Skip to main content
Top
Published in: European Spine Journal 10/2017

01-10-2017 | Original Article

The effect of case-based discussion of topics with experts on learners’ opinions: implications for spinal education and training

Authors: Pedro Berjano, Jorge Hugo Villafañe, Gerard Vanacker, Riccardo Cecchinato, Maryem Ismael, Robert Gunzburg, Daniele Marruzzo, Claudio Lamartina

Published in: European Spine Journal | Issue 10/2017

Login to get access

Abstract

Purpose

This investigation aimed to examine the extent to which case-based discussion with experts could influence the audience’s opinions on the treatment of patients during a continuing medical education event for spine surgeons.

Methods

We conducted a prospective controlled crossover study of 90 surgeons. During a continuing medical education activity using case-based discussion, quiz questions were used which asked participants (attendants and faculty group) their opinions on the best choices about diagnosis and treatment in a number of cases. No answer was considered correct, but we evaluated the number of participants choosing each specific answer among a number of valid options. Quiz questions were collected with an automated response system at the entry and at the end of each case discussion. Change in participant’s opinions was estimated from the change in the preferred answers between the entry and exit quizzes. Chi-square analysis was performed to determine significance.

Results

Sixty-two attendants out of eighty three (75%) and six faculties out of twelve (50%) responded to the survey. After the case discussion, 68.2% (p < 0.04, Chi-square test) of the attendants changed their opinion on the appropriate treatment. The faculty answers, however, showed no significant change in opinions regarding the identification of the appropriate treatment.

Conclusions

On the basis of our results, case-based discussion driven by experts, as a form of teaching, has a measurable effect in terms of changes in the learners’ opinions.
Literature
2.
go back to reference Stetzik L, Deeter A, Parker J, Yukech C (2015) Puzzle-based versus traditional lecture: comparing the effects of pedagogy on academic performance in an undergraduate human anatomy and physiology II lab. BMC Med Educ 15:107CrossRefPubMedPubMedCentral Stetzik L, Deeter A, Parker J, Yukech C (2015) Puzzle-based versus traditional lecture: comparing the effects of pedagogy on academic performance in an undergraduate human anatomy and physiology II lab. BMC Med Educ 15:107CrossRefPubMedPubMedCentral
3.
go back to reference Nasmith L, Steinert Y (2001) The evaluation of a workshop to promote interactive lecturing. Teach Learn Med 13(1):43–48CrossRefPubMed Nasmith L, Steinert Y (2001) The evaluation of a workshop to promote interactive lecturing. Teach Learn Med 13(1):43–48CrossRefPubMed
4.
go back to reference Qin Y, Wang Y, Floden RE (2016) The effect of problem-based learning on improvement of medical educational environment: a systematic review and meta-analysis. Med Princ Pract Int J Kuwait Univ Health Sci Centre Qin Y, Wang Y, Floden RE (2016) The effect of problem-based learning on improvement of medical educational environment: a systematic review and meta-analysis. Med Princ Pract Int J Kuwait Univ Health Sci Centre
5.
go back to reference Collins J (2008) Audience response systems: technology to engage learners. J Am Coll Radiol JACR 5(9):993–1000CrossRefPubMed Collins J (2008) Audience response systems: technology to engage learners. J Am Coll Radiol JACR 5(9):993–1000CrossRefPubMed
6.
go back to reference Wait KR, Cloud BA, Forster LA, Jones TM, Nokleby JJ, Wolfe CR et al (2009) Use of an audience response system during peer teaching among physical therapy students in human gross anatomy: perceptions of peer teachers and students. Anat Sci Educ 2(6):286–293CrossRefPubMed Wait KR, Cloud BA, Forster LA, Jones TM, Nokleby JJ, Wolfe CR et al (2009) Use of an audience response system during peer teaching among physical therapy students in human gross anatomy: perceptions of peer teachers and students. Anat Sci Educ 2(6):286–293CrossRefPubMed
7.
go back to reference Robertson LJ (2000) Twelve tips for using a computerized interactive audience response system. Med Teach 22:237–239CrossRef Robertson LJ (2000) Twelve tips for using a computerized interactive audience response system. Med Teach 22:237–239CrossRef
8.
go back to reference Cecchinato R, Berjano P, Aguirre MF, Lamartina C (2015) Asymmetrical pedicle subtraction osteotomy in the lumbar spine in combined coronal and sagittal imbalance. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 24(Suppl 1):S66–S71CrossRef Cecchinato R, Berjano P, Aguirre MF, Lamartina C (2015) Asymmetrical pedicle subtraction osteotomy in the lumbar spine in combined coronal and sagittal imbalance. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 24(Suppl 1):S66–S71CrossRef
9.
go back to reference Berjano P, Damilano M, Lamartina C (2012) Sagittal alignment correction and reconstruction of lumbar post-traumatic kyphosis via MIS lateral approach. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 21(12):2718–2720CrossRef Berjano P, Damilano M, Lamartina C (2012) Sagittal alignment correction and reconstruction of lumbar post-traumatic kyphosis via MIS lateral approach. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 21(12):2718–2720CrossRef
10.
go back to reference Lamartina C, Berjano P (2015) Osteotomies of the spine: “technique of the decade”? Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 24(Suppl 1):S1–S2CrossRef Lamartina C, Berjano P (2015) Osteotomies of the spine: “technique of the decade”? Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 24(Suppl 1):S1–S2CrossRef
11.
go back to reference Bullock A, Barnes E, Ryan B, Sheen N (2014) Case-based discussion supporting learning and practice in optometry. Ophthalmic Physiolog Opt J Br Coll Ophthalmic Opt 34(5):614–621CrossRef Bullock A, Barnes E, Ryan B, Sheen N (2014) Case-based discussion supporting learning and practice in optometry. Ophthalmic Physiolog Opt J Br Coll Ophthalmic Opt 34(5):614–621CrossRef
12.
go back to reference Jyothirmayi R (2012) Case-based discussion: assessment tool or teaching aid? Clin Oncol 24(10):649–653CrossRef Jyothirmayi R (2012) Case-based discussion: assessment tool or teaching aid? Clin Oncol 24(10):649–653CrossRef
13.
go back to reference Mansouri M, Lockyer J (2007) A meta-analysis of continuing medical education effectiveness. J Contin Educ Health Prof 27(1):6–15CrossRefPubMed Mansouri M, Lockyer J (2007) A meta-analysis of continuing medical education effectiveness. J Contin Educ Health Prof 27(1):6–15CrossRefPubMed
14.
go back to reference Namara KP, Duncan GJ, McDowell J, Marriott JL (2009) Community pharmacists’ preferences for continuing education delivery in Australia. J Contin Educ Health Prof 29(1):52–57CrossRefPubMed Namara KP, Duncan GJ, McDowell J, Marriott JL (2009) Community pharmacists’ preferences for continuing education delivery in Australia. J Contin Educ Health Prof 29(1):52–57CrossRefPubMed
15.
go back to reference Wright JG (2007) A practical guide to assigning levels of evidence. J Bone Jt Surg Am Vol 89(5):1128–1130 Wright JG (2007) A practical guide to assigning levels of evidence. J Bone Jt Surg Am Vol 89(5):1128–1130
16.
go back to reference Dagenais S, Brady O (2016) In evidence-based medicine, more research is not always better..... Spine J 16(3):313–314CrossRefPubMed Dagenais S, Brady O (2016) In evidence-based medicine, more research is not always better..... Spine J 16(3):313–314CrossRefPubMed
17.
go back to reference Magnus D (2014) Compassion and research in compassionate use. Am J Bioeth 14(11):1–2CrossRef Magnus D (2014) Compassion and research in compassionate use. Am J Bioeth 14(11):1–2CrossRef
18.
go back to reference Kreiner DS, Baisden J, Mazanec DJ, Patel RD, Bess RS, Burton D et al (2016) Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of adult isthmic spondylolisthesis. Spine J [Epub ahead of print] Kreiner DS, Baisden J, Mazanec DJ, Patel RD, Bess RS, Burton D et al (2016) Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of adult isthmic spondylolisthesis. Spine J [Epub ahead of print]
19.
go back to reference Cid J, De La Calle JL, Lopez E, Del Pozo C, Perucho A, Acedo MS et al (2015) A modified Delphi survey on the signs and symptoms of low back pain: indicators for an interventional management approach. Pain Pract Off J World Inst Pain 15(1):12–21CrossRef Cid J, De La Calle JL, Lopez E, Del Pozo C, Perucho A, Acedo MS et al (2015) A modified Delphi survey on the signs and symptoms of low back pain: indicators for an interventional management approach. Pain Pract Off J World Inst Pain 15(1):12–21CrossRef
20.
go back to reference Searle RD, Howell SJ, Bennett MI (2012) Diagnosing postoperative neuropathic pain: a Delphi survey. Br J Anaesth 109(2):240–244CrossRefPubMed Searle RD, Howell SJ, Bennett MI (2012) Diagnosing postoperative neuropathic pain: a Delphi survey. Br J Anaesth 109(2):240–244CrossRefPubMed
21.
go back to reference Dhaliwal HK, Allen M, Kang J, Bates C, Hodge T (2015) The effect of using an audience response system on learning, motivation and information retention in the orthodontic teaching of undergraduate dental students: a cross-over trial. J Orthod 42(2):123–135CrossRefPubMed Dhaliwal HK, Allen M, Kang J, Bates C, Hodge T (2015) The effect of using an audience response system on learning, motivation and information retention in the orthodontic teaching of undergraduate dental students: a cross-over trial. J Orthod 42(2):123–135CrossRefPubMed
Metadata
Title
The effect of case-based discussion of topics with experts on learners’ opinions: implications for spinal education and training
Authors
Pedro Berjano
Jorge Hugo Villafañe
Gerard Vanacker
Riccardo Cecchinato
Maryem Ismael
Robert Gunzburg
Daniele Marruzzo
Claudio Lamartina
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 10/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-016-4860-2

Other articles of this Issue 10/2017

European Spine Journal 10/2017 Go to the issue