ANATOMY PRACTICAL EXAMS

Objectives: To determine the effect of guided and minimally guided teachingmethods in acquiring practical skills in anatomy in Peshawar Medical College. Study Design:A randomized control trial. Setting: Peshawar Medical College, Peshawar. Period: March 2016to August 2016. Methods: 80 students of 2nd year MBBS who gave consent to participate in thestudy. Students were divided into control & intervention group. Each of the group consisted of40 students, respectively. OSPE was used as the tool of assessment in this study. Students ofboth groups appeared in Pre-test OSPE after which controlled group was given 2 weeks timeand were minimally guided for the selected anatomy dissection topics, however, interventiongroup spent 2 weeks under direct instruction and guidance of their teacher who was teachingthem in dissection classes the same topics. Post- test was carried out after the completion of the2 weeks time for both the groups. Cross over of the groups was done to minimize bias. Results:There were 20 males and 20 females in the intervention group that were matched according togender and academic performance with the control group. Pre-test scores of the control groupand the intervention groups were 6.15±2.69 and 5.05±1.75 respectively. The post test scoresof control and the intervention groups were (18.95±2.64 SD) and (19.20±2.25SD) respectively.Independent sample t test was applied to academic scores of OSPE of both the groups. Pvalue of 0.351 depicts that there was no significant difference between academic scores of boththe groups taught by guided and minimally guided teaching respectively. Thereby deducingthat guided and minimally guided are both good teaching and learning strategies. Further,paired sample t test was applied within respective groups to find out the difference in academicperformance between pre and post OSPE test scores, p value of <0.007 & 0,031 was obtainedrespectively which was signifying & further proving that both teaching methodologies werecomparable. Conclusion: It is concluded that guided and minimally guided teaching strategiesare equally effective in small group anatomy classes.