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Education for Sustainable
Development:
The Medical Paradigm
PROFESSOR DR JAMUNA VADIVELU
HEAD, MERDU
FACULTY OF MEDICINE
UNIVERSITY OF MALAYA
Introduction
• Education for health can profoundly
influence sustainable development in terms
of human welfare and lifestyle.
• Mankind cannot achieve sustainable
development when there are recurrent
chronic diseases.
• Mankind cannot maintain their population
without a reactive health care system and
healthy lifestyle.
THE MBBS CURRICULUM
FIVE YEAR COURSE
THREE PHASES
THREE STRANDS
MBBS Curriculum in
University of Malaya
• Content of the medical course is divided
into three main strands.
THE SCIENTIFIC
BASIS OF DISEASE
MBBS
PROFESSIONAL
AND PERSONAL
DEVELOPMENT
DOCTOR,PATIENT,
HEALTH AND SOCIETY
(DPHS)
PHASE OF STUDY SCIENTIFIC BASIS DOCTOR, PATIENT
HEALTH AND
SOCIETY (DPHS)
PERSONAL AND
PROFESSIONAL
DEVELOPMENT (PPD)
Phase I
Normal Human Body
& Its Function
(52 weeks)
Core
And
Systems
Community
Medicine
Behavioural
Science
Communication
Skills
Community
Family Case
Studies (CFCS)
Attitude, Character
and Ethics (ACE)
Management
Electives
Phase II
Body’s Reaction to
Injury
(52 weeks)
Phase III
Practice-Based
Medicine
(142 weeks)
MBBS Curriculum
Timeline
Phase I The Normal Human Body and its Function
Phase II The Body’s Reaction to Injury
Phase IIIA CLINICAL POSTINGS
Phase IIIB CLINICAL POSTINGS
Phase IIIB CLINICAL POSTINGS
YR 1
YR 2
YR 3
YR 4
YR 5
Introduction to
clinical practice
Phase Two
Elective
Phase Three A
Elective
New Integrated Curriculum:
Elective Programme
• Phase Two Elective
• Enable students to learn skills and
knowledge that is not in the formal
curriculum
• Improve student interaction with patient
and community
Elective programme:
The past
• Aimed to study the impact of health on
human population.
• Projects were inflexibly structured within the
formal curriculum.
• Lack of diverse approaches in the
understanding of medicine from a
traditional viewpoint.
Traditional and complementary
medicine (T&CM) in Malaysia
• Multi-cultural society consisting of Malays
(and indigenous people), Chinese and
Indians.
• T&CM is deeply embedded in the
respective cultures and influences their
health care practices.
• Ministry of Health (MOH) formed the
Traditional and Complementary Medicine
Division (T&CMD) in 2004 to ensure highly
regulated qualified practices.
Elective programme:
New policy
• 2012: the elective programme was
restructured to
• Broaden students’ perspective in dynamic
changes in healthcare without prejudice.
• Aimed at medical students to value and
affirm their traditional knowledge in health
advocacy.
Elective programme:
New policy
• Grouping: Five to six students per group
• 43 groups (2012)
• 34 groups (2013)
• In 2013, each group consisted of members
from different races and genders.
Elective programme:
New policy
• Each group was free to choose their
research interests and was advised to look
for preferable and appropriate supervisors.
• E-learning platform provided guidelines:
Writing
proposal
Project
presentation
Report
Ethics
application
Elective programme:
New policy
• Students presented their oral or poster presentations
by the end of the elective programme.
• Student organised the event:
• Monitored by two faculty coordinators.
Logistics
Tables, chairs,
poster boards
etc
Equipment
Projector,
public address
system etc
Programme
events
Presentation
orders, flow
etc
Session
moderators &
judges
Assessment
• Two different rubrics were developed to
evaluate oral and poster presentations.
Assessment:
Poster presentation
• Poster presentation assessed two major
aspects
• Total: 40 marks
Poster Aspect (30 marks)
a. Organisation
b. Design
c. Content Oral Aspect (10 marks)
a. Presenters’ personal styles
b. Delivery
c. Timing
Assessment:
Oral presentation
• Oral presentation assessed two major
aspects:
• Total: 40 marks
Power Point Aspect (30 marks)
a. Story board
b. Design
c. Content
d. Evidence of learning
Oral Aspect (10 marks)
a. Presenters’ personal styles
b. Delivery
c. Timing
Assessment:
Based on additional presentation methods
• Students’ oral presentations may have
included:
• Separate rubrics were designed.
Brochures
Live
demonstrations
Sketches
Assessment:
Results
• 2012:
• Students’ mean was 30.2/40.0 (SD=3.2).
• 2013:
• Students’ mean was 29.5/40.0 (SD=2.5).
Examples of projects
• Acupuncture: concepts and benefits
• Efficacy of foot reflexology as an alternative
medicine
• Quranic verses: secrets of healing
• Solat from medical perspective (Poster)
• Modern Qigong and its benefits
• T’ai Chi and its benefits to our health (Video)
• How Yoga affects the psychological
aspects of the practitioners
Discussion:
Key to successes
• As the event organisers, students adopted
independency.
• The process of organising this event helped
students in developing sense of belonging
Discussion:
Key to successes
• One of the key successes was learner
autonomy.
• Students were free to choose their project
topics and select their desirable supervisors.
• Students seemed to truly enjoy the
experience in
• video production
• field work
Discussion:
Key to successes
• Learner autonomy does not mean students
to be left on their own.
• The programme would not have been
successfully conducted without a close
monitoring from the two faculty
coordinators.
Discussion:
Areas for improvements
• Some students still chose to research into
clinical sciences:
• Influenced by their supervisors in deciding
the project title, or
• Students have no originality in opinions
• Unless students recognise the importance of
T&CM, they would not choose to explore
T&CM.
Conclusion
• Through practicing learner autonomy,
medical students became active learners.
• Students learnt multicultural interchanges,
leadership and teamwork, sharing of
resources and research skills.
• This policy could be seen as a starting point
for students to develop interest in balancing
uses of both modern health science and
T&CM in sustaining desirable human lifestyle.
End -Thank you
Medical Education & Research Development Unit (MERDU),
Faculty of Medicine, University of Malaya, Malaysia.
Dean
Deputy
Dean
Head
MERDU
Academic, administrative & support staff

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Jamuna Vadivelu

  • 1. Education for Sustainable Development: The Medical Paradigm PROFESSOR DR JAMUNA VADIVELU HEAD, MERDU FACULTY OF MEDICINE UNIVERSITY OF MALAYA
  • 2.
  • 3. Introduction • Education for health can profoundly influence sustainable development in terms of human welfare and lifestyle. • Mankind cannot achieve sustainable development when there are recurrent chronic diseases. • Mankind cannot maintain their population without a reactive health care system and healthy lifestyle.
  • 4. THE MBBS CURRICULUM FIVE YEAR COURSE THREE PHASES THREE STRANDS
  • 5. MBBS Curriculum in University of Malaya • Content of the medical course is divided into three main strands. THE SCIENTIFIC BASIS OF DISEASE MBBS PROFESSIONAL AND PERSONAL DEVELOPMENT DOCTOR,PATIENT, HEALTH AND SOCIETY (DPHS)
  • 6. PHASE OF STUDY SCIENTIFIC BASIS DOCTOR, PATIENT HEALTH AND SOCIETY (DPHS) PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) Phase I Normal Human Body & Its Function (52 weeks) Core And Systems Community Medicine Behavioural Science Communication Skills Community Family Case Studies (CFCS) Attitude, Character and Ethics (ACE) Management Electives Phase II Body’s Reaction to Injury (52 weeks) Phase III Practice-Based Medicine (142 weeks)
  • 7. MBBS Curriculum Timeline Phase I The Normal Human Body and its Function Phase II The Body’s Reaction to Injury Phase IIIA CLINICAL POSTINGS Phase IIIB CLINICAL POSTINGS Phase IIIB CLINICAL POSTINGS YR 1 YR 2 YR 3 YR 4 YR 5 Introduction to clinical practice Phase Two Elective Phase Three A Elective
  • 8. New Integrated Curriculum: Elective Programme • Phase Two Elective • Enable students to learn skills and knowledge that is not in the formal curriculum • Improve student interaction with patient and community
  • 9. Elective programme: The past • Aimed to study the impact of health on human population. • Projects were inflexibly structured within the formal curriculum. • Lack of diverse approaches in the understanding of medicine from a traditional viewpoint.
  • 10. Traditional and complementary medicine (T&CM) in Malaysia • Multi-cultural society consisting of Malays (and indigenous people), Chinese and Indians. • T&CM is deeply embedded in the respective cultures and influences their health care practices. • Ministry of Health (MOH) formed the Traditional and Complementary Medicine Division (T&CMD) in 2004 to ensure highly regulated qualified practices.
  • 11. Elective programme: New policy • 2012: the elective programme was restructured to • Broaden students’ perspective in dynamic changes in healthcare without prejudice. • Aimed at medical students to value and affirm their traditional knowledge in health advocacy.
  • 12. Elective programme: New policy • Grouping: Five to six students per group • 43 groups (2012) • 34 groups (2013) • In 2013, each group consisted of members from different races and genders.
  • 13. Elective programme: New policy • Each group was free to choose their research interests and was advised to look for preferable and appropriate supervisors. • E-learning platform provided guidelines: Writing proposal Project presentation Report Ethics application
  • 14. Elective programme: New policy • Students presented their oral or poster presentations by the end of the elective programme. • Student organised the event: • Monitored by two faculty coordinators. Logistics Tables, chairs, poster boards etc Equipment Projector, public address system etc Programme events Presentation orders, flow etc Session moderators & judges
  • 15. Assessment • Two different rubrics were developed to evaluate oral and poster presentations.
  • 16. Assessment: Poster presentation • Poster presentation assessed two major aspects • Total: 40 marks Poster Aspect (30 marks) a. Organisation b. Design c. Content Oral Aspect (10 marks) a. Presenters’ personal styles b. Delivery c. Timing
  • 17. Assessment: Oral presentation • Oral presentation assessed two major aspects: • Total: 40 marks Power Point Aspect (30 marks) a. Story board b. Design c. Content d. Evidence of learning Oral Aspect (10 marks) a. Presenters’ personal styles b. Delivery c. Timing
  • 18. Assessment: Based on additional presentation methods • Students’ oral presentations may have included: • Separate rubrics were designed. Brochures Live demonstrations Sketches
  • 19. Assessment: Results • 2012: • Students’ mean was 30.2/40.0 (SD=3.2). • 2013: • Students’ mean was 29.5/40.0 (SD=2.5).
  • 20. Examples of projects • Acupuncture: concepts and benefits • Efficacy of foot reflexology as an alternative medicine • Quranic verses: secrets of healing • Solat from medical perspective (Poster) • Modern Qigong and its benefits • T’ai Chi and its benefits to our health (Video) • How Yoga affects the psychological aspects of the practitioners
  • 21. Discussion: Key to successes • As the event organisers, students adopted independency. • The process of organising this event helped students in developing sense of belonging
  • 22. Discussion: Key to successes • One of the key successes was learner autonomy. • Students were free to choose their project topics and select their desirable supervisors. • Students seemed to truly enjoy the experience in • video production • field work
  • 23. Discussion: Key to successes • Learner autonomy does not mean students to be left on their own. • The programme would not have been successfully conducted without a close monitoring from the two faculty coordinators.
  • 24. Discussion: Areas for improvements • Some students still chose to research into clinical sciences: • Influenced by their supervisors in deciding the project title, or • Students have no originality in opinions • Unless students recognise the importance of T&CM, they would not choose to explore T&CM.
  • 25. Conclusion • Through practicing learner autonomy, medical students became active learners. • Students learnt multicultural interchanges, leadership and teamwork, sharing of resources and research skills. • This policy could be seen as a starting point for students to develop interest in balancing uses of both modern health science and T&CM in sustaining desirable human lifestyle.
  • 26. End -Thank you Medical Education & Research Development Unit (MERDU), Faculty of Medicine, University of Malaya, Malaysia. Dean Deputy Dean Head MERDU Academic, administrative & support staff