Creation and pilot testing of cases for case-based learning: A pedagogical approach for pathology cancer diagnosis

African Journal of Laboratory Medicine

 
 
Field Value
 
Title Creation and pilot testing of cases for case-based learning: A pedagogical approach for pathology cancer diagnosis
 
Creator Sayed, Shahin Lester, Susan C. Wilson, Michael Berney, Daniel Masia, Ricard Moloo, Zahir Stall, Jennifer Eslan, Alexia Ayers, Stephanie Mutuku, Angela Guarner, Jeannette
 
Subject pathology;surgical pathology. Case based testing;Cancer diagnosis;LMIC; pathology
Description Background: Case-based learning (CBL) is an established pedagogical active learning method used in various disciplines and defined based on the field of study and type of case. The utility of CBL for teaching specific aspects of cancer diagnosis to practising pathologists has not been previously studied in sub-Saharan Africa.Objectives: We aimed to pilot test standardised cancer cases on a group of practising pathologists in sub-Saharan Africa to evaluate case content, clarity of questions and delivery of content.Methods: Expert faculty created cases for the four most commonly diagnosed cancers. The format included mini-cases and bullet cases which were all open-ended. The questions dealt with interpretation of clinical information, gross specimen examination, morphologic characteristics of tumours, ancillary testing, reporting and appropriate communication to clinicians.Results: Cases on breast, cervical, prostate and colorectal cancers were tested on seven practising pathologists. Each case took an average of 45–90 min to complete.Questions that were particularly challenging to testers were on:•  Specimens they should have been but for some reason were not exposed to in routine practice.•  Ancillary testing and appropriate tumour staging.New knowledge gained included tumour grading and assessment of radial margins. Revisions to cases were made based on testers’ feedback, which included rewording of questions to reduce ambiguity and adding of tables to clarify concepts.Conclusion: Cases were created for CBL in Kenya, but these are applicable elsewhere in Africa and beyond to teach cancer diagnosis. The pilot testing of cases prepared faculty for the actual CBL course and feedback provided by the testers assisted in improving the questions and impact on day-to-day practice.
 
Publisher AOSIS
 
Contributor Administrative Supplements to Promote Cancer Prevention and Control Research in Low and Middle Income Countries Department of Health and Human Services Public Health Services Grant Number: NCI- PAR-15-155
Date 2017-10-25
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajlm.v6i1.637
 
Source African Journal of Laboratory Medicine; Vol 6, No 1 (2017); 7 pages 2225-2010 2225-2002
 
Language eng
 
Relation
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https://ajlmonline.org/index.php/ajlm/article/view/637/902 https://ajlmonline.org/index.php/ajlm/article/view/637/901 https://ajlmonline.org/index.php/ajlm/article/view/637/903 https://ajlmonline.org/index.php/ajlm/article/view/637/900
 
Coverage Africa — —
Rights Copyright (c) 2017 Shahin Sayed, Susan C. Lester, Michael Wilson, Daniel Berney, Ricard Masia, Zahir Moloo, Jennifer Stall, Alexia Eslan, Stephanie Ayers, Angela Mutuku, Jeannette Guarner https://creativecommons.org/licenses/by/4.0
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