The Schema Method: Using Quantified Learning to Innovate, Augment, Assess and Analyze Learning in Medicine

Abstract

Introduction The predominant method of learning Medicine at its core has remained unchanged for decades. This stagnancy creates a need for making learning more effective, insightful, and quantified. 'Schema' achieves this through e-learning, active feedback, and quantified learning by granulating the medical curriculum into specific subtopics selected based on the crucial knowledge that a competent medical learner must possess, hereafter referred to as 'yield'. The aim of this particular study is a multidimensional competency analysis of medical students in solving clinical scenario-based MCQs pertaining to vertically integrated topics derived from the 'Schema'. Methods A retrospective study was conducted by analyzing the user data of a leading e-learning platform for medical students. For the purposes of this study, twenty such 'high-yield' Schema topics were shortlisted as being the most crucial knowledge areas. Students' performance in solving a fixed set of SOC-MCQs of these Schema topics was used to gauge their competence. Performance variation over five years (2018-2022) was also analyzed to study the changing patterns in topic-specific performance. Results A total of 20 Schema topics were shortlisted, consisting of 128 MCQs. The number of participants solving each Single Option Correct Multiple Choice Question (SOC-MCQ) ranged from 60,080 to 2,06,672. A significant improvement in the Net Delta was observed in 9 topics. Performance in other topics showed either no significant change or a significant downtrend. Conclusion Significant performance uptrend (ND = 128%) was observed in Anaphylaxis, Basic Lifesaving Skills, ST-Elevated Myocardial Infarction, Glasgow Coma Scale, Sub Dural Hemorrhage & Syndromic management of Sexually Transmitted Infections, most of which are either acute or emergency conditions. A significant downtrend in performance was seen in Schema topics such as Asthma management, Hypertension management, Diabetic Ketoacidosis, and Subarachnoid hemorrhage that pertain to chronic conditions. Several hypotheses for these findings can be derived, the subjective validities and collective impacts of which ought to be explored in more in-depth and broader studies in the future.

Competing Interest Statement

All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: all authors had financial support from Neuroglia Health Private Limited for the submitted work; no other relationships or activities that could appear to have influenced the submitted work.

Funding Statement

This study did not receive any funding from any third party

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

IRB of Neuroglia Health Private Limited waived ethical approval for this work since no personally-identifying information was obtained.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable.

Yes

Data Availability

All data produced in the present study are available upon reasonable request to the authors

留言 (0)

沒有登入
gif