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Spiral progression of Biochemistry in an integrated medical school
Authors:Geetha Arumainayagam  Izam Mujir
Institution:1. Department of Chemical Pathology School of Medical Sciences, Universiti Sains Malaysia, 11800, Penang, Malaysia
2. Department of Medical Education School of Medical Sciences, Universiti Sains Malaysia, 11800, Penang, Malaysia
Abstract:Biochemistry, a vital component of the medical science, is taught in medical schools to: a) explain the biochemical basis of diseases; b) understand the basis of laboratory investigations; c) interpret and apply results of the laboratory investigations in diagnosis and management of diseases. The curriculum of this medical school is a community oriented problem based approach with the basic concept being spiral progression of core knowledge. This also creates an opportunity for innovative promotion of teaching and learning. In this medical school, the undergraduate medical course is divided into three phases as Phase I, II and III. Biochemistry is not taught as a separate subject in Phase I but integrated with other relevant disciplines and implemented into the teaching packages of the three phases. The gradual progression of this subject from Phase I to II and III makes it possible to implement the subject in a more meaningful and relevant manner throughout the course. A set of objectives pertaining to the biochemistry input is incorporated into the appropriate teaching packages of each phase, in keeping with the spiral pattern of the curriculum. The appropriate modes of implementation of the objectives include Small Group Discussion (SGD), Structured Learning Units (SLU), Problem Based Learning (PBL), Fixed Learning Module (FLM), Tape Slide Programmes (TSP), Student Seminars (SS) and Structured Self Learning (SSL). In addition to all these methods, the computer-aided instruction (CAI) is also used as teaching learning units. Since multidisciplinary integration is ensured during the teaching of Biochemistry, the assessment of the subject is also conducted in a integrated manner using Multiple Choice Questions (MCQ), Short Essay Questions (SEQ), Modified Essay Questions (MEQ), Objective Structured Practical Examination (OSPE), Objective Structured Clinical Examination (OSCE), Viva and Clinical Examination. This article will deal with the spiral progression of Biochemistry from Phase I to Phase III in the integrated environment of this medical school.
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