Table 1
The topics of the scenarios of the Emergency Cases School
|
Scenario |
System |
Differential diagnosis |
Final diagnosis |
Actors, including the academic tutors (total number) |
|---|---|---|---|---|
|
1 |
Gastrointestinal |
Peptic ulcer disease Myocardial infarction Cholecystitis Gastric cancer Oesophagitis |
Acute pancreatitis |
4 |
|
2 |
Cardiovascular |
Acute aortic dissection Acute pericarditis Pulmonary embolism Infective endocarditis |
Myocardial infarction |
4 |
|
3 |
Cardiovascular |
Deep venous thrombosis Vasculitis Vasospasm Peripheral vascular injury |
Acute lower limb ischaemia |
3 |
|
4 |
Nervous |
Subdural/epidural/endocranial haematoma Migraine Meningitis, encephalitis Transient ischaemic attack |
Subarachnoid haemorrhage |
4 |
|
5 |
Urinary |
Obstructive blood clot in the ureter Renal vein thrombosis Biliary colic Appendicitis Ureter carcinoma |
Ureterolithiasis |
3 |
|
6 |
Gastrointestinal |
Acute cholangitis Acute pancreatitis Acute gastritis Inflammatory bowel disease Gastroesophageal reflux disease |
Duodenal ulcer |
4 |
|
7 |
Nervous |
Seizure Systemic infection Brain tumour Metabolic disorders Vertigo |
Cerebrovascular accident |
4 |
|
8 |
Pulmonary |
Acute respiratory distress syndrome Pneumonia Chronic obstructive pulmonary disease Pulmonary embolism Myocardial infarction |
Under tension pneumothorax |
3 |
|
9 |
Nervous |
Multiple sclerosis Neoplasms of the spinal cord Diabetic neuropathy |
Cauda equina syndrome |
4 |
Table 2
Results of the DREEM inventory
|
(Subscale) Question |
Mean score (SD) |
Score category (category limits) |
|---|---|---|
|
Students’ perceptions of learning (SPL) |
33.11 (6.55) |
‘A more positive perception’ (25–36) |
|
Students’ perceptions of teachers (SPT) |
31.68 (6.48) |
‘Moving in the right direction’ (23–33) |
|
Students’ academic self-perceptions (SASP) |
21.32 (4.3) |
‘Feeling more on the positive side’ (17–24) |
|
Students’ perceptions of atmosphere (SPA) |
34.97 (6.43) |
‘A more positive atmosphere’ (25–36) |
|
Students’ social self-perceptions (SSSP) |
19.23 (3.64) |
‘Not too bad’ (15–21) |
|
Overall score |
140.32 (23.39) |
‘More positive than negative’ (101–150) |
|
Q1. Do you think that the course will prove itself beneficial to your clinical skills? |
3.07 (0.78) |
– |
|
Q2. Would you suggest the course to another student? |
3.65 (0.61) |
– |
Q1 Extra Question 1, Q2 Extra Question 2
The limits of Q1 and Q2 scores were 0 (for minimum) and 4 (for maximum). The maximum score for SPL, SPT, SASP, SPA, SSSP and overall is 48, 44, 32, 48, 28 and 200, respectively