Investigating the Impact of Horizontal Integration in the Education of Basic General Medical Sciences: A Mixed-Methods Study

Document Type : Original Article (s)

Authors

1 Assistant Professor, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Medical Student, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

10.48305/jims.v42.i763.0288

Abstract

Background: The revised program of general medical education was implemented from 2018 based on horizontal integration and device-oriented presentation, especially in the topics of physiology and anatomical sciences. The present study aims to investigate the effect of horizontal integration in the teaching of basic science courses in general medicine.
Methods: In this combined study, we compared students' performance in general medical basic science courses before and after the 2022 revision at Isfahan University of Medical Sciences. In the quantitative stage, the study included 224 participants using the census method to extract their personal information and indicators related to academic progress.  In the qualitative phase, semi-structured interviews with the teachers of this program were conducted until the information was saturated and analyzed with the conventional content analysis method.
Findings: The average grade point average of the basic science course, the number of conditional semesters, and the number of failed courses of students in different entrances had no statistically significant difference with each other (P > 0.05), but the average grade point average of anatomical sciences was higher after integration
(P < 0.001). In the qualitative part of the total interviews, 249 codes were extracted from 2 main floors of university policies and upstream policies and 6 sub-floors including educational planning, faculty members, and students in each main floor.
Conclusion: Except for the increase in anatomical sciences score after the revision, there was no significant difference in other indicators of academic progress. This can be attributed to the entry of more students with weaker ranks in the entrance exam, also to the short time interval between the intervention and the evaluation of the results

Main Subjects


  1. Tayebi M, Sadeghnia H, Reza SN, Mousavi SH, Rakhshandeh H, Ebrahimi A, Mastour H, Boroushaki MT. Comparison of common and integrated curriculum in general medicine pharmacology course in medical school of Mashhad University of Medical Sciences. Horizon of Medical Education Development 2022; 12(4): 38-52.
  2. Gerivani A, Sadeghi T, Moonaghi HK, Zendedel A. Integrating of anatomy and physiology courses in basic medical sciences (case study in Mashhad Faculty of Medicine). Future of Medical Education Journal 2020; 10(4): 46-50.
  3. Yousefy A, Ghassemi G, Firouznia S. Motivation and academic achievement in medical students. J Educ Health Promot 2012; 1:
  4. Ahmadipour H, Hajmohammadi F. Horizontal Integration in Basic Sciences in Kerman University of Medical Sciences, Medical Students’ Viewpoint. Res Dev Med Educ 2016; 5(2): 93-6.
  5. Gerivani A, Sadeghi T, Karimi Moonaghi H, Zendedel A. Development and improvement of current general medical education program of Mashhad University of Medical Sciences [in Persian]. Med J Mashhad Univ Med Sci 2020; 63(4): 2525-35.
  6. Seifrabei MA, Esna Ashari M, Maghsoodi F, Esna Ashari F. The effect of early clinical exposure program on attitude change of undergraduate medical students toward their preparation for at-tending clinical setting in internal medicine, surgery and pediatrics wards during 2013-2014 [in Persian]. Avicenna J Clin Med 2016; 22 (4): 323-30.
  7. Yaghini J, Faghihi A, Yamani N, Daryazadeh S. Challenges for implementing general dentistry curriculum from students' viewpoint: a qualitative study [in Persian]. J Mashhad Dent Sch 2018; 42(4): 356-69.
  8. The Ministry of Health and Medical Education. Iranian Medical curriculum. Tehran, Iran: The Ministry of Health and Medical Education Publications; 2022.
  9. Dent J, Harden RM, Hunt D. A practical guide for medical teachers. Louis: Elsevier Health Sciences; 2021.
  10. Amiri J, Seif RM, Maghsudi F, Khatami F, Sanaei Z. Evaluation of the reform program at the basic medical sciences level from professors and medical students’ viewpoints in Hamadan University of Medical Sciences [in Persian]. Research in Medical Education 2018; 10 (2): 58-67.
  11. Kumaravel B, Jenkins H, Chepkin S, Kirisnathas S, Hearn J, Stocker CJ, et al. A prospective study evaluating the integration of a multifaceted evidence-based medicine curriculum into early years in an undergraduate medical school. BMC Med Educ 2020; 20(1): 278.
  12. Mishra AK, Mohandas R, Mani M. Integration of different disciplines in medicine: A vertical integrated teaching session for undergraduate medical students. J Adv Med Educ Prof 2020; 8(4): 172-7.
  13. Arain SA, Kumar S, Yaqinuddin A, Meo SA. Vertical integration of head, neck, and special senses module in undergraduate medical curriculum. Adv Physiol Educ 2020; 44(3): 344-9.
  14. Del-Ben CM, Shuhama R, Costa MJ, Troncon LE. Effect of changes to the formal curriculum on medical students’ motivation towards learning: a prospective cohort study. Sao Paulo Medical Journal 2019; 137: 112-8.
  15. Rajan SJ, Jacob TM, Sathyendra S. Vertical integration of basic science in final year of medical education. Int J Appl Basic Med Res 2016; 6(3): 182-5.
  16. Eisenbarth S, Tilling T, Lueerss E, Meyer J, Sehner S, Guse AH, Guse J. Exploring the value and role of integrated supportive science courses in the reformed medical curriculum iMED: a mixed methods study. BMC Med Educ 2016; 16: 132.
  17. Zare-Khormizi MR, Dehghan M, Pourrajab F, Moghimi M, Farahmand-Rad R, Vakili-Zarch A. Medical students attitudes towards integration of pharmacology and pathology programs in shahid sadoughi university of medical sciences [in Persian]. Res Med Educ 2016; 8(1): 57-64.
  18. Al-Khader A, Obeidat FN, Abu-Shahin N, Khouri NA, Kaddumi EG, Al-Qa'qa S, et al. Medical students' perceptions of pathology and a proposed curricular integration with histology: A future vision of curricular change. Int J Morphol 2020; 38(1): 38-42.
  19. Rooholamini A, Amini M, Bazrafkan L, Dehghani MR, Esmaeilzadeh Z, Nabeiei P,et al. Program evaluation of an integrated basic science medical curriculum in Shiraz Medical School, using CIPP evaluation model. J Adv Med Educ Prof 2017; 5(3): 148-54.
  20. Mortaz Hejri S, Gandomkar R, Mirzazadeh A, Jalili M, Hasanzadeh G. Comparison of academic achievement and educational environment of basic sciences phase of MD program in Tehran University of Medical Sciences, before and after curricular reform [in Persian]. Iranian J Med Educ 2015; 15: 366-76.
  21. Samieerad F, Sarchami R, Sofiabadi M. The evaluation of the effectiveness of an integrated case-based learning program in pathology education to medical students at QUMS [in Persian]. Horizon of Medical Education Development 2020; 11(2): 42-53.
  22. Safari T, Nazri Panjaki A, Haghighi M, Sayadi F, Zeynali Bujani M, Amin A. Investigate the level of student's interest in their field of study and the effective factors on it, from the viewpoint of students of the Zahedan University of Medical Science in 2018 [in Persian]. J Birjand Univ Med Sci 2018; 25: 61-7.
  23. Ahmadi A, Alian Negad M R, Fathabadi R. The effect of teaching based on the four-component instructional design model on the students’ learning in physiology [in Persian]. Educ Strategy Med Sci 2019; 12(3): 53-61.
  24. Shafiei A, Razaghi Zare Bidgoli A, Mousavi G, Mirhosseini F. Comparing of students' academic achievement of service commitment quota with other quotas in Kashan University of Medical Sciences in the academic year 2021 [in Persian]. Iranian J Med Educ 2023; 23: 79-88.

Keshavarzi Z, Akbari H, Forouzanian S, Sharifian E. Comparison the students satisfaction of traditional and integrated teaching method in physiology course [in Persian]. Educ Strategy Med Sci 2016; 8(6): 21-7.