Bangladesh Journal of Medical Education <p>The official journal of the Centre for Medical Education (CME), Mohakhali, Dhaka and the Association for Medical Education (AME), Bangladesh. Full text articles available.</p> en-US No part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in the Journal will be available from the publisher. (Professor Dr. Md. Humayun Kabir Talukder) (Md Fahmid Uddin Khondoker) Sun, 07 Mar 2021 10:06:53 +0000 OJS 60 Contents Vol 12(1), 2021 <p>Abstract not available</p> <p>Bangladesh Journal of Medical Education Vol.12(1), 2021</p> Editor in Chief ##submission.copyrightStatement## Sun, 07 Mar 2021 08:26:01 +0000 Editorial Vol.12(1) <p>Abstract not available</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 1-2</p> Md Humayun Kabir Talukder ##submission.copyrightStatement## Sun, 07 Mar 2021 08:29:39 +0000 Teachers’ Perception on Virtual Teaching Learning Activities and Assessment: Web-based Study on a Non-Government Medical College in Bangladesh <p>Over last few months, educational institutes across the globe have been forced to close the campuses and switch to virtual classes. Learning is a hard job and studying online can make someone feel isolated, confused or discouraged without proper guidance. The current paper presents the results of a questionnaire-based cross-sectional study conducted in November 2020 on teachers of Chattagram International Medical College, a non-government medical college in Bangladesh. Altogether 52 teachers of CIMC participated in the study, which corresponded to 85% response rate. More than 90% teachers preferred screen-share during the class, half of the teachers considered internet connectivity as most challenging issue in taking class. Remarkable findings in closed questionnaire reflected interest among the faculty for online class, well-maintained discipline in the class, appropriate topic selection, satisfactory ownership of device for online class, non-preference of online class as a good substitute of face-to-face class and partial preference to keep virtual background as an option for teaching even after resuming face-to-face class. Key recommendations from the study included institutional support regarding internet connectivity and logistics, effective interaction with the students to make the classes more meaningful as well as proper training to the teachers to enhance proficiency in online classes. Finally, virtual class can never totally replace face-to-face class; however, this intelligent skill can be kept as an option for teaching in selective circumstances even after pandemic is over and face-to-face classes have been resumed.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 3-9</p> Mehrunnissa Khanom, Afroza Hoque, Parvez Iqbal Sharif, Abu Talha Md Mahi Uddin, Md Ali Hossain, Muslim Uddin Sabuj ##submission.copyrightStatement## Sun, 07 Mar 2021 09:23:10 +0000 Use of PowerPoint Presentation by the Teachers for Instruction in Selected Dental Colleges of Bangladesh <p>This descriptive type of cross-sectional study was conducted to find out the views of undergraduate dental college teachers about the PowerPoint presentations as instructional media used by teachers in dental colleges of Bangladesh. The study period was from January 2018 to December 2018. The study was carried out among the teachers of all 4 phases of BDS course of 2 government and 2 non-government dental colleges of Bangladesh. Out of 4 dental colleges, 2 were within Dhaka and 2 were outside Dhaka. The sample size was 100 for teachers. Convenience sampling technique was adopted for data collection. Self-administered semi-structured questionnaires using five points Likert scale were used for collections of data from teachers. The study revealed that 72% teachers consider Eye appealing appearance for choosing PowerPoint slides and 58% teachers did not use master slide. For selection of font style, 67% teacher agreed they consider readability, 88% agreed they consider visibility from last bench of classroom to select font size but 61% teacher disagree that they consider background for selecting font color. The study recommended, during the preparation of a PowerPoint presentation by teachers some areas like using the master slide, background, the number of words and lines need attention.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 10-15</p> Shamim Ahmed, Md Ismail Khan ##submission.copyrightStatement## Sun, 07 Mar 2021 09:23:21 +0000 The view of recent medical graduates on ethical consideration of prescription writings in Bangladesh <p>Prescription writing reflects the competency as well as the quality of medical education of the physician. This study was done to evaluate opinion of recent medical graduates towards ethical aspects of prescription writing. This descriptive study was conducted on recent medical graduates of 7 medical colleges in Bangladesh from January’18-June’19. Data were collected by a pretested self administered semi-structured questionnaire. Only descriptive statistics were computed by collected data. The study included 308 recent medical graduates having average age at commencement of internship was 24.2 years with male predominant (53.2%). Majority of the respondents thought that prescription should be written in block letter or be printed (70.1%) and there was possibility for selling wrong medicine due to bad handwriting (77.6%). Majority of the recent medical graduates thought that generic names were not difficult to remember (82.8%), there was every possibility of selling poor quality drugs of the same generic names by the pharmacists (87.7%) and physicians should not use generic name in prescriptions (56.5%). Furthermore, most of them (92%) felt a need for a mandatory educational qualification for the pharmacists. Most participants opined that pharmacists should have a minimum educational qualification to prevent the errors in dispensing. The findings of this study might be helpful to reinforcement the law to avoid the errors related to medical professionalism and ethical aspects of prescription writing in the medical education.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 16-21</p> <p>&nbsp;</p> Sharmin Jahan, Meerjady Sabrina Flora ##submission.copyrightStatement## Sun, 07 Mar 2021 09:23:30 +0000 Introducing Problem- Based Learning as an Effective Learning Tool to Medical Students: An Approach in Bangladesh <p><strong>Background: </strong>Bangladesh, A country with scintillating beauty of nature burdened with a dense population. Along with infectious diseases, tropical diseases are also prevalent here with a higher trend of non- communicable diseases as a result of industrialization. Practicing and prescribing as a doctor is a quite challenging profession here particularly when to deal with vast rural populations in a low resource facility. Medical education system is well developed in Bangladesh which follows traditional curriculum of teaching learning. Students are not accustomed with problem-based learning as it does not exist in curriculum. In order to confront with diverse disease pattern and overloaded population in this arduous backdrop of Bangladesh, problem- based learning can be a very effective tool for preparing medical students as an efficient, self- directed and insightful prescriber. This study was a primary step to introduce problem- based learning (PBL) to medical students of Bangladesh to evaluate the effectiveness of PBL in context of Bangladesh.</p> <p><strong>Methods: </strong>Around 117 students of 4th year from 6 different medical colleges were randomly assigned for this study. Among them, half of the students attended PBL session for three days on a topic of Pharmacology and other students participated traditional lecture class. Following classes, odds ratio of performance was determined. MCQ, SAQ and total scores of assessment were compared. Comparison of scores was also done between male and female students of PBL group.</p> <p><strong>Results: </strong>PBL students performed better than the LBL students. Odds ratio of their assessment performance was 252.08; with 95% confidence interval and lower range 53.89 and upper range 1179.28. The odds ratio showed strong association between PBL and student performance in Bangladesh context. Mean of total score was 30.7 ± 4.3 in PBL group and 17.2 ± 4.8 in LBL group. Total score was significantly higher (p= 0.000) in PBL group. Mean SAQ score in PBL and LBL group was 17.2 ± 2.2 and 5.3 ± 1.9 respectively which was extremely significant (p= 0.000). MCQ score mean was 13.4 ± 3.4 in PBL group versus 11.8 ± 3.7 in LBL group which was significantly higher in PBL group (p= 0.02). Among PBL group, total score and SAQ score was significantly higher in female students over male students.</p> <p><strong>Conclusion: </strong>Significant findings of this study revealed PBL as an effective tool in Bangladesh context. Thereby, it is recommended from this study to take approaches for further study and initiative to incorporate PBL in curriculum as well.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 22-31</p> Fatiha Tasmin Jeenia, Afroza Hoque, Mehrunnissa Khanom, Selim Md Jahangir, Rozina Hoque, Kohinoor Parveen, Jannatul Ferdoush, Maliha Ata, Md Jamal Uddin Tanin ##submission.copyrightStatement## Sun, 07 Mar 2021 09:24:15 +0000 An Exploratory Study on the Adequacy of Internship Program Duration in Medical Colleges of Bangladesh <p>The internship period provides the first level of postgraduate medical training and serves as one of the fundamental strides in every doctor’s career. An inadequate internship program in terms of duration, skills and quality may pose serious concerns on the overall healthcare sector. Hence, the aim of this study was to explore the adequacy of the duration of internship program in medical colleges of Bangladesh. Till date, any significant study has not been reported to address the issue. A cross-sectional descriptive study with pre-tested self-administered questionnaires was performed. The study was carried out in 8 medical colleges (4 public and 4 non-government; 4 inside Dhaka and 4 outside). 300 completed questionnaires (250 interns, 50 supervisors) were statistically analyzed with SPSSv20 software. Majority of the interns and teachers voiced that the current duration of One-year Internship Program was inadequate and they further suggested that the duration can be revised to at least a year and half. Further opinions were put forward to modify the community placement duration period from two weeks to at least three weeks as the current duration was also deficient. These findings thus can help the policy makers, medical practitioners and academicians to review the current structure and duration of the internship program in medical colleges of Bangladesh for the betterment of the undergraduate medical education as well as the overall healthcare system.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 32-39</p> Farhana Noman, ASM Shamsul Arefin, Shamima Rahman, Sabbir Ahmed Chowdhury, AKM Asaduzzaman ##submission.copyrightStatement## Sun, 07 Mar 2021 09:24:23 +0000 Teachers’ Opinion about Pharmacology Written Question Papers of MBBS Professional Examinations <p>Written examination is an important method for juddering the learning of medical students. Short Answer Questions (SAQ) and multiple choice questions (MCQ) are introduced in MBBS curriculum to assess student cognitive domain. This cross sectional descriptive study was conducted to get the teachers’ opinion about Pharmacology professional written short answer question papers of different Universities of Bangladesh. For this purpose, opinion of total 56 purposively selected teachers of the Department of Pharmacology &amp; Therapeutics of 20 Medical Colleges were collected through self-administered semi-structured questionnaire. &nbsp;Most of the teachers (66% &amp; 61%) were in favour of existing distribution of different types of question in curriculum (recall-60%, understanding -30% and problem based-10%) for short answer question paper (SAQ). Majority of the teachers (66% &amp; 54%) were satisfied with the present coverage of recall and understanding type questions respectively but only 41% teachers were satisfied with the coverage of problem based type questions. Seventy-seven percent teachers were satisfied with content coverage in SAQ papers. Eighty-seven percent teachers were satisfied with present marking scheme on SAQ paper. Findings of this study may be used to redefine the distribution of different types question in SAQ papers and to improve the quality of question papers by ensuring their coverage.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 40-49</p> Dipak Kumer Paul Chowdhury, Debashish Saha, Md Ahsan Habib ##submission.copyrightStatement## Sun, 07 Mar 2021 09:24:32 +0000 A Re-design Proposal for the ‘Occupational’ & ‘Environmental’ Medicine syllabus under ‘Community Medicine’ subject of the third-year MBBS curriculum in Bangladesh: Suggesting to apply ‘PBLs’, ‘Blended-learning (or, flipped classroom)’ and ‘Guest-lectures’ <p>The reported illnesses and injuries attributed to environmental and occupational factors is a major health challenge being experienced globally over the years.<strong>1 </strong>In current decade, Bangladesh has experienced a number of environmental and occupational health-related hazards that not only have cost huge government involvement, medically and financially but also caused international bodies to intervene into local affairs (see Table 1). These unprecedented events often question how prepared are young Bangladeshi doctors if they are to receive and manage disaster-victims at real time.<strong>2 </strong>&nbsp;Globally, ‘Occupational and Environmental Medicine (OEM)’ subject is lectured at third-year of the MBBS course during ‘Population Health’ or ‘Community Medicine’ rotation. Efficient, effective and enjoyable learning on OEM-topics can equip future doctors with important basic knowledge and required practical skills that are necessary to manage cases/victims from pandemic, work-hazards or disasters. Students’ positive engagement with OEM may raise their interest with specialist careers in Community Medicine (Com-Med). &nbsp;Some developed-country studies<strong>3-7 </strong>reported that students who went through problem-based-learning (PBL) tutored classes made better academic performance on Preventive Medicine, Public Health and Community Health topics than those who had experienced traditionally lecture-tutored curriculum. An Indian study done by Joseph et al.<strong>8 </strong>documented similar findings. The purpose of this review paper is to appraise current OEM-syllabus under the Com-Med curriculum in Bangladesh and scope, whether the PBLs or case-based-learning (CBLs) model could be appropriate if applied through ‘blended-learning’ or, ‘flipped-classroom (backed by audio-video supports)’ format. This literature-evidenced, student-centred teaching model expectedly would improve students’ practically-oriented learning via their in-class working over real-life cases/problems. Ideally, these cases would be constructed by content-experts and delivered initially by guest-lecturers.</p> <p>Bangladesh Journal of Medical Education Vol.12(1) 2021: 50-67</p> Sharafat Malek ##submission.copyrightStatement## Sun, 07 Mar 2021 09:24:41 +0000