CC BY 4.0 · Avicenna J Med 2024; 14(03): 167-174
DOI: 10.1055/s-0044-1791843
Original Article

Curricular Redundancy in Medical Undergraduate Course: Critical Insights from Various Stakeholders in Medical Institutes in India

Pradip B. Barde
1   Department of Physiology, All India Institute of Medical Sciences, Rajkot, Gujarat, India
,
Naresh Parmar
1   Department of Physiology, All India Institute of Medical Sciences, Rajkot, Gujarat, India
,
Vinay Chitturi
1   Department of Physiology, All India Institute of Medical Sciences, Rajkot, Gujarat, India
,
Gaurav Sharma
1   Department of Physiology, All India Institute of Medical Sciences, Rajkot, Gujarat, India
,
1   Department of Physiology, All India Institute of Medical Sciences, Rajkot, Gujarat, India
,
Krupal Joshi
2   Department of Community and Family Medicine, All India Institute of Medical Sciences, Rajkot, Gujarat, India
,
3   Department of Biochemistry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Vivek Kumar Sharma
1   Department of Physiology, All India Institute of Medical Sciences, Rajkot, Gujarat, India
› Author Affiliations
Funding None.

Abstract

Background Medical education is continuously evolving to keep pace with the dynamic field of medicine. This study addresses the issue of curricular redundancy in medical education, highlighting the necessity for periodic reviews to eliminate outdated or irrelevant topics.

Method A descriptive qualitative approach was employed, involving participants from various medical schools across India. An online questionnaire was used to gather data on redundant topics, suggested replacements, and improvements in the curriculum for both didactic and non-didactic subjects, along with inputs related to assessment and evaluation methods. Content analysis was used for thematic identification and qualitative interpretation.

Results Out of 71 respondents from a wide geographic distribution, 30% were female, and 70% were male, with an age range of 17 to 36 years. Participants expressed concerns about redundant theoretical (32%) and practical (51%) topics. Qualitative analysis highlighted the need for integrating different subjects and placing a stronger focus on practical clinical skills. Participants emphasized the importance of a curriculum that keeps pace with advancements in medicine, such as genomics and artificial intelligence, while also addressing mental health. Specifically, they suggested combining anatomy and surgery courses, incorporating more active learning techniques, and utilizing ongoing assessments to gauge progress.

Conclusion The study highlights the necessity of eliminating curricular redundancy in medical education. Recommendations include developing a flexible curriculum, emphasizing region-specific content, and implementing a formative assessment system. Additionally, the importance of faculty development and stakeholder involvement in curriculum design is emphasized.

Key Message

Key insights for updating the medical undergraduate curriculum include the following:

  1. Developing a flexible curriculum.

  2. Emphasizing region-specific content.

  3. Implementing formative assessments.

Presentation at a Meeting

None.


Authors Contribution

P.B.,N.P.,G.S.,R.K. contributed in concept and design of study. P.B., N.P.,V.C.,K.J., R.K. contributed in Literature search, data acquisition, data analysis. P.B.,N.P.,V.C.,G.S., M.N.,G.S.,V.S. contributed in Manuscript preparation. P.B.,N.P.,V.C.,G.S., K.J., M.N.,G.S.,V.S. contributed in manuscript editing and review.




Publication History

Article published online:
28 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Novak DA, Hallowell R, Ben-Ari R, Elliott D. A continuum of innovation: curricular renewal strategies in undergraduate medical education, 2010–2018. Acad Med 2019; 94 (11S): S79-S85
  • 2 Mcleod P, Steinert Y. Twelve tips for curriculum renewal. Med Teach 2015; 37 (03) 232-238
  • 3 Norman GR, Smith KF, Mcgaghie WC. The role of curriculum overload in the occurrence of medical errors. JAMA 2000; 284 (24) 3103-3108
  • 4 Royal KD, Gilliland KO, Dent GA. A student-led methodology for evaluating curricular redundancy. J MultiDisciplinary Evaluation 2014; 10 (23) 1-8
  • 5 Cook DA, Hatala R, Brydges R, Zendejas B, Hamstra SJ, Erwin PJ. The impact of curriculum alignment on patient safety competency. Med Educ 2008; 42 (12) 1156-1163
  • 6 Eva KW, Norman GR, Cate O. Simulating reality: a critical analysis of the use of simulation in medical education. Med Teach 2014; 36 (05) 356-364
  • 7 Royal KD, Gilliland KO, Dent GA. A student-led methodology for evaluating curricular redundancy. J Multidiscip Eval 2014; 10 (23) 1-8
  • 8 Slavin S, D'Eon MF. Overcrowded curriculum is an impediment to change (Part A). Can Med Educ J 2021; 12 (04) 1-6
  • 9 Han JJ, Vapiwala N. Pre-specialization – Considerations for more focused and personalized educational modules in the twenty-first century. Medical Teacher 2018; 41 (02) 190-194
  • 10 Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood) 2002; 21 (05) 103-111
  • 11 Frank JR, Snell LS, Cate OT. et al. Competency-based medical education: theory to practice. Med Teach 2010; 32 (08) 638-645
  • 12 Irby DM. Three exemplary models of case-based teaching. Acad Med 1994; 69 (12) 947-953
  • 13 Thistlethwaite JE, Bartle E, Chong AA. The multidisciplinary health professional: global and local roles of faculty development. High Educ Res Dev 2012; 31 (05) 631-642
  • 14 Prober CG, Heath C. Lecture halls without lectures—a proposal for medical education. N Engl J Med 2012; 366 (18) 1657-1659
  • 15 Harden RM, Laidlaw JM. Essential Skills for a Medical Teacher: An Introduction to Teaching and Learning in Medicine. United Kingdom: Elsevier Health Sciences; 2013
  • 16 Schmidt HG, Neufeld VR. Nooman AR: the first 'modern' medical curriculum. Adv Health Sci Educ Theory Pract 2019; 14 (05) 663-672
  • 17 Carraccio C, Englander R, Van Melle E. et al; International Competency-Based Medical Education Collaborators. Advancing competency-based medical education: a charter for clinician–educators: a charter for clinician–educators. Acad Med 2016; 91 (05) 645-649
  • 18 Eva KW, Regehr G, Norman GR. On the limits of clinical expertise. Adv Health Sci Educ Theory Pract 2015; 14 (04) 521-525
  • 19 Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA 1997; Feb 19; 277 (07) 553-559
  • 20 Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J 2010; 10 (01) 38-43
  • 21 Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006; 81 (04) 354-373
  • 22 Harden RM, Crosby JR, Davis MH. An introduction to outcome-based education. Med Teach 2003; 25 (04) 294-298
  • 23 Moss G, Lee DS, Salisbury ML, Rodts MF. Administrative Fellowship Alumni Survey: career and long-term education outcomes. J Healthc Manag 2015; 60 (02) 105-117
  • 24 Soon HC, Geppetti P, Lupi C, Kho BP. Medication safety. In: Donaldson L, Ricciardi W, Sheridan S, Tartaglia R. eds. Textbook of Patient Safety and Clinical Risk Management. Cham: Springer International Publishing; 2021: 435-453
  • 25 Joshi T, Budhathoki P, Adhikari A, Poudel A, Raut S, Shrestha DB. Improving medical education: a narrative review. Cureus 2021; 13 (10) e18773
  • 26 Burgess A, Bleasel J, Hickson J, Guler C, Kalman E, Haq I. Team-based learning replaces problem-based learning at a large medical school. BMC Med Educ 2020; 20 (01) 492
  • 27 Lazić E, Dujmović J, Hren D. Retention of basic sciences knowledge at clinical years of medical curriculum. Croat Med J 2006; 47 (06) 882-887
  • 28 Quintero GA, Vergel J, Arredondo M, Ariza MC, Gómez P, Pinzon-Barrios AM. Integrated medical curriculum: advantages and disadvantages. J Med Educ Curric Dev 2016; 3: S18920
  • 29 Alsahafi A, Ling DLX, Newell M, Kropmans T. A systematic review of effective quality feedback measurement tools used in clinical skills assessment. MedEdPublish 2023; 12: 11
  • 30 Servey JT, Hartzell JD, McFate T. A faculty development model for academic leadership education across A health care organization. J Med Educ Curric Dev 2020; 7: 2382120520948878
  • 31 Harackiewicz JM, Smith JL, Priniski SJ. Interest matters: the importance of promoting interest in education. Policy Insights Behav Brain Sci 2016; 3 (02) 220-227
  • 32 Deliz JR, Fears FF, Jones KE, Tobat J, Char D, Ross WR. Cultural competency interventions during medical school: a scoping review and narrative synthesis. J Gen Intern Med 2020; 35 (02) 568-577
  • 33 Keogh JJ, Fourie WJ, Watson S, Gay H. Involving the stakeholders in the curriculum process: a recipe for success?. Nurse Educ Today 2010; 30 (01) 37-43
  • 34 Garces LM, Mickey-Pabello D. Racial diversity in the medical profession: the impact of affirmative action bans on underrepresented student of color matriculation in medical schools. J Higher Educ 2015; 86 (02) 264-294
  • 35 Biazotto MLSH, Bittencourt FV, de Araújo GR. et al. Comparison between students admitted through regular path and affirmative action systems in a Brazilian public medical school. Adv Med Educ Pract 2022; 13: 251-263
  • 36 Zeb NG, Afzal K, Almas A. et al. Students' and faculty perspective about the challenges in feedback process in an outcome based education system. Pak J Med Health Sci 2022; 16 (02) 1124-1127