Mahdizadeh M, Iravani S, Markazi Moghadam N, Shayan S. Comparing lecture and problem-based learning methods in teaching limb anatomy to first year medical students. Iran J Med Educ. 2007;7(2):379-88. [Persian]
[27]Duban S, Mennin S, Waterman R, Lucero S, Stubbs A, Vanderwagen C, et al. Teaching clinical skills to pre-clinical medical students: Integration with basic science learning. Med Educ. 1982;16(4):183-7.
[28]Rodriguez-Barbero A, Lopez-Novoa JM. Evaluation of the learning experience circulatory physiology model and case discussion method: Teaching integrative physiology using the quantitative. Adv Physiol Educ. 2008;32(4):304-11.
[29]Nikendei C, Kraus B, Schrauth M, Weyrich P, Zipfel S, Herzog W, et al. Integration of role-playing into technical skills training: a randomized controlled trial. Med Teach. 2007;29(9):956-60.
[30]Monagheb SE, Mosalanejad N. The impact of role play and group discussion on the knowledge and attitude of interns of Jahrom medical school about breaking bad news. Pars J Med Sci. 2011;9(Suppl 1):1-6. [Persian]
[31]Hazavei M, Taghdisi M, Mohaddes Hakak H, Hasanzade A. The effects of three teaching methods of lecture, training game and role playing on knowledge and practice of middle school girls in regard to puberty nutrition. J Strides Dev Med Educ. 2006;3(2):126-33. [Persian]
[32]Deneve KM, Heppner MJ. Role play simulation: The assessment of the active learning technique and comparisons with traditional lectures. Innov High Educ. 1997;21(3):231-46.
[33]Monjamed Z, Haji Amiri P, Babaee GH, Beirami A. Comparison of effect of two methods for teaching CPR (manikin and film) on knowledge and revenue of student of nursing. Nurs Res. 2006;1(2):7-14. [Persian]
[2]Heidari T, Kariman N, Heidari Z, Amiri farahani L. Comparison effect of feedback lecture and conventional lecture method on learning and quality of teaching. Arak Med Univ J. 2010;12(4):34-43. [Persian]
[3]Talebi A, Nourbakhsh N, Mottaghi P, Dadgostarnia M, Vafamehr V. New teaching/learning model for medical students, according to integration of usual educational methods in Isfahan University of Medical Science. Iran J Med Educ. 2011;10(5):1198-208. [Persian]
[4]Razeghinejad MH, Bakhshi H, Mashayekhi N. A survey on teaching style of academic members in Rafsanjan University of Medical Sciences. 2010;14(3):198-205. [Persian]
[5]Haghani F, Chavoshi E, Valiani A, YArmohamadiyan MH. Teaching styles of teachers in basic sciences classes in medical school of Isfahan University of Medical Sciences. Iran J Med Educ. 2011;10(5):943-9. [Persian]
[6]Littlewood S, Ypinazar V, Margolis SA, Scherpbier A, Spencer J, Dornan T. Early practical experience and the social responsiveness of clinical education: Systematic review. BMJ. 2005;331(7513):387-91.
[7]Hadjerrouit S. Developing web-based learning resources in school education: A user-centered approach. Interdiscip J E-Learn Learn Object. 2010;6(1):115-35.
[8]Kirkwood A, Price L. Learners and learning in the twenty-first Century: What do we know about students' attitudes towards and experiences of information and communication technologies that will help us design courses. Stud High Educ. 2005;30(3):257-74.
[9]Amini N, Zamani BE, Abedini Y. Medical students' learning styles. Iran J Med Educ. 2010;10(2):141-47. [Persian]
[10]Adibi I, Kiania M. What are the objectives of early clinical exposure?. Iran J Med Educ. 2005;5(2):7-13. [Persian]
[11]Safari M, Yazdanpanah B, Ghafarian H, Yazdanpanah SH. Comparing the effect of lecture and discussion methods on students learning and satisfaction. Iran J Med Educ. 2006;6(1):59-64. [Persian]
[12]Mard SA, Larki M.S, Neisi N. The effect of regular class exams on the final scores of body fluids and renal physiology course. Educ Dev Jundishapur. 2014;5(2):59-65.
[13]McCorry LK. Essentials of human physiology for pharmacy. 2nd edition. UK, London: Taylor & Francis; 2008.
[14]Zohoor A, Eslaminejad T. Teacher's effective teaching criteria as viewed by the students of Kerman University of Medical Sciences. J Med Educ. 2004;4(2):65-70.
[15]Herzig S, Linke R, Marxen B, Borner U, Antepohl W. Long-term follow up of factual knowledge after a single, randomized problem-based learning course. Bio Med Cent. 2003;3(3):6920-23.
[16]Khatoni A, Dehghan Nayery N, Ahmady F, Haghani H. Comparison the effect of web-based education and traditional education on nurses knowledge about bird flu in continuing education. Iran J Med Educ. 2011;11(2):140-8. [Persian]
[17]Andrusyszyn MA. The effect of the lecture discussion teaching method with and without Audio-visual augmentation on immediate and retention learning. Nurse Educ Today. 1990;10(3):172-80.
[18]Mohamad Khah F, Amin Shekravi F, Faghih Zadeh S, Babaee Haidar Abadi A, Kazem Begi F, Maghsodi R. Comparison of two methods of dental health education lectures and film screenings on knowledge, attitude and practice of students. J Ilam Univ Med Sci. 2013;20(5):43-50. [Persian]
[19]Hajizadeh H, Izadjoo M, Akbari M. Comparison of effectiveness of clinical deductive to obtain the objective of restorative films and demonstration course in dental students. Shahid Beheshti Univ Dent J. 2013;32(1):1-7. [Persian]
[20]Schlueter N, Klimek J, Saleschke G, Ganss C. Adoption of a tooth brushing technique: A controlled randomized clinical trial. Clin Oral Investig. 2010;14(1):99-106.
[21]Aragon CE, Zibrowski EM. Does exposure to a procedural video enhance preclinical dental student performance in fixed prosthodontics?. J Dent Educ. 2008;72(1):67-71.
[22]Nikzad S, Azari A, Mahgoli H, Akhoundi N. Effect of a procedural video CD and study guide on the practical fixed prosthodontic performance of Iranian dental students. J Dent Educ. 2012;76(2):354-9.
[23]Chen MS, Horrocks EN, Evans RD. Video versus lecture: Effective alternative for orthodontic auxiliary training. Br J Orthod. 1998;25(3):191-5.
[24]Ahmadi F, Nashibi R. Evaluation of case-based teaching method for infectious diseases educational course in Ahvaz Iaundishapur University of medical science. Educ Dev Jundishapur. 2014;5(2):88-92. [Persian]
[25]Babaei P. Comparing traditional lecture and combination of case and lecture in teaching endocrine physiology for medical students. Res Med Sci. 2012;4(1):1-8. [Persian]
[26]Kermanian F, Mahdizadeh M, Iravani S, Markazi Moghadam N, Shayan S. Comparing lecture and problem-based learning methods in teaching limb anatomy to first year medical students. Iran J Med Educ. 2007;7(2):379-88. [Persian]
[27]Duban S, Mennin S, Waterman R, Lucero S, Stubbs A, Vanderwagen C, et al. Teaching clinical skills to pre-clinical medical students: Integration with basic science learning. Med Educ. 1982;16(4):183-7.
[28]Rodriguez-Barbero A, Lopez-Novoa JM. Evaluation of the learning experience circulatory physiology model and case discussion method: Teaching integrative physiology using the quantitative. Adv Physiol Educ. 2008;32(4):304-11.
[29]Nikendei C, Kraus B, Schrauth M, Weyrich P, Zipfel S, Herzog W, et al. Integration of role-playing into technical skills training: a randomized controlled trial. Med Teach. 2007;29(9):956-60.
[30]Monagheb SE, Mosalanejad N. The impact of role play and group discussion on the knowledge and attitude of interns of Jahrom medical school about breaking bad news. Pars J Med Sci. 2011;9(Suppl 1):1-6. [Persian]
[31]Hazavei M, Taghdisi M, Mohaddes Hakak H, Hasanzade A. The effects of three teaching methods of lecture, training game and role playing on knowledge and practice of middle school girls in regard to puberty nutrition. J Strides Dev Med Educ. 2006;3(2):126-33. [Persian]
[32]Deneve KM, Heppner MJ. Role play simulation: The assessment of the active learning technique and comparisons with traditional lectures. Innov High Educ. 1997;21(3):231-46.
[33]Monjamed Z, Haji Amiri P, Babaee GH, Beirami A. Comparison of effect of two methods for teaching CPR (manikin and film) on knowledge and revenue of student of nursing. Nurs Res. 2006;1(2):7-14. [Persian]