Evaluation of impact of an integrated lecture method of teaching among undergraduate medical students, compared to traditional didactical lectures in reference to antenatal care

Basanta Kumar Behera, Narahari Agasti, Kamalakanta Sahoo


Background: In traditional lecture method of teaching most of the time there is time consumption, duplication and overlapping of topics taught in the MBBS course. Integration (both horizontal and vertical) of subjects improves the cognitive and psychomotor domains of students to enhance their skills to correlate clinically to obtain an accurate diagnosis.

Methods: The present study comprised of 96 students of 3rd semester MBBS course. A pretested questionnaire was given to study their existing level of knowledge and attitude regarding antenatal care. The students were divided into two groups by simple random method - a study group of 48 students, who receive integrated teaching including didactic lectures, case studies and live demonstrations by department of Community Medicine and Obstetrics and Gynaecology, whereas the control group of 48 students received only didactic lectures. Post test was conducted after 3 days. The mean knowledge and attitude scores of pre-test and post-test of the two groups were analyzed by using Z- test.

Results: In the post test, the mean knowledge score between traditional and integrated groups were 12.40 and 14.46 respectively with standard deviation of 1.869 and 1.864. Whereas the mean values of attitude is 36.95 and 60.00 with standard deviation of 1.972 and 1.977. There was a significant improvement in both knowledge and attitude of students of integrated group as compared to traditional group (P<0.001).

Conclusions: Integrated method of teaching was found to be more effective than traditional lecturing method.


Integrated teaching, Traditional teaching

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The World summit on Medical Education; Recommendations. Medical Education. 1994;28(Suppl 1):1-3.

Dandavar VS, Effect of integrated teaching versus conventional lecturing on MBBS Phase 1 students. Recent research in Science and Technology. 2010;2:40-8.

Curriculum implementation support programme. Medical Council of India. 2012.

Lohitashwa R, Narendra SS, Mufti M. Evaluation of integrated teaching over didactic lecture on student learning. J Edu Res Med Teac. 2014:(2)14-6.

Kate MS, Kulkarni UJ, Desmukh YA. Introducing integrated teaching in undergraduate medical curriculum. Int J Pharma Sci Res. 2010;(1):18-22.

Anjenya S, Mohanty NC, Patil P, Comparison of conventional and integrated method of teaching in MBBS students. J. Adv. Res. HealthCare & Med. Inform. 2014;1(1):6-11.

Ghosh S, Pandya HV. Implementation of integrated learning program in neurosciences during first year of traditional medical course: Perception of students and faculty. BMC Medical Education. 2008;8:44.

Kumari KMK, Vijaya V, Mysorekar, Raja S. Student’s perception about integrated teaching in an undergraduate medical curriculum. J Clin Diagn Res. 2011;5:1256-59.

Vyas R, Jacob M, Faith M, Isaac B, Satishkumar D, Ganesh A. An effective integrated learning programme in the first year of medical course. Natl Med J India. 2008;21(1):21-6.

Shafi R, Quadri KH, A hmed W, Mahmud SN, Iqbal M. Experience with a theme-based integrated module for a second year MBBS class. Adv Physio Educ. 2010;34(1):15-9.

Mathur SS, Bhalerao VR, Gorey R, An integrated community based approach in undergraduate medical teaching of maternal and child health—an experiment. J Postgrad Med. 1992:38(1):16.

Schmidt HG, Machiels-Bongaerts M, Hermans H, ten cate TJ Venekamp R, Boshuizen HP. The development of diagnostic competence: Comparision of a problem based, an integrated and a conventional medical curriculum. Acad Med. 1996;71:658-64.