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1、PBL Case Scenario Writing for 2nd Class students,Prepared by Dr. Aminullah Hamkar Chief Department Pathology Kabul Medical University,Background,PBL program was started in 2006 as a pilot program in the KMU In all semesters only three case scenarios were developed The scenarios objectives were not i

2、dentified All three case scenarios covered narrow areas or only single subject,Background (Cont.,Weak integration of contents in scenarios for all preclinical subjects 1 hour x 2 days for each scenario,Goal,Improvement of teaching methods in KMU Student Motivation Improvement of education level,Obje

3、ctives,Standardization of Scenarios for 2nd year Medical students Setting Objectives of the Scenarios Timeline for each Scenario Integrated Scenario (Contains all related Preclinical Subjects) Preparation of Tutor guide for each Scenario,Standardized Scenario consist,Set learning objectives first Ha

4、ve key words Describe clinical situation Stimulate discussion among students Motivate students toward learning,Strengths,Motivation of our team members for implementation of PBL Strong team Support from KMU Leadership,Weaknesses,Insufficient experiences in Scenario writing Lack of supportive materia

5、ls (Guidelines, Textbooks.) Discipline Based Curriculum,Methodology,Identifying topics for each scenario based on curriculum Based on the objectives preparation of 14 scenarios 14 tutor guide for each scenario Preparation of questions for biweekly PBL Class exam,Sample Case Scenario,A 62 year old wo

6、man presented with Stridor, due to a neck mass, which was clinically suspicious of Multinodular goiter. The patient was placed on Euthyroid; however the gland continuously enlarged, over the course of three weeks as evidenced by increased Stridor and Dysphagia. She lost a 15 Kg weight loss in the la

7、st six months. Additional symptoms included Chronic Fatigue, and occasional Chills. She was a smoker. Thyroid Studies are as follows: Total Thyroxin = 19 ng/dl (Normal Range: 4.5-10.9 ng/dl) TSH = 0.004 IU/dl (Normal Range: 0.4-6) Due to compression of trachea, Total Thyroidectomy was done. The gland measured, 14x12x8cm and weighed 450 grams,Sample Case Scenario (Cont.,Key Words Stridor Dysphagia Chronic Fatigue Chills Euthyroid Multinodular goiter,Objectives of the Scenario At the end of analysis of this scenario, the students will be able to explain th

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