This TBL was implemented in modified form in the Gastrointestinal Course for first year medical students at The West Virginia School of Osteopathic Medicine. The average grade for the Individual Readiness Assurance Test was 78% (MAX 100%; MIN 40%). A modification made to the TBL for publication purposes was to add three questions to the Group Application Exercises to meet the expectations outlined in MedEdPORTAL’s TBL guideline. In its original form the Group Application Exercise consisted of two questions (Group Application Exercise 1 question #1 and Group Application Exercise 2 question #2). Discussion of each question required approximately 15-20 minutes.
Overall Goal: To provide students with a TBL activity in which they can practice integrating their basic science knowledge in the areas of microbiology, diagnostic bacteriology and pharmacology to be able to diagnose and treat a patient presenting with acute diarrhea with a suspected infectious etiology.
- Identify and interpret appropriate diagnostic bacteriology labs.
- Identify the causative organism and explain its pathogenesis.
- Develop and explain an appropriate treatment plan.
- Describe the basic pathophysiology of the five major cause of diarrhea: secretory, osmotic, inflammatory, malabsorption/maldigestion and altered motility.
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