SIMEC 2014 اﻟﻤﺆﺗﻤﺮ اﻟﺴﻌـﻮدي اﻟﺪوﻟـﻲ ﻟﻠﺘﻌﻠﻴـــــــــــﻢ اﻟﻄﺒــــــــــــﻲ The Saudi International Medical E d u c a t i o n C o n fe r e n c e 2 0 1 4 02 - 05 Safar 1436 , 24 - 27 Nov 2014 Designed By Mada Media www.madaamedia.com info@madaamedia.com SIMEC Orgainizer Content About Conference 4 Organizing Committee Chairman Message 5 Scientific Committee Chairman Message 6 Welcome Message of the Chairman of SSME 7 Organizing Company Message 8 International Speakers 9 National Speakers 17 Organizing Committee Members 25 Advisory Board Members 26 Scientific Committee Members 27 Conference Objectives, Themes and Target Audience 28 Conference Program 29 Preconference Workshops 35 Day 1 67 Day2 91 Day3 127 Conference Posters 143 Conference Sponsors 187 General Information 191 3 Saudi International Medical Education Conference The SIMEC is the official international medical education conference of the Saudi Medical Education Society ( SSME ) and the Saudi Medical Deans Committee. SIMEC is an international conference dedicated to reporting and discussing recent developments and research in medical education. The conference will cover a wide variety of topics including innovation in medical education, international dimensions, and curriculum trends in medical education and other issues of current importance and interest. The conference will be facilitated by leading international authorities who will bring their national and international experience as medical educators, editors, reviewers and contributors to leading journals in the field. The College of Medicine at Qassim University is proud for hosting the Saudi International Medical Education Conference ( SIMEC 2014 ) in Qassim, Saudi Arabia from 24-27 November 2014. 4 Organizing Committee Chairman Message WELCOME to Qassim Dear Friends and Colleagues, On behalf of the Organizing Committee of SIMEC 2014, it is my great privilege to invite you to Qassim and to participate in SIMIC 2014 Conference . Qassim is an agricultural city famous for dates production and one of the wonderful areas of Saudi Arabia for camping. The SIMEC is an official international medical education conference of the Saudi Medical Education Society (SSME) and the Saudi Medical Deans Committee (SMDC). During the event, two important meetings will be conducted. The first is ‘The 27th SMDC Meeting’ and the other is ‘The 34th GCC Medical Deans Committee Meeting’. The active collaboration of SSME, SMDC and GCC Medical Dean’s Committees during this event, will definitely have a positive impact in promoting the quality of Medical Education in the Gulf Region. Many distinguished medical and healthcare professionals worldwide will join this conference. The aim of the conference is to share, learn and exchange the best practices from the experts. The meeting has been designed in the form of plenary sessions, workshops, symposia, short communications and posters presentation and will include superb scientific material that was carefully selected by our enthusiastic Scientific Review Committee. The meeting has been primarily designed to provide new understandings, education tips/tricks, innovations and comprehensive overview of the latest emerging technologies in medical education. For this highly awaited event, we look forward to have more than 1200 participants from more than 30 countries. We would like to express our thanks to the medical companies and manufacturers for their generous support, to target conference for their excellent arrangements in all aspects of the event to our dedicated staff, colleagues and whole SIMEC committee members for their untiring help, support and advice in planning and arranging the event. We hope that you will enjoy the conference and your interaction with your colleagues from many different countries will stimulate a creative exchange of ideas. We also hope and trust that you will enjoy your visit to the very elegant Principality of Qassim, in November 2014. Finally, we would also like to acknowledge our sincere gratitude to His Excellency Professor Khalid Al-Homodi, The Rector of Qassim University, and The Vice Rectors of Qassim University for their generous financial and logistical support for this conference. Yours sincerely, Hani A. Al-Shobaili, MD., MHPE. Dean, College Of Medicine Chairman, Steering Committee 5 Scientific Committee Chairman Message On behalf of the Scientific Committee of the Saudi International Medical Education Conference (SIMEC 2014), it is an honour to welcome our distinguish guests. SIMEC is the largest medical education event in the region. SIMEC Conference is organized by the Saudi Medical Education Society and the Deans’ of Saudi Medical Colleges Committee since 2008, and hosted every time by a medical school. This year, Qassim University is proud to host this conference, which is considered an exciting moment, and to welcome all of its participants. The scientific program is focused on addressing the current and future trends and challenges in medical education world-wide. The conference is covering a wide variety of topics under the umbrella of different themes including: curriculum, innovation in medical education, teaching and learning, leadership, education technology, research in medical education, and assessment. The program is designed to provide opportunities to conference attendants to participate in the pre-conference workshops, that are covering important and relevant medical education topics, in addition to the 3 days of comprehensive medical education sessions. The conference is very rich in national and international expertise in medical education specialty who are keen to transmit their experiences to the conference participants. By the end of this conference it is expected from the participants to learn new ideas and to be familiar with the constructive and long-lasting impact in pursuing their understanding and their dealing with medical education issues. Thank you, all, for participating in this conference and its related workshops and we hope you every body to enjoy your share in the conference and your stay in Qassim. Prof. Abdullah Alghasham Chairman, Scientific Committee SIMEC 2014 6 Welcome Message from the President of SSME Dear Friends and Colleagues, On behalf of the Saudi Society for Medical Education (SSME), It is my great pleasure to warmly welcome you all to SIMEC 2014. SSME is a national scientific society created in accordance with the rules regulating Scientific Societies in Saudi Universities of the Council of Higher Education. SSME was founded in 2002 at its Main Base in King Khalid University, Abha. Thereafter, a decade ago (November 2004), SSME was revealed nationally during its first General Assembly meeting. Currently SSME has four Branch Offices in Riyadh, Jeddah, Dammam, and Qassim. Actually, the establishment of this society came purposely to meet an obvious academic demand as that medical education, in particular, and healthcare professions education, in general, entails a big concern to the higher education sector in the Kingdom of Saudi Arabia. This vital and influential sector in the national development process has been expanding over the years with a large number of medical colleges that have been opened either in the public or private sector. SSME aims accordingly to contribute in the development and enhancement of medical education. Aiming to achieve its goals in promoting effective communication between researchers and all those interested in medical education, SSME organizes its official international scientific conference; the Saudi International Conference on Medical Education (SIMEC) which is hosted every other year by one of the medical faculties within Saudi universities. We can say that the sun of this conference has shone from Abha in 2004, during the official inauguration of the SSME prior to fostering SIMEC vision in an integrated international scheme in the year 2008, when the SSME Executive Board approved the SIMEC’s official rules and regulations. SSME is delighted by organizing a series of successful and well attended conferences, and over the past decade, we at SSME had a great pleasure to work closely with the Saudi Medical Deans Committee. The SIMEC conference has in effect become the leading international conference in medical and healthcare professions education within the MENA region. SIMEC offers participants and attendees the opportunity to update themselves on recent developments in Medical Education. Indeed throughout the plenaries, symposia, short communications, posters and workshops, experts and specialists of medical education share their experiences and network with others with similar interests. SIMEC2008 was held at the King Fahd Medical City in Riyadh, SIMEC2010 was at Jazan University, and SIMEC2012 at Imam Muhammad bin Saud Islamic University in Riyadh. Today, we are thrilled to convene in SIMEC2014 at Qassim University in Buraidah, and at this occasion I would like to sincerely thank the Organizing Committee, the International Advisory Committee, the Scientific Committee, and all colleagues at Qassim University for their eternal ample efforts to put together an excellent and thought provoking program. Appreciation is also due to international and national speakers, and all enthusiastic participants and delegates. I wish you a fruitful superb meeting as well as memorable social events in the charming Qassim Province, and look forward to welcome you again in SIMEC2016 at Al-Faisal University in our beloved capital Riyadh. Yours Sincerely, Prof. Ismaeel Bin-Jaliah President, Saudi Society for Medical Education 7 Organizing Company Message MaDa Media Group is warmly welcoming you in attending the Saudi International Medical Education Conference 2014, and pleased that many guests and speakers have decided to join our meeting with valuable sessions that will enrich the scientific program. MaDa Media Group is pleasured to dedicate all the effort achieved with the highest level of quality in the services provided for your hospitality and comfort performance in your deliberated attendance in reward of making this conference a success, and pleasant visit. I would like to express my personal gratitude to all the Dean of Medical College at Saudi Arabia and GCC for their attendance and support of our meeting. I would like to thank the organizing and scientific committees’ members for their effort to support our company to make this meeting great success and I would like to extended my thank to all the companies that sponsor our meeting. Wishing that your satisfaction was earned and hoping for you a fruitful rewarding, unforgettable time. Dr. Khaled A. Shahat, General Manager of Mada Media Group. 8 9 International Speakers International Prof. Judith Ann Dr Judith Ann Held Dr Judy’s current role is Professor and Dean of Medical Education, College of Medicine, Swansea University. Prior to that she worked in New Zealand for four years, at the University of Auckland and latterly as Pro-Dean, Health and Social Care, Unitec Institute of Technology. Judy initially trained as a nurse and has an academic background in social and health sciences, education and management. She was Director of Undergraduate Medicine at Imperial College London until 2004 and led the curriculum development and implementation of the new undergraduate medical programme at Imperial. In 2004-05, as a Higher Education Academy Senior Adviser she had responsibility for developing and implementing the accreditation of professional development programmes and the development of professional standards for teachers in HE. She has worked on over sixty international health workforce and education reform projects for DfID, AusAID, NZAID, USAID, the World Bank, WHO and government ministries of health in Central Asia, Portugal, Greece, Bosnia & Herzegovina, Macedonia, the Middle East, Australia and the Pacific. She has been a reviewer and accreditor for the GMC, QAA, the Higher Education Academy and the Academy of Medical Educators for many years, is a member of ASME and AoME Executives and chairs the Education sub-committee of the Wales Academic Board for Medical and Dental Education. She is Director of ASME’s international Educational Leadership programme, speaks, writes and publishes widely on medical and health professions’ education and leadership and runs clinical leadership and educational development workshops internationally. Dr Jennifer Lyn Keating Professor Jenny Keating (PhD, PG Dip Manip Physiotherapy, BAppSci (physiotherapy) is Associate Dean Allied Health Monash University. She was appointed inaugural Head of Department of Physiotherapy at Monash University. With a dedicated team she developed an innovative Bachelor of Physiotherapy degree. She teaches research skills, has supervised 29 honours, 8 PhD, and 3 MPhil students and currently supervises 9 PhD and 5 honours students. Current large projects include the development and implementation of a standardised method for assessing competence to practice physiotherapy which is being migrated to an interactive on-line program that will enable national benchmarking of educator and student assessments. She was Inaugural President of the Council of Physiotherapy Deans of Australia and New Zealand and represents allied health on many state and government committees. She was awarded the Australian Physiotherapy Association Lifetime Achievement Award for her dedication to research education. Professor Keating has published over 90 peer reviewed papers and other reports and book chapters. 10 Dr Jennifer Lyn Keating Speakers Prof. Cees van der Vleuten Professor of Education and chair of the Department of Educational Development and Research, Maastricht University . Prof. Cees van der Vleuten, PhD has been at the University of Maastricht since 1982. In 1996 he was appointed Professor of Education and chair of the Department of Educational Development and Research in the Faculty of Health, Medicine and Life Sciences. Since 2005 he has been Scientific Director of the School of Health Professions Education. His primary expertise is in evaluation and assessment. He has published widely in this domain, holds numerous academic awards, including several career awards. He serves frequently as a consultant internationally. He mentors many researchers in medical education and has supervised more than 60 doctoral graduate students. In 2010 he received a Dutch royal decoration for the societal impact of his work and in 2012 the Karolinska Prize for Research in Medical Education. Prof. Cees van der Vleuten Dr Uno Fors Dr Uno Fors Professor Uno GH Fors, DDS, PhD. is vice head DSV Stockholm University Formerly professor in medical educational simulation ant Karolinska Institutet in Sweden, but since 2010 professor in IT, simulation and learning at Stockholm University, Sweden. Dr. Fors has developed more than 10 different VP systems during the last 30 years, published more than 200 research papers and conference papers, as well as led numerous national and international research projects regarding virtual cases for learning and assessment. Dr. Fors is also vice head of the department of computer and systems sciences at Stockholm University, Sweden’s largest and oldest academic department for computer and systems sciences. 11 International Dr Janet Ruth Grant Dr Janet Ruth Grant Director of CenMEDIC (the Centre for Medical Education in Context) and the FAIMER Centre for Distance Learning in London. Janet is Director of CenMEDIC (the Centre for Medical Education in Context) and the FAIMER Centre for Distance Learning in London. She is Emerita Professor of Education in Medicine at the UK Open University, Honorary Professor in University College London Medical School, Honorary Professor in Plymouth University and Special Adviser to the World Federation for Medical Education. Her interests are in policy research, regulation, educational development, continuing professional development and curriculum. CenMEDIC runs an international distance learning Master’s course on accreditation and assessment in health professions education for the US Foundation for the Advancement of International Medical Education and Research [FAIMER]. Her Centre also developed and manages Sci59, the online psychometric Specialty Choice Inventory. Janet has extensive experience as a regulator in both medical education and legal education. She is author of The Good CPD Guide [Radcliffe Publishers, 2012]. Dr Donna Waechter LCME Assistant Secretary and Senior Director, LCME Surveys and Team Training at the Association of American Medical Colleges. Dr Donna Waechter, Ph.D. currently serves as LCME Assistant Secretary and Senior Director, LCME Surveys and Team Training at the Association of American Medical Colleges. She is responsible for working with deans of medical schools to establish timing of accreditation survey visits, selection of team members for those visits, initial and ongoing training of LCME survey team members, identification and training of new team secretaries, staffing of the LCME Standards Subcommittee, creating training modules for team member workshops, and managing webinar training events. She has 20 years of experience as an LCME survey team member and survey team secretary. Prior to becoming the LCME Assistant Secretary in 2012, Dr. Waechter worked for 28 years in a medical school setting, first as an assistant dean of students, and from 1997 to 2012 as an associate dean for medical education. Dr Donna Waechter Professor Hossam Hamdy Vice-Chancellor University of Sharjah, United Arab Emirates (UAE) and Dean of the Medical & Health Sciences Colleges in the University. He is a senior Consultant Paediatric Surgeon at Qassimi Hospital, UAE Ministry of Health, 2006-to date. Professor Hamdy is a consultant in Medical Education and was Vice President of World Federation Medical Education, EMRO – WHO, 2005 – 2011. He is a member of the editorial board of Professor Hossam Hamdy Medical Education. In January 2011 Professor Hamdy won the Arab Health Award for “Outstanding contribution of an individual to the Middle East Healthcare Industry” and in April 2011 he won the Sheikh Khalifa Award for Higher Education for Distinguished Professor in Teaching. Professor Hossam Hamdy was also nominated by the French Minister of Education to receive the prestigious decoration of “Chevalier dans l’ordre des palmes Academiques” or “Knight of the Order of Academic Palms” which is an order of chivalry of France for academic, cultural and educational figures. 12 Speakers Professor Brian Jolly Professor of Medical Education in the School of Medicine and Public Health at the University of Newcastle. Professor Brian Jolly is the Professor of Medical Education in the School of Medicine and Public Health at the University of Newcastle. He has longstanding interests and expertise in simulation, assessment, clinical teaching, giving feedback, clinical skills development, and research design and statistics. Brian’s recent responsibilities include the development of research initiatives in health professions education, contributions to Postgraduate Courses in Health Professionals Education (which train clinical teachers), assisting in the development of undergraduate assessProfessor Brian Jolly ment protocols and fitness to practise initiatives. Brian has over 30 year’s experience in medical education. He is currently involved in redesigning the medical program at the Universities of Newcastle and New England. Brian is a recent past chair of ASSH (the Australian Society for Simulation In Healthcare), a past member of the Medical School Accreditation Committee (MedSAC) of the Australian Medical Council and a co-author of the revised Australian Curriculum Framework for Junior Doctors. He has edited three books on medical education, and has contributed to over 130 paper and book chapters on health professions education. He has recently been part of teams awarded two OLT grants for development of assessment strategies in nursing and dietetics education. In 2003 he chaired the organizing committee of the “Ottawa” Conference on Clinical Competence, a peripatetic conference that was held in Melbourne in 2008 with over 1200 delegates. Dr Durmuş Günay Dr Durmuş Günay Executive Board Member of Turkey Council of Higher Education. He is the professor of Mechanical Engineering. He worked at different universities, respectively: Akdeniz University, Istanbul Teknik University, Sakarya University, and Zonguldak Karaelmas University. He also worked as a minister advisor at the Turkish Ministry of Agriculture, and Ministry of Transport in between May 2004 and May 2007. He has been attending major international and national conferences and giving keynote speech about higher education issues as a representative of Turkish Counsil of Higher Education (CoHe/ YÖK). He was appointed as a member of the Council of Higher Education in February 2008 and he has been still working as an Executive Board Member at the Turkish Council of Higher Education (YÖK) since March 2008. Dr Tanya Beran Professor,and Graduate Program Director University of Calgary. Dr. Tanya Beran is a tenured Professor in Medical Education and Graduate Program Director for the Department of Community Health Sciences at the University of Calgary. Her current research focuses on the role of group decision-making in clinical care. She has published over 75 peer review papers in the area of health. Dr. Beran is a respected educator and teaches graduate level courses in research design and statistics. Dr Tanya Beran 13 International Dr Zubair Amin Associate Professor in the Department of Paediatrics in Yong Loo Lin School of Medicine, National University of Singapore and Senior Consultant Neonatologist in National University Hospital. Dr Amin obtained his Master in Health Profession Education (MHPE) from University of Illinois at Chicago, USA in 1998. His immediate past appointments include Deputy Head, Clinical, for Medical Education Unit at the School of Medicine, National University of Singapore. He also served as Assistant Dean for Curriculum and Assessment for six years at School of Medicine where he oversaw Dr Zubair Amin review of entire medical undergraduate curriculum. His interests in medical education are in faculty development, assessment, and international medical education. He is the lead author/editor of three books: Basics in Medical Education, Profiles of Asian Medical Schools: Part I Southeast Asia, and A Practical Guide on Student Assessment. In addition, he has authored many chapters on medical education books published internationally including Oxford Textbook of Medical Education and International Best Practices for Evaluation of Health Professions. He is the member of editorial team of Medical Education Online, Anatomical Sciences Education, and Education Research International and member of international advisory board of Perspectives of Medical Education. He is also the author of upcoming book on OSCE to be published in 2014. He has led an interdisciplinary team to develop a set of consensus statements and recommendations for use of technology in assessment. He is a panel member of ASPIRE (International Recognition of Excellence in Medical Education) and a member of Association of Medical Education in Europe’s (AMEE) Research Task Force. He has conducted faculty development programme in Singapore, Malaysia, Indonesia, Bangladesh, Pakistan, India, Iran, Jordan, Japan, Sri Lanka, South Korea, Taiwan, Saudi Arabia, the Netherlands, and Italy. Recently, he served as a reviewer for the prestigious Karolinska Instituet Prize for Research in Medical Education, 2012 (KIPRME 2012). He is the recipient of University Teaching Excellence Award, the National University of Singapore (2006) and Friends of the Medical Students Award (2008) by the Medical Society, National University of Singapore. Prof. Lubna Ansari Baig Public Health physician with a PhD in Medical Education. She is the Dean of Institute of Public Health at Jinnah Sindh Medical University Karachi Pakistan. Previously she was a Professor in the Department of Medical Education, College of Medicine, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia. She is also part time Professor of Community Medicine/Medical Education at Dow University of Health Sciences, Karachi Medical and Dental College, and Ziauddin Medical University, University of Calgary, and Honorary faculty in the Department of Medical Education at Aga Khan University, Karachi Pakistan. Prof. Lubna Ansari Baig She has more than 50 papers in peer reviewed journals in addition to 4 training manuals on Reproductive health, 2 Books and 10 chapters in books. Her research publications are from varied disciplines including assessment of clinical competence, curriculum development, and program evaluation in medical education, clinical epidemiology, reproductive, preventive and promotive health care. She has over 100 presentations in national and international conferences with special interest in Medical Education, Reproductive and Public Health. She has been an invited speaker to many Medical Education and Public Health conferences and has spoken on development of community services, adolescent reproductive health. She has facilitated many workshops for faculty and medical students on the subjects of Medical Education, Biostatistics, Epidemiology, Research Methodology and Reproductive Health in Canada, Nepal, Pakistan, Saudi Arabia and Tanzania. 14 Speakers Dr Gominda Gayathri Ponnamperuma Dr. Ponnamperuma has served as an invited speaker cum resource person in many international symposia and conferences. Author of several journal articles and books, he sits on the Editorial Boards of two international medical education journals. Gominda, who has served as an advisor, visiting professor and fellow of several academic institutes of repute, has also carried out consultations for educational projects. He is a postgraduate tutor, examiner, and resource material developer for national and international medical education courses. His research interests are on assessment (including selection for training), and curriculum Dr Gominda Gayathri development and evaluation. Ponnamperuma Dr Mark Weyers Is the Director of the International Institute of Academic Development (IIAD). Previously, Mark worked at the UCL Centre for the Advancement of Learning and Teaching (CALT) at University College London. He holds undergraduate and graduate degrees in education, psychology, educational psychology, neuropsychology, educational leadership and management and Information Technology (eLearning). He is an expert in the learning sciences and his areas of specialisation revolve around quality assurance processes, course validation and advanced and innovative approaches to course and curriculum design. Dr Mark Weyers Dr. Shihab Khogal Clinical Senior Lecturer in Medical Education at the University of Dundee, where he has been employed since 1995. He has extensive experience in medical education, including curriculum design. He leads a number of courses within the undergraduate medical curriculum at the University of Dundee, including the introduction to curriculum outcomes course, the cardiovascular course, and a transition block to integrate student learning from the systems in practice phase. He also, co-leads physiology teaching and its integration in the curriculum. He has been a winner of a number of teaching awards. Dr. Shihab Khogali PhD, MMEd (Distinction), MBBS, FHEA 15 Dr Paul Koles Dr Paul Koles Paul G. Koles, MD, is associate professor of pathology and surgery and chair of pathology in the Boonshoft School of Medicine at Wright State University, Dayton, Ohio, USA. His medical education research focuses on instructional strategies, assessment, and professional development. He has authored more than 30 interdisciplinary team-based learning (TBL) modules and provided over 50 faculty development workshops in TBL. Dr. Koles is a member of the International Association of Medical Science Educators, the Team-Based Learning Collaborative, and the U.S/Canadian Academy of Pathology. He is certified by the American Board of Pathology in anatomic and clinical pathology with subspecialty certification in cytopathology. Professor Trevor Gibbs He is WHO Consultant in Medical Education & Primary Care, Educational Consultant & Development Officer to the Association of Medical Education in Europe, Executive Officer for International Affairs RCGP Scotland and Educational Consultant to WONCA and the World Federation of Medical Education. He is working with the World Federation of Medical Education in developing the Global Standards for Medical Graduates, and with WONCA in developing Global Standards for Family Doctors and their Training Programmes, His research interests are in International Medical Education and its development in under- resourced countries, and Adolescent Health and the relationship between life-style and nutrition in healthy communities. As a General Practitioner and academic for over thirty years, he has extensive experience in the development and delivery of Primary Care and Prof. Trevor Gibbs Community-based Education. He has been involved with many of the innovations in Primary Care over these years; instigatory in the creation of the concept of the Practice Nurse in the UK on the early 1980s, leading the development of small practice Fund holding and Practice Management in the early 1990’s, and creating the largest community-based undergraduate medical education programme in the UK at Liverpool in the mid 1990s. He has recently provided policy direction for the proposed new training curriculum for UK General Practice, and the proposals for re-certification and re-accreditation of General Practitioners. As a lead in Vocational Training for General Practice, he was Deputy Dean of Postgraduate General Practice in Liverpool and Director of Community Studies in Liverpool Medical School. Dr Suphan Nasir Dr Suphan Nasir 16 She is currently Associate Professor at İstanbul University and she has been holding the positions of Chair of Production Management and Marketing discipline, vice chair of Business Administration Department, and Coordinator of Business Administration e-Learning program since 2009. She has been actively dealing with Higher Education Issues. She has been Editor-in-Chief of International Journal of E-Entrepreneurship and Innovation and Associate Editor of Yükseköğretim Dergisi / Journal of Higher Education since 2010. She is the advisory board member of Journal of Higher Education and Science and The Society of Digital Information and Wireless Communications (SDIWC). 17 National Invited Speakers National Invited Speakers Professor Ahmed Al Rumayyan Current Position: Associate Dean, Academic & Student Affairs, College of Medicine ,KSAU-HS Consultant, Pediatric Neurology. Responsibilities of position: In the role of Associate Dean, Dr. Rumayyan oversees the teaching, organization and management of the College of Medicine’s educational program, including evaluation of block (course) content, assignment of Faculty Staff for teaching, and recommends any changes in the curriculum or block structure. He also supervises the operation of the Medical Library. Other duties may be added by the Dean. Honors/Awards: Saudi Cultural Mission, Canada Professor Ahmed Al Rumayyan Dr. Ali Al Haqwi Dr. Ali Al Haqwi Dr. Ali Al Haqwi is Chairman of the Department of Medical Education and Associate Professor of Family & Community Medicine, College of Medicine-Riyadh, King Saud bin Abdulaziz University for Health Sciences. He is Consultant of Family & Community Medicine in King Abdulaziz Medical City-Riyadh. He has a Master Degree of Medical Education (2009), in KSAU-HS and PhD (2012) in Health Professional Medical Education from University of Erasmus, Rotterdam, The Netherlands. Main interests are clinical teaching and learning in undergraduate and postgraduate medical education. He has published many articles in family medicine and medical education. Professor Eiad A. AlFaris He is a Professor of Family Medicine and the supervisor of the King Saud University (KSU) Chair for Medical Education.He had completed a Master degree in Medical Education from the University of Dundee. He has contributed substantially to the development of Medical Education in Saudi Arabia. He is a researcher and has published in national and international journals around fifty articles. He was adviser to the Saudi Commission of health specialties 1998- 2009 and was Associate Director of Faculty Development Program. He had run various workshops for the Saudi Commission for health Specialties and for the medical and dental schools of King Saud University. 18 Professor Eiad A. AlFaris National Invited Speakers Dr Hamza Abdulghani He is an Educationist and Family Physician, with special interest in students’ assessment. He has established the centralized assessment system in the College of Medicine. He has organized and conducted many faculty development workshops, in different medical colleges, focused on clinical teaching, feedback and different types of assessment. He is a consultant and Dr Hamza Abdulghani external examiner for many newly established, and old medical colleges. He has published more than 40 articles in reputable peer reviewed. He is the author of the book “An Essential Guide for Developing, Implementing, and Evaluating Objective Structured Clinical Examination (OSCE)” and has written many chapters in many scientific books. Dr. Hani Al-Shobaili He is Associate Professor and Consultant Dermatologist ,in addition he had Master Degree in Health Professional Education. Currently he is the the Dean of the College of Medicine and Head of Dermatology Department , Qassim University , Saudi Arabia. He is the supervisor of the Progress Test Committee in Qassim University and he is the founder and organizer of the Elective Progress Test Project for Medical Colleges in Saudi Arabia. In addition, he is the founder chairman of the E-learning unit. He is a member of the Saudi Medical Deans Committee and the GCC Medical Deans Committee. He chaired many committees related to medical education, curriculum, assessment, counselling and leadership in College Of Medicine, Qassim University . He has published many papers in reputed journals Dr. Hani Al-Shobaili Prof. Khalid Bin Abdulrahman He is is a Professor of Family Medicine and Medical Education at present and the Vice-Rector for Planning, Development & Quality at Al-Imam Mohammed Bin Saud Islamic University (IMSIU). The founding Dean of the College of Medicine at Al-Imam University, Riyadh, Saudi Arabia. The former Chairman of the Saudi Deans National Committee and the former Vice-President of the Saudi Society for Medical Education (SSME). Prof Abdulrahman is the current President of the Saudi Society for medical Jurisprudence and the editor in chief of Imam Journal of Applied Sciences (IJAS). The Editor of Medical Teacher Prof. Khalid Bin Abdulrahman Saudi Supplement. An Active member of many prestigious strategic committees including the National Health Council in Saudi Arabia. In 2006 he was appointed to lead the national strategic planning project for health professions education in Saudi Arabia. Professor Khalid is a founding member of the international board of ASPIRE initiative; a program has been initiated to recognize international excellence in medical schools (www.aspire-to-excellence.org). His areas of interests include Planning and Development of Medical Education and Continuing Medical Education Programs, Strategic Planning & Leadership Development and Management of Chronic Illness in family practice setting. Prof Khalid has published more than 70 papers in family medicine and medical education, both in local and international peer reviewed journals. He presented more than 300 presentations in local and international meetings. Prof. Bin Abdulrahman is a recipient of numerous prestigious awards including the certificate of editorial excellence from the Association of Medical Education in Europe has been awarded during AMEE 2014 conference in Milan, Italy. 19 National Invited Speakers Prof. Mohammad Yahya ALShehri He is a professor of surgery at the College of Medicine at King Saud University in Riyadh, Saudi Arabia. He graduated with MBBS from the King Abdualaziz University in Jeddah in 1982 and did his residency training at the University of Ottawa in Canada and was admitted to the Canadian Board in General Surgery, the Royal College of Surgeons of Canada. Dr. Mohammad Yahya ALShehri was the former Head of Surgery and then Dean at the College of MediProf. Mohamed Alshehri cine at King Khalid University in Abha from 1992 – 1999. Later he was appointed the Vice Rector for Graduate Studies and Research. In 2008, he moved to Riyadh to take up the post of Vice Rector for the Branches Affairs (later known as the Vice Rector for Health Specialties) at the King Saud University. Currently he is the Vice rector for health affairs at Prince Noura University. Also, Dr. Mohammad Yahya ALShehri holds a postgraduate diploma in medical education from University of Dundee, Scotland, and was the founding president of the Saudi Society for Medical Education (SSME). He is a member of the Board of Trustee of AlFaisal University in Riyadh and the Board of Trustee of the Riyadh Colleges of Dentistry and Pharmacy, and has served in many national and regional committees. He has attended conferences and workshops in different parts of the world , including workshops on leadership and higher education at Oxford, Harvard, University of Illinois in Chicago, and the McGill University. He was invited as a speaker and chairman of sessions in several national and regional conferences and meetings. Dr. Mohammad Yahya ALShehri was awarded the best teacher award on different occasions, and the distinguished surgeon award by the Saudi Society of Surgery. Also, he has been invited as an external examiner in different countries. Dr. Mohammad Yahya ALShehri has had contributed chapters in books, and more than 50 publications in surgery and medical education. He has been awarded the Award for Excellence in eLearning Global Education Congress 2012, the Outstanding College Development Award 2010 and The 5th Chekhov International Theater Festival Award 2012. Prof. Mohammad Saleh is a professor of clinical pharmacology and medical education, College of Medicine, Qassim University. He is qualified in: Clinical pharmacology as PhD since 1985, Boston and Suez Canal Universities, and a full professor of clinical pharmacology since 1994; in medical education as MHPE, Illinois, Chicago, USA, since 1987; and in Pediatrics, since 1989. His areas of interest are: Student Assessment, Curriculum Planning and Faculty Development. He was involved in all tasks and activities of medical education including monitoring of education management, curriculum Prof. Mohammad Saleh planning and assessment for years. He is the founder of Medical Education Department and the Master Degree in Health Profession Education (MHPE) in Qassim College of Medicine. Currently, he is supervising the Medical Education Department in the College and chairs the permanent committee of health curricula in the University. In addition he is a member of the committee of educational curricula for undergraduates and postgraduate studies in Qassim University. 20 National Invited Speakers Dr Mohammed Saqr He is assistant professor of Medicine and the supervisor of E-learning Unit at Qassim College of Medicine helped launch the the E-learning project seven years ago to grow to be one of the most successful projects in the kingdom, using free open source software, the unit has offered 350 online courses, a huge digital question bank, a paperless exam center, virtual microscopy, virtual patients, mobile apps, collaborative and communications platforms, state of the art help and support system, lecture capture, streaming, and distance instruction. Dr Mohammed Saqr He has also helped launch 5 similar projects around the kingdom with more than 1000 online blended courses, 4 e-exam centers and an international online school in Leeds, UK. He worked in collaborative projects with Stanford University, Maastricht University, Wrights State University, and Stockholm University. He is a member of the editorial board of the International Journal of Health Sciences, and successfully managed to publish 11 scientific journals online as open access using open source software. He has been invited for presentations locally and internationally, and the UNESCO has showcased his work in the open education consortium. He has been awarded the Award for Excellence in eLearning Global Education Congress 2012, the Outstanding College Development Award 2010 and The 5th Chekhov International Theater Festival Award 2012. Dr. Naghma Naeem is currently Associate Professor and Head of Medical Education Department at Batterjee Medical College, Jeddah, Saudi Arabia. Dr. Naeem is a medical doctor with a PhD in Medical Education. She has sixteen years of experience spanning the continuum of medical education. She has worked in Pakistan and Saudi Arabia and consulted in East Africa and Malaysia. Dr Naeem was previously associated with prestigious institutions like King Saud University in SauDr Naghma Naeem di Arabia, Aga Khan University and College of Physicians and Surgeons in Pakistan. Dr Naeem has several research papers and presentations, lectures and national and international workshops to her credit. She is also Course Director for two Masters Level Courses, Curriculum and Management at the Dow University of Health Sciences and Advanced Course on Assessment at Aga Khan University. Her current research interests include curriculum and faculty development, emotional intelligence and assessment. 21 National Invited Speakers Dr. Syed Moyn Aly He has been heading the medical education section of College of Medicine since the time he joined in 2005. Dr. Syed Moyn Aly 22 he has been actively involved in designing and implementing a vertically integrated curriculum for the College. His passions include faculty development, improving student study skills, implementing QA procedures in the examination system and educational research. His main areas of interest in research are students behavior in medical college, development of competence framework for medical educationists and instrument validation studies. 23 24 Conference Committees Steering Committee : Dr. Hani A. Al-Shobaili Chairman Dean of College of Medicine, Qassim University Prof. Saleh A. Al-Damegh Dean of Onaiza College of Medicine , Qassim University Dr. Mohammed A. Al-Mohaimeed Dean of College of Dentistry, Qassim University Prof . Abdullah A. Alghasham Head of Scientific Committee , Qassim University Organizing Committee : Dr. Hani A. Al-Shobaili Chairman Dean of College of Medicine, Qassim University Prof. Abdullah A. Alghasham Head of pharmacology Department, Qassim University Dr. Metab A. Al-Ghefari Vice Dean for Quality and Development, Qassim University Dr. Fahad M. Al-Shehri Vice-Dean for Medical affairs, Qassim University Dr. Saleh Ali Alrebish Medical Education Department, Qassim University Dr. Mohammed M. Saqr Head of E-learning unit, Qassim University Mr. Meshal B. Aldwafriy Director of the Dean office, Qassim University 25 The Advisory Board: Prof. Khalid AbdulRahman Professor of Family Medicine & Medical education, Vice Rector for Planning , Development & Quality. Professor Chair, Dr AlKholi Chair for Developing Medical Education in Saudi Arabia, Al Imam Mohammed Ibn Saud Islamic University Prof. Ibrahim Al-Alwan Professor of Pediatrics Dean of College of Medicine, KSAU-HS President of the Association for Medical Education in the Eastern Mediterranean Region (AMEEMR) Prof. Mohammad Alshehri Professor of Surgery, King Saud University, Riyadh Prof. Eiad Al-Faris Professor of Family Medicine Supervisor of the King Saud University Chair for Medical Education Research and Development Prof. Ronald Harden Professor of Medical Education, Dundee, United Kingdom. Editor of Medical Teacher and General Secretary and Treasurer of the Association for Medical Education in Europe (AMEE) Prof. Trudie Roberts Professor of Medical Education, Leeds Institute, UK. Prof. Cees van der Vleuten Professor of Education Chair, Department of Educational Development and Research; and Scientific Director, School of Health Sciences Education, University of Maastricht, The Netherlands Prof. Hossam Hamdy Professor of Pediatric Surgery and Medical Education, Vice Chancellor of Medical and Health Sciences College, University of Sharjah, UAE Dr. Zubair Amin Associate Professor, Department of Paediatrics, Yong Loo Lin School of Medicine Consultant Neonatologist, National University Hospital, National University Health System, Singapore Prof. Bashir Hamad Professor of Medical Education, College of Medicine, King Saud Ibn AbdulAziz University, Riyadh Prof. Mohammad AlRukban Professor of Family Medicine, Vice Rector for Graduate and Research, Al Majmah University 26 Scientific Committee: Prof. Abdullah A. Alghasham Professor of Clinical Pharmacology and Medical Education. Chairman of Pharmacology Department Chairman of the Scientific Committee SIMEC 2014, Qassim College of Medicine Prof. Mohammad Saleh M. Hassan Professor of Clinical Pharmacology and Medical Education Chairs of Medical Education Department. Secretary of the Scientific Committee, Qassim College of Medicine. Prof. Issam Al Said Barrimah Professor of Community Medicine and Medical Education, Qassim College of Medicine. Prof. Eltuhami Abdul Majeed Professor of Histology Head of Histology Department, Director of Research Center, Qassim College of Medicine Prof. Bazmi Inam Professor of Family and Community Medicine and Medical Education, Qassim College of Medicine Dr. Ali Hakawy Associate Professor of Family Medicine, Chairman of Medical Education Deprtment, College of Medicine, King Saud Ibn AbdulAziz University Dr. AbdulRahman Al Mohimeed A. Associate Professor of Family and Community Medicine and Medical Education, Qassim College of Medicine Dr. Hamza Abdulghani Associate Professor Head of the Assessment and Evaluation Unit, and Assessment Center, Department of Medical Education, College of Medicine, King Saud University, Riyadh, KSA Dr. Fawzy Khalil Associate Professor of Family and Community Medicine, Qassim College of Medicine Dr. Mohammad Saqr Assistant Profssor, Neurology, Department of Medicine Supervisor, Elearning Unit Qassim College of Medicine Dr. Saleh Alrebish Assistant Professor of Medical Education. Qassim College of Medicine Dr. Ahmad Al Amro Lecturer of Medical Education PhD Candidate, Leeds University, UK 27 Conference Objectives: Conference Themes Target Audience •To exchange best practices and experiences with international experts in health professions education. • Curriculum • Those involved in undergraduate education,postgraduate education or contain professional development. •To explore the current and future challenges in health profession education. • Education Technology •To strengthen the relationship among multidisciplinary health professionals. • Research in Medical Education • Innovation in Medical Education • Assessment • Faculty Development • Teaching and Learning •Faculty members in the fields of medicine, dentistry, pharmacy, nursing and allied health sciences. •Practicing health professional teachers, curriculum planners, administrators, researchers or students. •Those new to the area and looking for an overview on medical education. •Experienced practitioners wanting an in-depth analysis and an opportunity to network and to share ideas. 28 29 Conference Program Workshop Room Workshop Room E F Virtual Patients for learning & Assessment Teaching E-Learning Science Of Learning & Assessing Workshop: From Basic Techniques To Latest Trends. & Teaching By Professionalism By Dr. Mark By Dr. Moahmmed Saqr Weyers , Dr Jean Designing By Dr. Uno Fors 10:30 am - 12:30 pm Dr. Syed Moyn Aly Common Pitfalls in Education Research Approaches to Regulation & Accreditation How to Write Competencies for CompetencyBased Education By By By Dr. Cees van Der Dr. Janet Grant Dr. Lubna Baig Debarros Examination Blue Prints By Dr. Mohammed Saleh Vleuten Dr. Hamza Abdulghani, Dr. Zubair Amin Workshop Room D Objective Structured Clinical Examination (OSCE) for Clinical Assessment in Health Colleges. An Intensive Hands-on Course/Workshop Workshop Room C Prof. Trevor Gibbs and Dr. Gominda Ponnamperuma and Prof. Bazmi Inam Workshop Room B ESME Course Workshop Room 08:30 - 10:30 am A By Dr. Eiad Alfaris Research in Medical Education By By Dr. Paul Koles Dr. Lubna Baig One-best Answer, Scenario-based Type-A MCQs By Dr. Mohammed Saleh Dr. Hamza Abdulghani, Dr. Zubair Amin Education Qualitative Team-Based Learning: How and Why It Works Objective Structured Clinical Examination (OSCE) for Clinical Assessment in Health Colleges. An Intensive Hands-on Course/ Workshop 30 Essentials of Scholarly How to design Credible ESME Course Prof. Trevor Gibbs and Dr. Gominda Ponnamperuma and Prof. Bazmi Inam 01:30 - 04:30 pm BREAK 12:30 - 01:30 pm Day 1 25/11/2014 Type Time Activity 7.30-9.00 Registration* 9.00-10.00 10:00-10:30 Opening Ceremony Coffee Break Chair: Prof. Khalid Bin Abdulrahman 10.30-11.00 Lectures Session I 11.00-11.30 11.30-12.00 A National Medical Curriculum: Do We Need One? Prof. Brian Jolly National Progress Test: Towards One World Dr. Hani Al-Shobaili Relationship Between Accreditation, Regulation, Quality and Curriculum. By Dr Janet Grant 12:00-1:30 12:45-1:30 Students presentation I 12:45 – 1:30 Co-Chair: Prof. Cees van der Vleuten Lunch/Prayer / Posters Viewing Meet the Experts/ Students Presentations The Importance of Combining Science with The Practice of Health Care and How This Can be Integrated Into Career. Prof. Jennifer Keating Chair: Dr. Ibrahim Al-Hoqail Lectures Session II 1:30-2:00 2:00-2:30 2:30-3:00 3:00-3:30 Co-Chair: Prof. Mahmoud Al-Ahwal Content Analysis of Medical Curricula in Saudi Arabia Prof. Mohammad AlShehri Developing The Medical Leaders of Tomorrow: Exploring The Evidence Prof. Judy McKimm Leadership Qualities Needed by Health Profession Prof. Eiad Alfaris Coffee Break /Prayer Chair: Dr. Faisal Alsaif Co-Chair: Dr. Zekeriya Aktürk Short Communications I 3:30-3:45 Impact of Accreditation on The Quality of Undergraduate Medical Education in Saudi Arabia Dr. Saleh Alrebish 3:45- 4:00 Relationship Between CGPAS’ and Progress Test Scores: Performance of Undergraduate Medical Students at Majmaah University, Saudi Arabia Dr. Mohammed Almansour 4:00-4:15 Hidden Curriculum in Medical Education: Why Do We Care? Dr. Zaka Khan 4:15-4:30 Tale of Two Cities: Comparison of Educational Environment of Two Colleges Affiliated with One University Dr. Imran Muhammad 31 Day 2 26/11/2014 Type Time Activity 7.30-8.30 Registration* Chair: Prof. Mohammad AlShehri 8.30-8.55 Lectures III 8.55-9.20 9.20-9.40 Co-Chair: Dr. Shihab Khogali Professionalisation of Medical Education. Dr. Janet Grant Inter-Professional Futures: Collegial, Efficient and Inspirational. Dr. Jennifer Keating Preparing Graduates for 21st Century Medical Practice: The role of “Four Cs”- Critical Thinking, Communication, Collaboration and Creativity. Dr. Naghma Naeem 9.40-10.00 Ethics and Medical Ethics. Dr. Durmum Günay and Dr. Süphan Nasir 10:00-10:30 Coffee Break Chair: Prof. Hosam Hamdy 10.30-10.45 Short Communications II 10.45-11.00 Medical Students Role Toward Community Dr. Rania Zaini Defining Medical Professionalism from an Arabian Perspective Dr. Mohamed Al-Eraky 11.00-11.15 Replacing the Wrap up ProblemBased Learning (PBL) Session with a Modified 3:00-3:30 TeamBased Learning (TBL) Prof. Mohammad Saleh Hassan 11.15-11.30 Approaches to Curriculum Integration in the Twenty-First Century Dr Shihab Khogali 11.30-11.45 Ten Years of Experience in Problem Construction for ProblemBased Learning (PBL): Dilemmas Encountered and Solutions Recommended Dr. Adel Abdelaziz 11:45-11:45 The Current Situation of Medical Education Departments in Health Profession Colleges in KSA: An Attempt to Develop National Standards for Their Evaluation 11.45-12.00 Discussion 12:00-1:30 12:45-1:30 Students presentation II 32 Co-Chair: Dr. Khalid Algomaizi 12:45 – 1:30 Ms. Basma Alrowelli Lunch/Prayer / Posters Viewing Meet the Experts/ Students Presentations Study skills for medical students Dr. Syed Moyn Aly Type Time Activity Chair: Prof. Fahad Al-Zamel Lectures IV 1:30-2:00 2:00-2:30 2:30-3:00 Co-Chair: Dr. Hamza Abdul Ghani Achieving Excellence in Medical Education: the Strategies & Challenges Prof. Khalid Bin Abdulrahman Current Trends in Assessment of Clinical Competency Prof. Hosam Hamdy What Should We be Measuring in Workplace Assessment? Prof. Brian Jolly Coffee Break /Prayer Chair: Prof. Ismaeel Bin-Jaliah Co-Chair: Dr. Anmar Nasser Short Communications III 3.30-3.45 Role of Quality Control Process in Building up High Quality Assessment System: a Case Study Dr. Hamza Abdulghani 3.45-4.00 Standard Setting for Student Assessment Dr. Gominda Ponnamperuma 4.00-4.15 Can Test Blueprinting Act as an Evaluation Tool for Summative Examinations? Dr. Samee Al-Harthi 4.15-4.30 Predictive Validity of Item Scoring Questionnaire Dr. Syed Moyn Aly 7.30 – 9.30 Gala Dinner 33 Day 3 27/11/2014 Type Time Activity 7.30-8.30 Registration* Chair: Dr. Rania Zaini Co-Chair: Dr. Shoroog Agou Symposium Clinical Teaching Lectures Session V 8.30-9.30 Dr. Bashir Hamad, Dr. Ali Alhaqwi and Dr. Zubair Amin 9.30-10.00 E-Learning and Learning Analytics; Qassim Approach. Dr. Mohammed Saqr Coffee Break Chair: Prof. Saleh Aldamegh 10.30-10.45 Ten Steps to Develop Medical Reasoning Module in an Integrated System Based Environment: Al Baha Experience Short Communications IIII 10.45-11.00 Dr. Haitham El Bingawi Factors Affecting Expert Judgment in Standard Setting Dr. Said Abbadi Exploring Faculties’ Perspective on Research Supervision: A Qualitative Study 11.00-11.15 Dr. Amani Al-Muallem 11.1511.30 11.30-11.45 12:45-12:00 34 Co-Chair: Dr. Zubair Amin Evaluation of Formal Mentoring Between Faculty and Medical Students: a Survey of the Students’ and Faculty’s Perception of the Mentorship Program at Alfaisal University Dr. Maria Ghawji Defining the Core Competencies for College of Medicine By Prof. Ahmed Al Rumayyan Conference Conclusion Dr. Hani Al-Shobaili, Prof. Abdullah Alghasham, Prof. Ismaeel Bin-Jaliah, and Prof. Khaled Al-Kattan 35 Pre-Conference Workshops Time: 08:30 - 10:30 am Topic: Virtual Patients for Learning and Assessment Speaker: Dr. Uno Fors Stockholm University, Sweden Virtual patients (VPs) are software based representations of patient cases used to enhance learning and assessment in healthcare education. VP systems allow the learner to encounter (virtual) patient cases, interactively ask the patient for illness history, perform physical examinations and order lab/imaging tests, as with real patients. The learner is then supposed to suggest proper diagnose(s) and treatments and to justify their decisions, and then receive feedback on their actions and decisions. It has been proven that VPs are efficient and superior learning aids in medical education when compared to traditional lectures and paper based cases, and that students often prefer to use virtual patients for their learning. In this workshop will a number of virtual patient systems be demonstrated, procedures for creating and implementing VP cases be shown, as well as discussions regarding advantages and possible challenges in using VPs be performed. The use of VP cases also for assessment and self-evaluation will also be presented, including issues when using VPs in exams. Take home skills after the workshop for attendees: After the workshop, participants will have a good knowledge of what virtual patient systems are, how different types of VP systems may look like, their main features, how to develop VP and implement cases as well as pros and cons with VP systems in healthcare education. The workshop attendee will also gain knowledge about current research on the use of VP cases for learning and assessment. Attendees will also receive skills in developing VP cases in the internationally renowned Web-SP virtual patient system including knowledge of issues regarding scripting, case editing, video, audio and image formats that are suited for VP cases. Finally, will also current research topics and outcomes regarding learning outcomes, clinical reasoning abilities and the use of virtual cases for assessment be discussed. 36 Note 37 Time: 08:30 - 10:30 am Topic: Teaching and Assessing Professionalis Speaker: Dr. Syed Moyn Aly College of Medicine Taif University, Saudi Arabia Goals of the workshop : The theme of this conference is ‘Medical Education: from theory to practice’. This workshop helps the participants convert the concept of the principles into the reality of teaching and assessing. Objectives : By the end of the two-hour workshop, participants will be able to: • Define professionalism • Identify the skills relevant for professionalism in undergraduate education • Match teaching strategies with the skills required for professionalism • Match assessment tools with the skills required for professionalism • Develop a schedule to incorporate professionalism Workshop agenda Time Title Activity 20 minutes Introduction 10 minutes Definition of professionalism Group discussion 10 minutes Skills required in professionalism 15 minutes Matching professionalism with Miller’s pyramid Presentation + discussion 15 minutes Teaching method identification Group work + feedback 15 minutes Assessment methods identification 20 minutes Schedule development 15 minutes Conclusion Target audience : This workshop is meant for basic and clinical science faculty members, for deans and vice deans who are involved in curriculum design and implementation. The maximum number of participants should be 25 Take away knowledge and skills : Knowledge about: a. Professionalism b. Skills relevant for professionalism c. Miller’s pyramid d. Teaching methods e. Assessment tools Skills: Ability to: a. select teaching methods for professionalism b. select assessment tools for professionalism c. incorporate professionalism in a schedule Special requirements : • Computer with MS word • Data show • Flip charts • Markers Anticipated fees for attendees : As per policy of Qassim University and SIMEC 38 Note 39 Time: 08:30 - 10:30 am Topic: E-Learning Workshop: From Basic Techniques To Latest Trends Speaker: Dr. Mohammed Saqr Qassim College of Medicine, Saudi Arabia In this workshop participants will learn the basics of e-learning and the research evidence behind its effectiveness in medicine, it will also discuss the basic technologies and platform used to deliver blended learning in the context of medical education. Workshop will be engaging and attendees will have the chance to solve problems, deliver solutions and reflect on their learning. it will also discuss emerging trends in e-learning and the use of social networks in medicine. This workshop is aimed at medical educators, administrators and students. Main Topics 1-What is e-learning and why it matters. 2- Research evidence. 3- Basic technologies for delivering e-learning. 4-Common platforms of e-learning. 5-Latest trends and state of the art e-learning. 6-Question and discussions 40 Note 41 Time: 08:30 - 10:30 am Topic: Science of Learning & Teaching Speaker: Dr. Jean Debarros1, Dr. Mark Weyers2 1University of Oxford, United Kingdom; 2International Institude for Academic Developement (IIAD) The workshop will present methods and techniques to engage participants in active learning. We will use cutting-edge research from neuroscience and the learning sciences to demonstrate evidence-based strategies for learning and teaching. The session will adopt a complementary approach where brain-based rules for learning, support efficient strategies for teaching. The first part will focus on demonstrating strategies, grounded in scientific research, which increase memory retention and understanding. The second part will focus on how teachers can incorporate these strategies to the teaching environment to enhance academic outcomes. 42 Note 43 Time: 10:30 am - 12:30 pm Topic: Common Pitfalls in Education Research Speaker: Dr. Cees van der Vleuten Maastricht University, Netherlands The Workshop Goal To understand some of the pitfalls when doing education research in medical education Description of topics/subjects/content of the workshop We will address the steps of research as far as time permits: research question, research design, reporting, and academic writing. Qualification of Presenter Cees van der Vleuten has an author or co-author in more than 700 publications and he has a Hirsch index of 65. Agenda The workshop will be structured according the steps above. In each step attendees will develop an example in small groups. Based in the examples potential pitfalls are identified. It will not be possible to cover all steps. When time is running out the presenter will summarize the pitfalls for the remaining steps. Anticipated audience and the maximum number of people Attendees who are new to medical education and who have an ambition to engage in such research. Maximum number of people: 30 Description of the take-away skill, knowledge • Education research differs substantially from biomedical research • A first understanding how education research might be carried out 44 Note 45 Time: 10:30 am - 12:30 pm Topic: Approaches to Regulation and Accreditation Speaker: Prof. Janet Grant Maastricht University, Netherlands Centre for Medical Education in Context [CenMEDIC], United Kingdom The regulation and accreditation of medical education has become a significant and challenging topic in the era of globalisation, driven most recently by the ECFMG call for all schools to be accredited by a recognised accreditation body. If they wish their graduates to train in the United States. At the same time, the opposite emphasis has developed in debates around context and localism, driven by the social accountability agenda. These opposing views have implications for our approach to regulation and accreditation. These will be explored in this interactive and participative workshop which will address: • Regulation and accreditation, including: o definitions o the rise of modern regulation o globalisation, localism and social accountability • Principles of good regulation • Components of an effective regulatory system, including: o problems with inspection • Standards, including: o types and qualities o using standards for regulation • Regulation and quality improvement, including: o components of quality improvement • Models of regulation, including: o process-based regulation o principles-based regulation o outcomes-based regulation o risk-based regulation Participants will consider each of these issues in relation to their own context. By the end of the workshop, participants will: • Understand the analytical and planning framework for regulation and accreditation and its implications for local practice • Be able to consider global and local influences on regulation and accreditation • Consider what approach to regulation and accreditation best suits their own context. 46 Note 47 Time: 10:30 am - 12:30 pm Topic: How to Write Competencies for Competency-Based Education Speaker: Dr. Tanya Beran, Dr. Lubna Baig University of Calgary, Canada Goals Although competencies and competency terms are very familiar within medical education, they are often confused with objectives and outcomes. The use of competency-based education for student-centered learning will be emphasized throughout this workshop. It will begin with definitions and examples of each of these terms and introduce competency-based education as a paradigm. It will also review competencies across the medical education continuum. In particular, this workshop will focus on how to clearly and succinctly write competencies so that they may be used to organize and guide curriculum decision-making. Kern’s model for curriculum development will be presented in the workshop as a means of implementing evaluation into planned educational experiences. Competency-based education is directly applicable to ensuring accountability of the medical education endeavor as well as meeting the needs of medical students, patients, and the general public. Description Competencies-based education differs from previous approaches by determining, “What abilities must our graduates have?” rather than “What should we teach our students?” This renewed approach adopts a forward and reversed approach by considering both the required abilities of the graduate (e.g., through a job profile analysis) as well as the means of developing these abilities (i.e., theories of learning). In addition, competencies-based education informs the process of curriculum development and delivery, and addresses accountability by ensuring that all graduates achieve a minimum level of each competency that would have been defined and evaluated throughout medical school. Thus, this approach to education is high-level, integrative, and has the potential to reshape medical education as it integrates principles of measurement/evaluation, objectives development, curriculum design, and outcomes. The implications of this approach are also receiving research attention (Leung 2002). Agenda and time for each activity Definitions of terms will be specified (15 mins). The Kern six-step approach to curricular development will be reviewed (30 mins). Methods of evaluating competencies, objectives, and outcomes will be discussed (15 mins). In small groups, participants will practice writing and evaluating competencies and objectives (1 hr). Audience and the maximum number of people you would prefer Audience does not need previous experience in competencies-based education. Maximum 25 people. Description of the take-away skill, knowledge or material that attendees will acquire (approximately 100200 words). Participants will be able to define key terms and explain how they are related and distinct from each other. They will also understand how the Kern six-step approach applies to the development of competencies. Participants will also be able to write competencies and see how they are a higher level summary of specific objectives. Participants will write competencies that are clearly stated and that map directly onto objectives. Participants will recommend the most effective evaluation methods for different types of competencies and objectives. 48 Note 49 Time: 10:30 am - 12:30 pm Topic: Designing Examination Blue-Prints Speaker: Prof. Mohammad Saleh Hassan Qassim University, Saudi Arabia After completing this workshop, it is expected that the attendants would be able to understand the principles of examination blue-prints, their importance, and their type. They have to be able to design different models of blue-prints and able to implement them in their examination practice. 50 Note 51 Time: 01:30 - 04:30 pm Topic: Essentials of Scholarly Education Speaker: Dr. Eiad Alfaris1,2, Dr. Naghma Naeem3, Dr. Riaz Qureshi1,2, Dr.Farhana Masood1 1King Saud University, Saudi Arabia; 2 King Saud University Chair for the Development of Medical Educaiton; 3 Albatergi University Background: Educational scholarship is defined as any material, product or resource originally developed to fulfill a specific educational purpose that has been successfully peer-reviewed and is subsequently made public through appropriate dissemination for use by others. Objectives: By the end of the workshop, participants will be able to • Write a good research question • Describe a project they intend to develop in conjunction with the six standards for scholarship • Appreciate the importance of selecting a project that is meaningful and valuable to one’s practice as a teacher or educator • Differentiate between scholarly teaching and educational scholarship. Methodology: The three hour workshop will begin with introduction and overview on the Boyer’s four paradigm domains of scholarship with examples on each one of them namely: Discovery, Integration, Application, and Teaching. This will be followed by an interactive presentation on each section of the Glassick’s standards namely: Clear goals, adequate preparation, appropriate methods, meaningful results, effective communication, and reflective critique. Participants will work on their projects in small groups using the attached workbook Target audience: It is intended for medical educators and teachers who wish to expand the scope of their scholarship and innovation in medical education. Educational level: suitable for all levels. 52 Requirements: The participants need to design a project proposal and fill out the attached Workbook before attending the workshop Questions to address Your answers Name of Project Students a Medical School environment and Status Brief description What is the focus for your project? Why do you want to undertake it? What is the environment/setting in which the work will be carried out? Are you passionate about undertaking the project? Clear goals What is your purpose? What are your goals? What are your realistic, measurable objectives? Adequate preparation What is your approach (intervention, tool, procedure)? What is the literature, practice, theory or evidence on which you are grounding your study? If you need additional literature, practice, theory or evidence, how/where will you find it? Who will collaborate with you on the project? Who are the stakeholders? How will you engage the stakeholders? What are the politics that might affect your study or its outcomes? How will you fund the project Is the project practical within the resources, time, and expertise that you have available to you? What changes will be necessary to ensure that it can be done? Effective methods What is your study Methodology? Thinking about your goals and objectives, which method(s) might optimize your work? • Qualitative • Mixed methods How will you collect data? How will you manage the data? Note 53 Time: 01:30 - 04:30 pm Topic: Team-Based Learning: How and Why It Works Speaker: Dr. Paul Gregory Koles Boonshoft School of Medicine, Wright State University, United States of America A. Advance assignment: Michaelsen LM and Sweet MW: The Essential Elements of Team-Based Learning. Chapter 1 in Team-Based Learning: Small Group Learning’s Next Big Step; edited by Michaelsen LM, Sweet MW, Parmelee DX. New Directions in Teaching and Learning, Number 116, Winter 2008; Jossey-Bass, San Francisco. B. Learning objectives: At the end of the workshop, participants will be able to: 1. describe the four essential elements of TBL and explain how these promote and motivate learning. 2. define the primary learning objective of TBL and explain how fulfillment of this objective contributes to the development of competent physicians. 3. describe the five components of the readiness assurance process, explaining how each component contributes to students’ mastery of course concepts and content. 4. explain the concept of backward design as it applies to creating a unit of instruction using team-based learning. 5. identify four objectives that should be accomplished on the first day of a course in order to increase the likelihood that TBL will be implemented successfully. 6. name the four “S” keys for creating good team applications (“team assignments”). 7. identify four beneficial outcomes for students participating in TBL. 8. identify four beneficial outcomes for faculty who use the TBL strategy. 54 Note 55 Time: 01:30 - 04:30 pm Topic: Qualitative Research in Medical Education Speaker: Dr. Lubna Ansari Baig Jinnah SIndh Medical University, Pakistan This is a hands-on experiential learning workshop with short presentations from the facilitators. First part of the workshop will deal with qualitative study design and data collection methods with hands-on practice in qualitative techniques through a short classroom-based data collection. The second part of the workshop will deal with qualitative data analyses and overview of data presentation. Objectives By the end of this workshop the participants will be able to: 56 • Describe briefly the qualitative study designs used in social sciences • Identify relevant method(s) for collecting qualitative data • Collect data through focus groups • Analyze qualitative data Note 57 Time: 01:30 - 04:30 pm Topic: How to Design Credible One-Best Answer, Scenario-Based Type-A MCQs and How to Benefit from their Item Analysis Speaker: Prof. Mohammad Saleh Hassan Qassim University, Saudi Arabia After completing this workshop the trainee are expected to be able to formulate quality MCQs of the one-best answer type with avoidance of the common flaws that threaten these questions. Item analysis is a commonly used tool to judge the credibility of MCQs. It is expected that at the end of this workshop the participants would be able to understand the concepts of difficulty index, discrimination index and the limb functions. 58 Note 59 Time: 08:30 am - 04:30 pm Topic: AMEE Essential Skills in Medical Education (ESME) Course Speaker: Professor Trevor Gibbs, Dr. Gominda Ponnamperuma and Prof. Bazmi Inam The ESME course is an established course in medical education which has been organised in conjunction with leading international conferences around the globe. It is aimed at practising teachers in medicine, both basic scientists and clinicians, and is designed for those new to teaching and for teachers with some experience who would like a greater understanding of the basic principles and an update on current best practise. The course recognises that all, even those with considerable experience, can improve their skills in teaching. The ESME course addresses the basic competencies required of the medical and healthcare professions teacher and looks at the roles of the teacher/trainer, what students should learn (outcome-/competency-based education) how a curriculum can be organised to address the expected outcomes, some key principles related to teaching and learning, the teacher’s toolkit, including new technologies, and the assessment of students. The highly-interactive course includes a series of short presentations and small group work. All participants that take part in the course receive a certificate of participation. Participants may choose to submit with six months of completion of the course a short report describing the application of ESME competencies to their own teaching practice. Satisfactory completion of the report leads to the award of an AMEE-ESME Certificate in Medical Education. 60 Note 61 Time: 08:30 am - 04:30 pm Topic: Objective Structured Clinical Examination (OSCE) for Clinical Assessment in Health Colleges. An Intensive Hands-on Course/Workshop Speaker: Dr. Hamza Mohammad Abdulghani1, Dr. Zubair Amin2 1King Saud University, Saudi Arabia; 2National University of Singapore, Singapore; Background: Objective Structured Clinical Examination (OSCE) is a common method of assessment of clinical competency across the spectrum of health education. As we move up in the value chain of assessment, there is a need for reassessing OSCE as an assessment tool. Often, OSCE stations are limited to straightforward, standardized tasks undermining the clinical complexity in real-life. This workshop will discuss with the participants important issues related to appropriate construction, conduction. This examination format is the main ‘performance’ test format used internationally, and across a range of disciplines. This session will cover the fundamental principles of OSCE’s, participants will have the opportunity to design and critique stations and marking sheets/rating scales. Objectives of the workshop: In this workshop, our focus will be to: 1. Discuss appropriate usages and limitations of OSCE 2. Recognize how OSCE fits into broader domain of assessment of clinical/practical/procedural competencies. 3. Prepare OSCE assessment blueprint 4. Develop high quality relevant OSCE stations to a medical specialty for assessment of clinical competency 5. Critique designed OSCE stations and marking sheet/rating scales. 6. Organize OSCE & run with students in simulated venue. 7. Perform Standard Setting for pass/fail decision and Pos-hoc qualitative and qualitative analysis of OSCE. 8. Discuss issues related to unsatisfactory performing & students’ remediation. Topics to be discussed in the workshop: • Introduction, Objectives & Structure of the Workshop • Assessment of Clinical Competence • Assessment & OSCE blueprint • OSCE blueprint Construction (Small Group Work) • Developing OSCE stations (Small Group Work) • Administrative issues in OSCE preparation (Small Group Work) • Running OSCE with students (Group Work) • Standard setting & Quality assurance issues • Student remediation • Take home messages 62 This workshop objectives are aligned with one of the main theme of the SIMEC; ‘Assessment’ Who should attend the workshop: All course organizers, members and faculty who are involved in students’ teaching and assessment in health science colleges, especially, who are involved in clinical/practical assessment. Limited number of participants to 30 only. Duration of Workshop: One full day (8-12 & 1-4pm) Workshop Requirement: All participants are requested to bring their OSCE stations which they are using in their assessment system. Also carry their laptops to construct OSCE stations for the presentation in group and utilization in the conduction of Mock OSCE . Flipcharts, LCD projector and computer are needed for the facilitators. Schedule of Sessions Objective Structured Clinical Examination (OSCE) for Clinical Assessment in Health Colleges An Intensive Hands-on Course/Workshop 8.00- 8.15 am Introduction, Objectives, Structure of the Workshop 8:15- 9:00 am Assessment of Clinical Competencies 9:00-10:00am Task-1 Assessment Blueprint, Review of participants’ OSCE (Small Group Work) 10:00-10:15am Coffee Break 10:15-11:00pm Task-2 Developing OSCE stations (Small Group Work) 11:00-12:00 am Review of OSCE (Presentation by Small Group) 12:00-12:15 pm Arrangement for running Mock OSCE 12:15 -1:00 pm Prayer & Lunch Break 1:00-1:40 pm Running Mock OSCE (Possibly with students) 1:40-2:00 pm Feedback for Mock OSCE (from students /participants) 2:00-2:45 pm Quality Assurance Issues; Standard Setting / Post-exam/ Psychometric analysis 2:45-3:15 pm Issues related in Remediation of Students 3:15-3:45 pm Open Discussion & Take Home Message 63 Workshop Facilitators: Dr. Hamza Abdulghani, DPHC, ABFM, FRCGP (UK) PG-Diploma MedEdu (U of Dundee). Associate Professor & Consultant Head of the Assessment & Evaluation Centre Dept. of Medical Education College of Medicine College of Medicine, King Saud University Dr. Zubair Amin Associate Professor & Senior Consultant Associate Dean for Curriculum & Assessment School of Medicine National University of Singapore 64 Note 65 Day 1 Time: 10:30 – 11:00 am Topic: A National Medical Curriculum: Do We Need One? Speaker: Prof. Brian Jolly The University of Newcastle (UoN), Australia Most “medical curricula are developed through opinion-based consensus-building processes, driven primarily by the most influential discipline groups involved”(1). This may be problematic. Given the huge pressures on graduating doctors to be safe, knowledgeable decisive and efficient, is there an argument for ‘stabilising’ the curriculum in such a way as to make it more ’generalizable’ (2) or transferable between different medical schools, between cultures and between continents. Does the hegemony of the influential discipline groups make a difference? In 2010 the Medical Deans in Australia hotly debated this issue. It also led to more discussion on a common exit examination of knowledge. A few weeks ago the UK announced that it was creating a common exit examination similar to that used in the USA. We know that ‘curriculum’ is at best a well-informed art. And the way in which this works varies between medical schools, that have their own cultures, and that this can create what is called the ‘hidden curriculum’, which can privilege some elements of the curriculum or prolong their role in the curriculum long after they become redundant (2). This paper will tease out these issues with reference to a well known theory of curriculum design. 1) Levinson, A. (2010). Where is evidence-based instructional design in medical education curriculum development? Medical Education. 44 , 536. 2) Morcke, A. & Eika, B. (2009). Medical faculty and curriculum design – ‘No, no, it’s like this: You give your lectures . . .’ Medical Teacher. 31 , 642–648. 68 Note 69 Time: 11:00 – 11:30 am Topic: National Progress Test: Towards One World Speaker: Dr. Hani Al-Shobaili Qassim College of Medicine, Saudi Arabia Progress Test is a comprehensive assessment that tests all students of medical schools, regardless of their level, against the final program outcomes. The concept of progress testing was introduced to enhance problem solving skills, clinical reasoning and creative thinking of students. Summary of work In Saudi Arabia, Qassim College of Medicine (QCM) has conducted four rounds of multi-institutional progress test during 2012-2014. More than ten thousands students from twenty colleges, with different curricular and teaching strategies, in the Kingdom sat for these tests. Each test included 200 type-A MCQs covering all aspects of medical study for the graduate level. The items were developed “de Novo” in QCM, principally tackling areas of common clinical problems which graduate are expected to master, and high-risk situations where early intervention makes a difference. The exam blueprint considered different processes that graduates are expected to be involved in. All items contained short vignette related to a clinical situation. Each test was followed by a feedback survey from both students and administrators. Summary of results Results were declared online to student as percentage score in different processes, as compared to same batch in own college and all over participants. Besides, anonymized results and analysis were sent to every participant college. The test showed the overall growth of knowledge for student bodies in different colleges with advancement in program. It also provided participant colleges insight about their positions among others. Feedback was encouraging; there was general agreement about exam contents, level of difficulty and time allowed for each item. Conclusions Progress testing can be utilized as a tool for “assessment of learning” and “assessment for learning”. The potentiality to monitor the efficiency of the curriculum and benchmarking, necessitate that it should be considered as integral part of the assessment system on the national level. 70 Note 71 Time: 11:30 am -12:00 pm Topic: Quality and Accreditation in Medical Education Speaker: Dr. Donna Waechter Association of American Medical Colleges, United States of America. The Liaison Committee on Medical Education (LCME) accreditation process includes a selfstudy by the medical school and a survey visit by a team of medical educator-peers. The LCME cycle for full accreditation of a medical school is eight years. In recognizing that medical education program quality is maintained through an ongoing system of evaluation rather than through a self-study conducted every eight years, the LCME recently added ongoing quality improvement as an element of the accreditation standards by which all medical schools are evaluated. While accreditation provides a regulatory function to satisfy public demand for quality, it also presents an opportunity for the medical school to focus its efforts on achieving and maintaining levels of quality it has set for itself. The evaluation process contributes to a medical school’s culture of quality by providing data for faculty and administrators to use in decision-making related to success in meeting defined criteria. To establish and maintain a process of program quality improvement, the medical school must identify criteria to evaluate institutional/program quality, define the methods it will use to evaluate quality, identify the data sources needed, and provide the resources required to support a program (quality) evaluation system. 72 Note 73 Time: 12:45 pm -1:30 pm Topic: The importance of combining science with the practice of health care and how this can be integrated into career Speaker: Prof. Jenny Keating Monash University, Australia In this lecture workshop students will consider and discuss factors that are likely to impact on their careers. Many external forces now shape the way that health care providers deliver services. While career aspirations remain an important factor, other elements will affect the nature of the work that our current medical students are involved in during their practice lives. These include the shift from autonomous practice to guidelines directed practice, the transformational effects of new devices, interventions, drugs and systems for delivering health care, a rapidly changing health demographic with escalating pressure to rectify underlying influences that lead to obesity, diabetes and chronic disease, and the increasing presence of large data banks that enable new systems for studying effects of usual care. Helpful adaptive behaviours include high level research literacy skills, commitment to ongoing knowledge and skill development, an unbiased approach to best practice in service delivery with a willingness to discard less effective practices, openness to role transformations of health care providers, and ongoing development of skills in using data and smart devices to apply technology supported interventions. 74 Note 75 Time: 1:30 – 2:00 pm Topic: Content Anaysis of Medical Curricula in Saudi Arabia Speaker: Prof. Mohammad AlShehri KIng Saud University, Saudi Arabia The project was supported by King Abdulaziz City for Science and Technology. Content analysis of the eldest nine medical colleges was done. Total Credit Hours of the Curricula ranges between 191 – 283, in the different colleges. There is no difference in the time allocated for the curriculum in the different colleges. Teaching English as a second language is a part of the preparatory year in all medical colleges. The range of the credit hours allocated to English is wide (6-16). Most medical schools had courses in Medical Physics, Chemistry and Biochemistry , Biology, Microbiology, Pharmacology, and Pathology. All schools had Anatomy and Physiology courses. Pediatrics, Internal Medicine, Surgery, and Gynecology courses were included in all schools. Separate course for Intensive care, Anesthesiology, and Urology were found in less than a half of the curricula. Primary Care and Psychiatry Courses are offered in two-thirds of the analyzed curricula, Epidemiology is taught in more than half of the medical schools. Psychiatry seems to have a very limited inclusion in the curricula of some of the medical colleges. Two of the colleges have only 2 credit hours course for Psychiatry and another one have 3. This is an area that worth exploring and rectifying in future changes in the curricula. Communication skills courses are included in the curriculum as a separate course in only two of the colleges. Similarly, Behavioral Sciences are included in only 4 medical colleges and the course is only 1-2 credit hours. Finally, we would to like to suggest that there are several potential areas for improvements in relation to contents of the medical curricula in Saudi Arabia. Knowledge of the contents of current curricula can be helpful in design of future curricula. 76 Note 77 Time: 2:00 – 2:30 pm Topic: Developing the Medical Leaders of Tomorrow: Exploring the Evidence Speaker: Dr. Judy McKimm Swansea University, United Kingdom. Around the world there is an increasing focus on including some sort of leadership development at all stages of health professionals’ careers. Much of the impetus for this comes from a growing body of evidence that good leadership and management helps to provide high quality patient care, effective health improvements and best educational practice. In this presentation, I will provide case examples of international activities centred around the development of leadership and management skills and competencies for doctors, highlighting some of the prevailing trends and drivers for this shift as well as some of the challenges in providing appropriate leadership development. In particular, I will consider some of the ways in which leadership and management theories, concepts and approaches can be utilised to underpin development programmes, assessment and remediation of medical students, doctors in training, qualified doctors and senior managers throughout their careers. 78 Note 79 Time: 2:30 – 3:00 pm Topic: Leadership Qualities Needed by Health Care Professionals Speaker: Dr. Eiad Alfaris King Saud university, Saudi Arabia. The health systems all over the world are experiencing a significant and rapid change. The challenges are multidimensional. Health care professionals need to place a greater focus on gaining the skills needed for future roles and challenges. Development of leadership competencies is an important goal and expertise in this area to meet the needs for real and lasting improvements. Health professionals should embrace the challenge of medical leadership. It needs to be tackled by fine tuning of oneself, reflection, and feedback, along with a significant amount of teamwork, collaboration and development of the interpersonal and leadership skills. There are now strong empirically based models of leadership that are applicable to the health profession. The four pillars of leadership are 1) awareness, commitment, integrity and authenticity, 2) emotional intelligence, 3) self-management, and 4) utilization of different leadership styles. It can be attained if there is a desire to change with effective teaching along the way. The efforts should be made at individual as well as organizational level. Therefore, the case is strong and there are good reasons to start leadership teaching at the medical schools. Furthermore, the following questions will be answered: • Which of the Leadership Styles have more positive impact on Drivers of Climate? • What is Emotional intelligence • Who is a wise leader? • Why do we need to teach leadership to medical students and health professionals? this presentation, I will provide case examples of international activities centred around the development of leadership and management skills and competencies for doctors, highlighting some of the prevailing trends and drivers for this shift as well as some of the challenges in providing appropriate leadership development. In particular, I will consider some of the ways in which leadership and management theories, concepts and approaches can be utilised to underpin development programmes, assessment and remediation of medical students, doctors in training, qualified doctors and senior managers throughout their careers. 80 Note 81 Time: 3:30 – 3:45 pm Topic: Impact of Accreditation on the Quality of Undergraduate Medical Education in Saudi Arabia Speaker: Dr. Saleh Alrebish1, Prof. Brian Jolly2, EK Molloy3 1Qassim University, Saudi Arabia; 2University of Newcastle, Australia; 3Monash University, Australia. Introduction: The accreditation of undergraduate medical education (UME) is a universal undertaking. Accreditation systems are usually viewed as a method to ensure the quality of UME, while currently there is limited data linking the accreditation with quality of UME. Methods: Qualitative and quantitative data were collected from six medical schools in five different cities in Saudi Arabia; graduate performance in the Saudi Licensing Examination pre- and post-accreditation was collected, document analysis was undertaken, and interviews and focus groups were conducted with students, educators and medical education leaders to examine the perceived impact of the National Commission for Academic Accreditation and Assessment (NCAAA) on the quality of UME. Results: A majority of students and educators concluded that the accreditation process had been helpful in improving the learning experiences of medical students, especially female students. However, building an effective quality culture takes great effort and time on the part of all members of the organisation. As the external driver of higher education quality, the NCAAA needs to be a supportive body, rather than a punitive one, in order to achieve the goal of implementing a quality culture and continuous quality improvement. Furthermore, respondents emphasised that there is a need for a specialised body to regulate medical schools in Saudi Arabia. Discussion: Study examined the impact of NCAAA on UME and identified ways that the process has improved or constrained the successful implementation of ‘sustainable accreditation’. Stakeholders presented different views and experiences of accreditation. These views and the characteristics of ‘sustainable accreditation’ model will be presented. Take-home messages: Unless stakeholders in medical schools believe in quality as a culture, seeking accreditation will be a superficial exercise characterised by ‘ticking boxes’ and ‘performing well on the day’. Creation of a specialised accreditation body, accreditation process would become more focused, easier to carry out, and more effective. 82 Note 83 Time: 3:45 – 4:00 pm Topic: Relationship Between Cgpas’ And Progress Test Scores: Performance Of Undergraduate Medical Students At Majmaah University, Saudi Arabia Speaker: Dr. Mohammed A Almansour1, Waqas Sami2 1Assistant Professor, Family Medicine, Head, Department of Public Health & Community Medicine, College of Medicine, Majmaah University, Saudi Arabia; 2Lecturer of Biostatitsics, Department of Public Health & Community Medicine, College of Medicine, Majmaah University, Saudi Arabia. Background: Over the last three decades there has been a strong move in medical education to encourage self-directed, evidence based learning to enable medical students to develop high quality learning strategies that are required for their continuing professional development. Introduction: Maastricht Medical School, Netherlands and School of Medicine, Missouri, USA both developed an assessment tool known as “Progress Test” to assess student’s knowledge longitudinally and comprehensively. The prime motivation to introduce progress test was to prevent test-directed learning and assess student learning longitudinally within integrated curricula. Objectives: To explore the basic science knowledge of medical students by checking the relationship between students CGPA in each semester with the progress test scores and to correlate year-wise intra progress test scores & semesters CGPAs’. Methodology: The study was conducted a College of Medicine, Majmaah University, Saudi Arabia, (integrated – outcome based curriculum used). It was a longitudinal study comprising of students who freshly entered in the Medical College. Initial sample was 50 students which reduced to 39 at the end of basic sciences phase (2 ½) years due to drop outs and withdrawal from modules / semester. Over a period of 3 years, four progress tests had been conducted in five semesters. Results: Year-wise semesters CGPAs’ and progress test scores were positively correlated showing a significant yearly increase in students’ knowledge (p<0.05) respectively. Similarly, positive correlation was observed between intra year-wise progress test scores and between intra semester CGPAs’, showing that students’ knowledge increased significantly as progression of years with maximum r=0.732, p=0.003 for progress test scores and r=0.850, p<0.001 for semesters CGPAs’. Conclusion: Assessments like progress test plays an important role in providing an institution the information concerning student’s achievement and growth. As evident, students’ knowledge tested through progress tests in integrated curriculum shows a significant year-wise increase in relation to CGPAs’. 84 Note 85 Time: 4:00 – 4:15 pm Topic: Hidden Curriculum in Medical Education: Why Do we Care? Speaker: Dr.Zaka Khan Sulaiman AlRajhi Colleges, Saudi Arabia. A great deal of teaching and learning in medical education does not fit in under the formal curriculum in medical schools. A lot of every day teaching and learning is dealt through hidden curriculum that focuses on transferring implicit beliefs and behaviors to students. Hidden Curriculum in medical education can have both positive and negative influences on students that could have powerful affects on their professional and personal growth. The hidden curriculum could further be described as the type of curriculum that allows students to discover themselves as true professionals linking training, practice and success. This paper will present some important facts on hidden curriculum that could have a drastic impact on student learning and attitudes. It will also focus on how to write and implement a formal curriculum in medical schools to integrate it effectively with hidden curriculum. 86 Note 87 Time: 4:15 – 4:30 pm Topic: Tale of Two Cities: Comparison of Educational Environment of Two Colleges Affiliated with One University Speaker: Dr. Muhammad Imran, Shahid Shamim, Mohamed Farouq King Abdulaziz University Jeddah, Saudi Arabia. Introduction: Although separated by a distance of 160 km, medical colleges in Rabigh and Jeddah, both affiliated with King Abdulaziz University (KAU), employ paralleled educational philosophy and curriculum. Educational environment, that is conducive for students’ learning and progress, is considered a product of multiple factors. It is known to have an impact on students’ satisfaction with the program, aspirations and academic achievement, both during the program and in future. The University has developed a modular curriculum that is supposed to be implemented equally effectively in the two cities. However, the two colleges have differences in number of students and faculty, logistic support, methods of implementing the curriculum and students’ demography. Hence, it is considered worthwhile to study the differences in their educational environment. This study evaluates and compares the educational environment of medical colleges at Rabigh and Jeddah through students’ perception, using the Dundee Ready Education Environment Measure (DREEM) inventory tool. Methods: This cross sectional study was conducted at KAU Rabigh and Jeddah campuses. Cohorts of students from faculty of Medicine at Rabigh and Jeddah colleges were asked to fill DREEM Questionnaire, a validated tool to assess the educational environment. Students participating in the study were randomly selected from basic and clinical years. The data from the questionnaires were stored and analyzed on SPSS software for frequencies, percentages and correlations. P value of less than 0.05 was considered significant. Results: (Study is in progress) Perception of students is compared between two medical colleges, both affiliated with KAU. Comparison is also done among students of basic sciences and clinical years. Inferences are drawn on the similarities and differences of students’ perceptions in different groups. 88 Note 89 Day 2 Time: 8:30 – 8:55 am Topic: Professionalisation of Medical Education Speaker: Dr. Janet Grant Centre for Medical Education in Context [CenMEDIC], United Kingdom. Professionalisation is a current concern among many groups ranging from social workers to accountants, academics and evaluators. Drawing on this experience, we will explore the process of forming and supporting a recognised profession. We will examine some assumptions about professionalisation, and pose a number of significant questions that must be answered before a process of true professionalisation can be claimed. And we will ask: • What are the drivers for professionalisation? The following issues will be addressed. • What do we mean by professionalisation? A variety of potential meanings will be examined including knowledge and skills, ethical dispositions, expertise, autonomy and the institutionalisation of practice, credentialing, certification and licensing, and remuneration and prestige, code of practice, qualifications, continuing professional development. • The components of professionalisation: - Demarcation and standards. - The development of professional identity and self-concept [identity trajectories, the role of community, identity as learned [what would be taught?] or experienced]. - Technical vs creative views of professionalization. - Role perception and role satisfaction. - Separation or integration of medical education as a professional pursuit [unbounded vs blended professionals]. - Professional specialization. • Support structures for professionalisation Two common approaches to professionalisation will be mentioned: 1- The trait approach 2- The power approach The assumption that professionalisation is a positive development will be examined and risks and benefits outlined. The implications of this for a development programme towards professionalisation will be considered. Professionalisation of health professions education cannot occur unless there is an impact on health care simply because the development of a professional approach to education and training will take people, time and changes in the practice and context of teaching and learning, as well as changes in qualities of those who are taught. 92 Note 93 Time: 8:55 – 9:20 am Topic: Inter-Professional Futures: Collegial, Efficient and Inspirational. Speaker: Dr. Jenny Keating, Fiona Kent, Michelle Leech, Kerry Hood, Mio Dodic Monash University, Australia. Introduction: The management of complex health conditions demands coordination of care by health professionals who can efficiently and effectively combine their rich and diverse skills. This presentation describes interprofessional education opportunities implemented in the Faculty of Medicine Nursing and Health Sciences at Monash University. Methods: We report on student led clinics designed to fill gaps in local service provision, student led beds in a rehabilitation unit and emergency department, student clinics in general practice and aged care facilities, pre-clinical student reflections on ethical issues on internet discussion sites, student teams who work with local communities to help in areas of need, and teaching and learning resources developed for sharing by teachers across disciplines. Students primarily from the last year of entry-level programs were recruited either as volunteers or by scheduling participation as part of usual placement rotations. We gathered data on student reflections, experiences and learning outcomes, patient experiences and health outcomes, health services delivered by students, educator reflections, costs and logistics. Outcomes: Students reported highly positive experiences. Patients valued the time and breadth of care afforded by student team. Within interprofessional teams, students collaborated in assessment, care delivery and appropriate referral to services and support. In clinics, students identified patients at risk of losing independence. Educators valued working with student teams. The costs of running clinics as a learning environment were higher than hospital placements. There were no differences in performance indicators comparing patients managed by student teams and those receiving usual emergency department care. Discussion and conclusion: Interprofessional learning and practice is feasible, enjoyed by students and educators, appreciated by patients, and exposes students to each other’s skills. Ideally student teams would work in areas of existing service needs (e.g. in aged care settings, emergency departments). Collaboration between educators is a welcome and important by-product of interprofessional education. 94 Note 95 Time: 9:20 – 9:40 am Topic: Preparing Graduates for 21st Century Medical Practice: The Role of “Four Cs”- Critical Thinking, Communication, Collaboration and Creativity. Speaker: Dr. Naghma Naeem Batterjee Medical College, Jeddah, Saudi Arabia. Overview: Medical Graduates entering the 21st century workplace will face new challenges in their medical practice. The nature of future practice is unpredictable and will require practitioners to be critical and creative thinkers as well as collaborative problem solvers. In addition, they will require proficiency in communication and skills in technology. This talk will focus on: • the changing nature of medical practice; • the universal competencies of critical thinking, communication, collaboration and creativity (“Four Cs”) that all medical graduate will require; and • our role as medical educators to facilitate not only the acquisition of core content of Medicine by medical students but also these essential competencies that will be crucial to their survival in this dynamic new workplace. 96 Note 97 Time: 9:40 – 10:00 am Topic: Ethics and Medical Ethics Speaker: Dr. Durmuş Günay1, Dr. Süphan Nasır2 1Council of Higher Education, Turkey (CoHE/YÖK); 2Istanbul University, Turkey. Ethics belongs to the field of axiology, which is one of the three basic fields of existence for philosophy, i.e., ontology, epistemology and axiology. Values are judgments that guide our actions/behavior. Of the three fields of existence, existence in thought, existence in language and existence in the external world, ethics is part of existence in the language. Morals belongs to existence in the external world. Ethics means the theory of right and wrong conduct; morals its practice. Moral is the visible result of ethics. Ethics is the philosophy of morals, the science of morals. We can speak of medical ethics, a physician’s morals, and ethics of science or the morals of a scientist. In this study, different philosophical views on ethics and basic ethical concepts will be discussed. We will try to explain how rational based philosophical ethical values and faith based religious ethics values affect the human behavior. Medical ethics and the importance of medical ethics will also be examined. The fact that the problems of humanity cannot be solved without solving ethical problems will also be discussed. 98 Note 99 Time: 10:30 – 10:45 am Topic: Medical Students Role Toward Community Speaker: Dr. Rania Zaini Umm AlQura University, Saudi Arabia Background: Saudi medical schools developed a national competence-based medical education framework (Zaini, et al, 2010). Community was a domain of the suggested framework. Most medical schools overlook role of the doctor in maintaining and advocating community wellbeing. Aim: The study investigates medical students of Umm AlQura University (UQU) involvement and commitment toward community wellbeing and how school’s curriculum and extra curricula activities influence students. Methods: Three focus groups with 17 UQU interns were conducted in March 2011. Grounded theory was utilized in the analysis. Results: UQU interns believe that there was a limited opportunity to develop students’ skills and concern to serve and enhance community wellbeing. Curriculum focused mainly on the theoretical aspects of community medicine and public health. Most of curriculum-structured activities for communities were superficial and not integrated. Interns believed that being medical students in Makkah is considered a unique opportunities, which is not well utilized by the curriculum. Students’ engagement in unstructured volunteering activities, especially during Ramadan and Haj, is considered very important in developing students’ clinical and interpersonal skills, as well as their confidences. Interns believed that there is a big opportunity to develop research skills within community-oriented activities. Take home-massage: Reviewing UQU medical curriculum to address developing the role of graduates in maintaining and advocating community wellbeing is essential. UQU reviews the structural utilization of Haj and Omra as learning opportunities for students. 100 Note 101 Time: 10:45 – 11:00 am Topic: Defining Medical Professionalism from an Arabian Perspective Speaker: Dr. Mohamed Al-Eraky University of Dammam, Saudi Arabia. Background: Medical professionalism has been described as a set of attributes and behaviors, yet the Western frameworks of medical professionalism may not resonate with the cultural values of non-Western countries. Aim: This study aims to formulate a professionalism framework for healthcare providers as interpreted by local medical professionals in Arabian countries. Methods: A purposive sample of 17 experts from diverse disciplines participated in a Delphi study in three rounds. Consensus was identified by content analysis and by numerical analysis of responses on the basic attributes of medical professionalism in Arabian context. Results: Eight professional traits were shortlisted and coupled in four themes (Gates): dealing with self, dealing with tasks, dealing with others and dealing with God. Self-accountability and self-motivation were interpreted from a faithful viewpoint as ‘‘taqwa’’ and ‘‘ehtesab’’, respectively, in Arabic. Discussion: The study highlights the divergent interpretation of medical professionalism between Western and Arabian contexts. The Four-Gates Model helps in better understanding of medical professionalism as grounded in the minds and culture of Arabs. Conclusion: The model may act as a genuine framework for teaching and learning of medical professionalism in Arab medical schools. 102 Note 103 Time: 11:00 – 11:15 am Topic: Replacing the Wrap-up Problem-Based Learning (PBL) Session with a Modified Team-Based Learning (TBL) Speaker: Dr. Mohammad Saleh Hassan, Abdullah Al Ghasham Qassim University, Saudi Arabia. Problem-based learning, hybrid approach, is the principle instructional educational strategy of Qassim College of Medicine, KSA, with one brain-storming session and a second wrap-up session. TBL sessions, once weekly, are recently introduced. It is assumed that the students, after filling their gap of knowledge, would implement their knowledge to the studied problem and able to solve the patient problem. Based on the observed evidences, there are deviations from the classical PBL approach and the knowledge implementation and problem solving; we designed this study with the objective of investigating the possibility of replacing the PBL wrap-up session with a modified TBL one, to enable the students to implement their knowledge in a better way. After a period of training on how to use STROBE classroom observation tool, we started to measure the learners and instructors engagement-behaviors in ten PBL wrap-up sessions (from the monitoring room) and ten TBL sessions (by attendance with the students in the large lecturing room) in each of year two and three (male side), throughout one academic year. Proportions of different types of engagementbehaviors were recorded and compared using chi-square. A survey was conducted to year two and three also, to collect their opinions about TBL in knowledge implementation. Results showed that there were no significant differences between learners to learners, learners to instructors, or self-engagement behaviors in both PBL wrap-up sessions and TBL sessions year two and three. The only statistical significant difference was between learners and group leaders. On the other hand, students expressed their inclination to TBL rather than PBL wrap-up sessions for better knowledge implementation. In conclusion, (modified) TBL sessions may represent a suitable alternative to the wrap-up sessions of PBL to improve the application of knowledge. 104 Note 105 Time: 11:15 – 11:30 am Topic: Approaches to Curriculum Integration in the Twenty-First Century Speaker: Dr.Shihab Khogali University of Dundee School of Medicine Introduction Curriculum integration is a key strategy for delivering effective medical education in the 21st century. The undergraduate medical curriculum at the University of Dundee is outcome-based and integrated around body systems and common patient presentations. The curriculum is 5-year spiral course, delivered over two phases: a body systems course with early clinical exposure (Year 1-3), and a preparation in practice phase (Year 4-5) during which students are totally based in the clinical environment. The final block of the body systems course (phase 1 of the curriculum) is a three-week block, known as transition block 1 (TB1). Methods TB1 aims to encourage Year 3 medical students, studying at the University of Dundee, to apply and integrate knowledge and skills from phase 1 of the curriculum (the body systems course). The approaches adopted, to help students integrate their learning, during TB1 will be described. These include team-based learning supported by technology and clinical skills teaching. Results TB1 has been evolving over the last few years. The block is well received by Year 3 medical students, and the feedback from it is positive. Discussion and Conclusions It is possible to deliver a dedicated block to help students integrate learning from a body systems phase of an undergraduate medical curriculum. The advances in teaching and learning methods and in technology provided enhanced opportunities for curriculum integration. 106 Note 107 Time: 11:30 – 11:45 am Topic: The Current Situation of Medical Education Departments in Health Profession Colleges in KSA: An Attempt to Develop National Standards for Their Evaluation Speaker: Basma Ali Alrowelli National Guard Health Affairs, Saudi Arabia Background: Medical education (ME) in the kingdom of Saudi Arabia (KSA) had a big stride forward since the first collage of medicine was established in King Saud University (previously, Riyadh University) in 1979 (1388 H), At that time Medical Education Departments (MED) were not established or even known in the higher education system. The aim of this project is to study the current status of medical education units in health profession educational colleges in KSA, with an effort to developing national standards that can help in evaluating these units. Objectives • Study the current status of medical education departments/units (MED) in health profession colleges (HPC) in KSA. • Assess the needs of MED in HPC in KSA. • Establish a data base for medical education units in HPC in KSA. • Develop national standards to evaluate MED in HPC in KSA. Methodology: A structured data collection form was used to collect the data from the HPC authorities in 18 Saudi governmental universities. Literature review, experts interviews and one round of Delphi technique were used in the development of an instrument consisting of six standards to be used for evaluation. Results: 18 universities that have HPC were included; 16 had MED, and 13 of these departments were functioning. Curriculum development and faculty development were predominant as subunits in these departments. Six National Standards were developed, with each one of them having an area of two levels (Must & Should) to be applied for evaluation of MED. Conclusion and recommendations: There is a need for leadership support to enhance the role of MED in KSA universities, in promoting health profession education, not only in colleges of medicine but in HPC as a whole. Evolution of ME in KSA has reached a stage that can accept and apply the new trends 108 Note 109 Time: 12:45 – 1:30 pm Topic: Study Skills for Medical Students Speaker: Dr. Syed Moyn Aly College of Medicine Taif University, Saudi Arabia Introduction Students, when they enter medical college, are in the habit of using strategies acquired during high school studies. After entering medical college, most of them do not realize that the skills required in a university degree program are different from those proven successful earlier. Many have problems struggling with time management, stress, language barriers, cognitive overload and ignorance about strategies available for various kinds of information given to them during medical studies. This lecture will help students understand the strategies for improving recall, managing stress, dealing with procrastination and improving time management. Objectives of the lecture: By the end of the hour long lecture, students will be able to: • List strategies for simple and complex information • Describe reasons for procrastination and strategies for dealing with it • Discuss strategies for reducing exam stress • List strategies for improving time management. Progress Test is a comprehensive assessment that tests all students of medical schools, regardless of their level, against the final program outcomes. The concept of progress testing was introduced to enhance problem solving skills, clinical reasoning and creative thinking of students. 110 Note 111 Time: 1:30 – 2:00 pm Topic: Achieving Excellence in Medical Education: The Strategies & Challenges. Speaker: Prof. Khalid Bin Abdulrahman Al Imam Mohammed Ibn Saud Islamic University (IMSIU) Medical education is on today’s agenda. What students learn, how they learn, where they learn and how the learning is best organized and assessed are questions being addressed, not only by medical education enthusiasts or educational researchers but more generally by healthcare professionals, the public and politicians. In Saudi Arabia, there has been a corresponding increase interest in medical education and a rapid expansion in the number of medical schools, with the number doubling over the past five years to 28 public and 7 private schools. The increase in the number of medical schools to meet societal needs is noble decision. However, there should be reviews and measures taken to assure the quality of these schools. The National Commission for Accreditation and Academic Assessment (NCAAA) is the national accreditation body in the Kingdom that is responsible for assessment and accreditation of all medical schools in Saudi Arabia. NCAAA is responsible for assessing and accrediting all public and private medical schools in Saudi Arabia. Many medical schools have responding to meet the minimum standards of NCAAA. However, accreditation is not the end of story. Accreditation can contribute significantly to quality of undergraduate medical education provided that stakeholders are very committed to quality improvement programs. Creating a culture of quality in medical schools with full participation from all stakeholders should spark such commitment. Medical schools should be working hard to move beyond quality assurance. They should seek for excellence in medical education. Excellence in medical education is the ability to reach a level of performance that becomes the benchmark for others and then sustain that performance for an extended period of time. The Strategies and challenges of achieving excellence in medical education are addressed in this presentation. 112 Note 113 Time: 2:00 – 2:30 pm Topic: Current Trends in the Assessment of Clinical Competency at the Workplace Speaker: Prof. Hossam Hamdy University of Sahrja, United Arab Emirates. The presentation highlights the current trends in assessment of clinical competencies particularly at the workplace. The training of health professionals has changed from unstructured, gaining experience by “osmosis” and difficult to assess, to structured, gaining experience by coaching and measuring achievements in real life practice environment. To assess competency, it is important to understand what is clinical competency as a concept, how it is acquired and how best it could be assessed. The presentation will pull on lessons learnt from experiences and research on assessment of professional competency and problems. It will challenge some common practices, particularly deconstructing competence and measure its components e.g. OSCE. The presentation supports the importance of global assessment, close observation of the trainee, the importance of feedback and how to combine formative and summative assessment “a fusional model”, and support the importance of the holistic judgment and qualitative value in assessment of clinical competency at the workplace. 114 Note 115 Time: 2:30 – 3:00 pm Topic: What Should we be Measuring in Workplace Assessment Speaker: Prof. Brian Jolly The University of Newcastle (UoN), Australia. A large number of specialty colleges and postgraduate training institutions around the world are beginning to use workplace –based assessment either formatively or summatively. This presentation will describe some of these approaches using examples from remote and rural medicine, emergency medicine, and the assessment of international medical graduates in Australia. Currently a variety of tools are in use, such as the mini clinical evaluation exercise (Mini CEX) and direct observation of procedural skills (DOPS), supplemented by assessments such as 360-degree evaluations. The numbers of assessments that are needed for reliable assessment varies quite dramatically across different contexts, and the importance of some approaches, such as the use of 360 degree assessment, has resulted in interesting dilemmas. For example, who should do the assessment may also be dependent on what is being assessed. Different health professionals, or people at different points in the professional hierarchy, see different facets of clinical competence of a trainee, and they may also construe and value clinical competence in somewhat different ways. The relationship between content, context and the way that supervisors think about their trainees as learners, all have a bearing on this issue. This evidence has a profound impact on what we should measure and how we should design the response scales of judgement-based assessment instruments. 116 Note 117 Time: 3:30 – 3:45 pm Topic: Role of Quality Control Process in Building up High Quality Assessment System: A Case Study Speaker: Dr. Hamza Mohammad Abdulghani King Saud University, Saudi Arabia College of Medicine, King Saud University is the first medical college established in the Kingdom of Saudi Arabia. In line with the contemporary changes in medical education, the traditional curriculum of the college has been recently, undergone many changes to include various innovative strategies in teaching, learning and assessment system. In the recent past, the teachers/course organizers were responsible for preparing, and conducting assessment in the college. However, educationists believe that the assessment is the most important part of any curriculum. Therefore, the college has established a centralized assessment system to supervise the entire college assessment process. Description: In an attempt to ensure, high quality assessment system in the college, the assessment and evaluation unit was established in the year 2009 under the Medical Education Department, College of medicine, KSU. This unit has created ‘Assessment & Evaluation Centre’ (AEC) which is responsible for the collection, revision and creation of appropriate assessment materials with a high quality standards, analyzing examination materials and giving feedback to the faculty to improve the standards of the examination and students for their educational progress. There are two main steps for the quality assurance of the assessment system. First, there is an extensive revision process of the assessment materials which are provided by the faculty, to assure the high quality assessment methods. Second, there is a post-exam item analysis including discriminating and facility indices, destructors analysis, reliability and alpha if item is deleted, to assure the any problematic exam material and selection of assessment materials for banking. These quality assurance processes are based on the scientific ‘Best-evidence Medical Education’ (BEME) principles. Research activities are in progress to look at our local findings for further improvement. AEC started to spread the orientation of the international standards of the assessment system. 118 Note 119 Time: 3:45 – 4:00 pm Topic: Standard Setting for Student Assessment Speaker: Dr. Gominda Ponnamperuma University of Colombo, Sri Lanka / University of Dundee. Determining who passes has a direct impact on patient safety. Hence, deciding the pass mark can arguably be called the single most important activity in a medical examination. This is by no means to undervalue the other activities related to assessment such as selecting the correct content and competencies to assess, identifying the right method of assessment, and designing the correct questions using appropriate, unambiguous language. However, these activities are mostly related to a single test item, within a multi-item test. In contrast, setting the pass mark affects all items and the assessment as a whole. Notwithstanding such importance attached to standard setting, the tendency, however, has been to consider standard setting lightly, as a mere afterthought. There are many reasons for this. Some of these reasons are historical. Historically, the pass mark has been a fixed score, and hence nobody used to be unduly concerned about such a given entity that is beyond the control of any examiner or examination committee. This plenary, firstly, will discuss the repercussions of a fixed pass mark. If a fixed pass mark is unsuitable, which methods are available for the examination committee to set the pass mark? Methods are many. The availability of a plethora of standard setting methods has bewildered many a novice, when selecting the most appropriate method for a given situation. To avoid such bewilderment, it is easier to consider the different standard setting methods in groups. With a strong emphasis on the rationale behind each group of standard setting methods, secondly, this plenary will draw clear general guidelines as to when a particular group of methods could be more suitable than another, depending on the situation and the purpose of standard setting. 120 Note 121 Time: 4:00 – 4:15 pm Topic: Can Test Blueprinting Act as an Evaluation Tool for Summative Examinations? Speaker: Dr. Sameer E. Al-Harthi1, Omayma A.E. Hamde1, Hebatuullah Alsayed1, Omar I. Saddah1, Aea Tekian2, Yoon Soo Park2 1King Abdul Aziz University- Faculty of Medicine, Saudi Arabia; 2University of Illinois Chicago, USA. Purpose: Many health professions programs in the Arab region do not design summative examinations based on a blueprint, thus potentially impacting the validity of the assessment. This study investigates the value of test blueprinting in evaluating a Pharmacology summative examination by examining student performance. Method: This study examined students’ success rate, distribution of grades and trend analysis which were compared between 2011-2012 exam that was not based on a blueprint and 2012-2013 exam that was based on a blueprint. Department faculty revisited the learning objectives and defined the “Must” objectives. Faculty had consensus on the content, relevance weights for each content domain, and percentage of test items to be selected in each cognitive domain using Bloom’s taxonomy classification. Results: There was variability between student performance in the exam with and without blueprinting. Students’ success rate in exams from both retrospective and prospective blueprinting were not altered; however, the difference in grade distribution was significant (p<0.001). Results of pre-blueprinting summative examination were not valid, and the exam did not measure a representative sample of the educational objectives of the course compared to prospective blueprinting. Conclusion: The implementation of test blueprinting reflects the actual performance of students and is an essential step to ensure content-related validity evidence in summative examinations. 122 Note 123 Time: 4:15 – 4:30 pm Topic: Predictive Validity of Item Scoring Questionnaire Speaker: Dr. Syed Moyn Aly College of Medicine Taif University, Saudi Arabia. Introduction: Developing high quality one best MCQs seems to be a daunting task for many faculty members who have not been trained extensively in it. Hence the quality of One-Best MCQs developed by such faculty members remains dubious till post exam item analysis is done. Based on guidelines developed by the National Board of Medical Examiners (NBME), USA, the researcher developed a scoring sheet which should help in predicting the quality of One Best MCQs. Methods: This study took place at College of Medicine, Taif University. A questionnaire wad developed based on NBME guidelines. Theory examination from one integrated module was considered and evaluated by three independent evaluators who did not discuss the results with each other. Based on the questionnaire, every item was given a score. After scores for all items were collected, they were correlated with item difficulty and discrimination. Results: It was found that there was positive and significant correlation (r= 0.45 , p= 0.00) between the scores and discrimination index. The correlation between scores and difficulty index was positive and significant for moderate difficulty items (r= 0.57, p= 0.01). Scores did not correlate significantly with difficult and easy items (p=.23 and p= .45 respectively). All calculations were done on SPSS 17.0. Discussion: This questionnaire seems to be of value in predicting item quality. If used suitably by faculty members who are trained in developing One best MCQs, this questionnaire can prove to be an asset in the process of pre exam item analysis. It would help concerned faculty members delete items or improve them before they are administered. Conclusion: The item scoring questionnaire seems to be of value in this preliminary exploratory study. There is need for further analysis in order to establish its true value. 124 Note 125 127 Day 3 Time: 8:30 – 9:30 am Topic: Clinical Teaching Speaker: Dr. Zubair Amin1, Dr. Ali Ibrahim Alhaqwi2, Dr. Bashir Hamad3 1National University of Singapore, Singapore; 2King Saud bin Abdulaziz University for Health Sciences; 3Saudi Arabia Clinical teaching is the cornerstone of clinical medicine. Clinical teaching is a highly personalized form of teaching characterized by a tripartite interaction between patient, learner and clinical teacher. Two most important outcomes of clinical teaching are clinical reasoning and clinical decision making. In this symposium, three of us will lead a discussion with specific focus on the context of clinical practice in Saudi Arabia. Key questions to be deliberated are: • What are the attributes of clinical teaching? What are the cultural and contextual uniqueness in clinical teaching in Saudi Arabia? How can we make the clinical teaching most effective? • What are the deficiencies of the current mode of clinical teaching? How can we improve? How can we reward and recognize clinical teachers? • What are areas of improvements in students and trainees assessment during clinical teaching? How can evidence from epidemiology, health service, and learning sciences guide us to develop a robust assessment system? 128 Note 129 Time: 9:30 – 10:00 am Topic: E-Learning and Learning analytics Speaker: Dr. Mohammed Saqr Qassim College of Medicine. E-learning offers many advantages for medical students, including easier access to information, rich content, diverse delivery methods, personalized instruction, accountability, better availability regardless of time and place allowing for self-pacing, interactivity, confidence, and increased convenience. For faculty it reduces efforts, offers a wide range of ways to deliver content, and improves tracking. Beside the opprtunities it offers for institutions, stakeholders and the community at large. Learning analytics is a new and emerging area of research that aims at measurement, collection, analysis and reporting of data about learners and their contexts, for purposes of understanding and optimizing learning and the environments in which it occurs. There is an unexplored potential for generating novel insights, which might reshape our teaching, learning, and the educational process as a whole and the way we present it to the learners. This presentation will give an overview about e-learning with focus on Qassim College of Medicine, and its approach and outlines the various types of learning analytics and why it is essential to monitor, analyse, understand students’ and teachers behaviour online, and how this can be used to re-model e-learning offered, anticipate students performance, take action when necessary, and for the institution at large to plan ahead. 130 Note 131 Time: 10:30 – 10:45 am Topic: Ten Steps to Develop Medical Reasoning Module in an Integrated System Based Environment: Al- Baha Experience Speaker: Dr. Haitham El Bingawi, Essam Mady, Emad Koshak Al Baha University, Saudi Arabia. Background: Teaching clinical reasoning to medical students can pose a challenge to the clinical teacher and is deficient in many curricula. This work describes how Al Baha Medical School developed a unique module in clinical reasoning. Methods: Many international and national medical curricula were reviewed and the intended learning outcomes were identified. The Harden’s questions for developing a course were used. Result: 10 steps were identified: (1) The needs were identified by reviewing literature and Delphi approach. (2) 1 credit hour module was designed containing 6 blocks and 12 learning outcomes. (3) The contents were based on the learning objectives of the block and the system involved. (4) The module blocks were pooled in a stepladder concept that links theory to practice and integrated horizontally and vertically. (5) A mix approach on the SPICES strategy was adopted. (6) The teaching methods used were: 7 lectures, 1 bed site teaching, 3 illness script sessions, 2 small group discussions, 1 seminar, and 1 tutorial. (7) Formative and summative assessments were used. (8) A study guide highlighting the topics, teaching methods, assessment techniques, resources and other information was developed. (9) Students’ feedback questionnaire was adopted to identify the educational environment. (10) The module was managed by a coordinator and a committee. Discussion: Clinical reasoning is a skill to be learnt not a concept to be understood. These 10 steps will offer a practical roadmap to teachers who are in a position of reviewing, revising or developing a new clinical reasoning curriculum. It will act as foundation for the concept of medical reasoning; yet, the clinical implementations should be infused and recalled throughout the whole curriculum. Take home message: This innovative module will provide a practical roadmap for teaching medical reasoning to students in any integrated medical curricula. 132 Note 133 Time: 10:45 – 11:00 am Topic: Factors Affecting Expert Judgment in Standard Setting Speaker: Dr. Said Hamed Abbadi1,2, Dalal Mohiddeen Nemenqani1, Syed Moyn Ali1 1Taif University, College of Medicine, Saudi Arabia; 2Suez Canal University,College of Medicine, Egypt. Introduction: The Angoff method is considered to be one of the most popular and highly recommended standard setting technique especially for MCQs. In this study we attempted to determine the factors affecting judgment of experts during standard setting by Angoff method. Also, we investigated if there was a significant change in the results of standard setting procedure done on two different occasions for the same exam and by the same panel of judges. Methods: In this study, Comparative cross-sectional study was done. Group of eight experts performed Angoff’s method on the same exam on two different occasions. These experts were asked to fill a questionnaire about factors that affected their judgment during Angoff’s. Results: Results of the study indicated that same group of experts set similar standard for the same test material in later occasion (p > 0.05). The 2 factors that all expert mentioned that they keep in their minds during their judgment were; borderline student and the level of difficulty of the questions. The other factors which were mentioned by the majority of the experts were considering the overall quality of the students in that batch and the difficulty index given to them about the items. Discussion: Standard setting for special senses module exam for 3rd year students were done before the exam and the cut off was 61% and repeated again after the exam with same group of experts , with 60% cut off. Though statistical analysis of the items were available during the post-exam session, it did not affect the expert opinion significantly. All experts agree that the factor they consider in their judgment was the concept of the borderline student. Conclusion: This result showed that Experts would provide similar cut off scores even on two different occasions. This study also highlights the factors considered by experts. 134 Note 135 Time: 11:00 – 11:15 am Topic: Exploring Faculties’ Perspective on Research Supervision: A Qualitative Study Speaker: Dr. Amani Jamil Al-Muallem 1Taif University, College of Medicine, Saudi Arabia; 2Suez Canal University,College of Medicine, Egypt. Background: Research supervision is an integral part in the development of and research training of medical students. Despite its importance, it is one of the poorly investigated area in medical education. The objective of this study was to explore the experiences and needs of research supervisors. Methods: This was a qualitative semi-structured interviews that were conducted in two universities (KSAUHS and Sydney). Face to face interviews were carried out with 18 participants (research supervisors). Topic guide included: supervisors’ perspectives, personal experience, professional needs and challenges facing them during research supervision. Interviews were digitally recorded and transcribed and thematic analysis of the data was done. Results: The results were summarized into themes: issues concerning supervisors, students and their contexts. There was consensus between supervisors regarding their motivation, challenges, and personal concerns when supervising research students. Rewards, recognition and time management were important factors expressed by majority of the participants. Students’ personal characteristics such as enthusiasm, professional level and progress were of importance to the research supervision process. Contextual factors included: clear institutional rules and regulations of supervision, valuing and recognition of supervisors were essential to the majority of supervisors. However, some structural differences were observed between the Australian and Saudi supervisors. Majority of Australian supervisor were skeptical about being associate supervisors rather than being primary supervisor. Conclusions: This study highlighted that research supervision is influenced by multiple factors that needs to be recognized and explored in further studies. Future research should explore the supervisees as well as the supervisors in order to get a fair and comprehensive view of the research supervision process. Take home messages: Research supervision is a far more complex than what we thought and several factors are involved in understanding this important academic activity 136 Note 137 Time: 11:15 – 11:30 am Topic: Evaluation of Formal Mentoring Between Faculty and Medical Students: a Survey of the Students’ and Faculty’s Perception of the Mentorship Program at Alfaisal University Speaker: Dr. Maria Ghawji, Muhammad Raihan Sajid, Peter Cahusac, Rimsha Shaiff, Abdul Ahad Shaikh, Khalid Al-Kattan Alfaisal University, Saudi Arabia. At Alfaisal University College of medicine, a formal one to one mentoring program was introduced two years ago with a scope covering academics, life cycle counselling along with career plans. It is done with confidentiality from both sides. The main aim of this study is to evaluate the mentors’ as well as the mentees’ feedback regarding different aspects of the mentorship program through a self-developed questionnaire. Medical students from year 1 through 3 filled a total of 385 questionnaires: 59% were female respondents while 41% were male. Further, the frequency of respondents was approximately 33%, 31% and 33% each from years 1, 2 and 3 respectively. 17% of mentees reported meeting with their mentors after exams, whilst 12% reported meeting every other month. 40% of the students reported receiving a response from their mentor within hours. Moreover, lack of motivation and lack of communication were identified to be the main challenges standing in the way of this mentor-mentee relationship. Additionally, only 20% of the students felt that their mentors supported them in time of weakness. A student t-test showed statistically significant responses (p<0.001) for mentors providing constructive critique and demonstrating competence in the student’s area of needs when compared within other groups. Statistical analysis showed that the level of satisfaction from the mentorship program was highest among the year three students. We conclude that an effective as well as tailored program based upon improved communication and easy accessibility will lead to successful outcome. 138 Note 139 Time: 11:30 – 11:45 am Topic: Defining the Core Competencies for College of Medicine Speaker: Prof. hmed Al Rumayyan, Lubna Baig, Mohiuddin El Magzoub, brahim Al Alwan, Bashir Hamad King Saud bin Abdulaziz University of Health Sciences (KSAU-HS) Introduction: Core competencies for any institution characterize the graduate of any institution. The College of Medicine (COM) at KSAU-HS started the process of reviewing its curriculum and it was felt that as first step we need to identify the core competencies for the COM. Objectives: Identify the core competencies for KSAU-HS with their sub-domains Methods: The process of defining core competencies started with first reviewing the core competencies (with their sub-domains) of CANMED, ACGME, Sydney Themes and the Saudi-Meds. The first draft of core competencies for KSAU was developed. This draft of Core Competencies was sent to key educational leaders and community leaders (including the media people) for review and comments, through a survey. The comments from the reviewers were then incorporated in the survey which was sent via survey monkey to the educational leaders and college faculty. The faculty and education leaders were asked to give their agreement with the domains and subdomains of the core competencies. The survey results were incorporated in the document and shared with the faculty for their opinion and suggestions for further improvement. Results: Six core competency domains were identified with their sub-domains (descriptors) for undergraduate Medical education at KSAU. The core competencies include: 1. Medical Expertise 2. Evidence based Medicine and Research Skill 3. Health Advocate 4. Health Manager and leadership 5. Professionalism 6. Communication Conclusions: The core competencies were approved from the College Council and mapped to the undergraduate curriculum of KSAU. This process ensured that all required competencies for Medical graduates are addressed in the curriculum. 140 Note 141 ! !""#$%&'$(#)*&#+&,&-,.*/&+0112#$/&"*&"%$&%$,2"%),/$&#3(0+"/4&#3&"%$&5#36(*-&*7&8,0(#& !/,9#,:&;*/&-*/$&"%,3&<=&4$,/+&>$&,/$&?3*>3&7*/&)*-9#3#36&#33*@,"#@$&%$,2"%),/$& "$)%3*2*6#$+A&-$(#),2&+4+"$-+A&>*/?72*>&-,3,6$-$3"&)*3+02"#36&,3(&+011*/"& +$/@#)$+&#3&*/($/&"*&%$21&*0/&)0+"*-$/+&"*&,)%#$@$&+0+",#3,92$A&)2#3#),2&,3(&7#3,3)#,2& *0")*-$+:&& B0/&1/*(0)"&1*/"7*2#*&)*@$/+&@,/#*0+&-$(#),2&7#$2(+C& • • • • • • • • • • • •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onference Posters ID: 104 ID: 105 Prevalence of Premenstrual Syndrome and Its Impact on Quality of Life among University Medical Students, Al Qassim University, KSA Manal Ahmad Al-Batanony, Sultan Fahad Al-Nohair qassim faculty of medicine, Saudi Arabia Student Presentation: A Conceptual Model Premenstrual syndrome (PMS) involves a variety of physical, emotional and psychological symptoms experienced by some women during the late luteal phase of menstrual cycle (7-14 days prior to menstruation). The symptoms of PMS seem to worsen as menstruation approaches and subside at the onset or after days of menstruation, and a symptom-free phase usually occurs following menses. The group of women with the severest premenstrual symptoms and impairment of social and role functioning often meet the diagnostic criteria for premenstrual dysphoric disorder (PMDD), a severe form of PMS. Objectives: To determine the prevalence of premenstrual syndrome (PMS) between university medical students, and to evaluate the impact of the condition on their quality of life (QOL). Methodology: A cross-sectional study included unmarried medical students aged 18-25 years with regular menstrual period for the last 6 months. Socio-demographic data, DSM-IV (Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association) criteria questionnaire for PM/PMDD as well as the daily record of the severity of PMS problems scale (DRSP) was collected for each student for two prospective cycles. Health-related quality of life (HRQOL) data questionnaire was collected on medical outcome study Short Form 36 (SF-36) after taking informed consent from the students. Results: The prevalence of PMS among the studied group was 78.5%, of them, 5.9% had severe form of PMS. This study showed that the burden of PMS/PMDD on health-related quality of life was on mental and emotional health-related quality of life domains beside on physical health-related quality of life domains as the students with PMS reported a poorer health-related quality of life as measured by SF-36 than those without PMS. Conclusion: PMS/PMDD is a prevalent, yet undertreated, disorder among medical students in KSA, which adversely affected their quality of life. 144 Abdelmageed Mohamed Imam1, Abdulaziz Ajlan Al-Salloom1, Mohamad Izham Ibrahim2, Badr Hamid Elsanosi3, Ahmad Homaidan Al-Wabel1 1College of Medicne - Qassim University, Saudi Arabia; 2College of Pharmacy - Qatar University, Qatar; 3College of Pharmacy - Qassim University, Saudi Arabia Background: This study represents a response to a frequent call from medical education experts/teachers, from around the world that any given school develops curriculum learning strategies that best meet its vision/mission. In this report, we are suggesting a language-based conceptual model on student presentation, as a curriculum learning strategy. Student presentation promotes content understanding that can be enhanced if the student is not under stress. We assume that, in any given medical school, if the student mother-tongue language is not similar to the school instruction language, then the student is likely to be under stress. Objective: To contribute ideas towards quality enhancement in medical education. Method: This is a concept study. The Model Outline & Conclusions: In this work, we are suggesting a conceptual model where the student is encouraged to utilize his/her mother-tongue language education sources for ( in-depth ) understanding of the presentation topic, whenever he/she understands the topic ( partially ), see Figure 1, for a graphic representation of the model. Research has shown that some students, during education activities using non-mother-tongue language, were unable to understand ( in-depth ) the subject, and/or were unable to fully participate in discussions. Furthermore, it was also shown that people retain information far better in their mother-tongue language. Based on long teaching experience, our primary drive for this work, was to expose an unjustified stress on some students whose linguistic abilities do not match their academic talents. Future research, exploring on the role of language and linguistic factors in student presentation/medical education, is likely to generate data supporting this approach. Thus, high quality medical education is, eventually, enhanced. Figure ( 1 ) A graph showing a language-based conceptual model for student presentation ID: 106 Assessment of the Quality of Educational environment During Undergraduate Clinical Teaching Years in the King Abdul Aziz University, College of Medicine in Saudi Arabia Rajaa Allhiani King Abdulaziz University, Saudi Arabia The undergraduate curricula of medical schools in King Abdulaziz University Saudi Arabia, is traditional, like most of the medical schools in the Middle East region. A measure of the educational environment in the college of medicine as perceived by students would assist educators and college administration personnel in gauging the quality of the learning occurring within this important venue. Objectives: 1)To assess the quality of educational environment during undergraduate clinical teaching years in College of Medicine, King Abdulaziz University, Jeddah , Kingdom of Saudi Arabia. 2) To detect problem areas that should be remediated. 3) To compare the gender difference in the perceptions of the educational environment in the clinical teaching stage. Methods: During the academic year 2012/2013, the DREEM questionnaire was distributed and collected by the undergraduate student leader of the same year to all 280 females and males’ clinical stage medical students. 4th year, 5th year and 6th year clinical stage students are located in the hospital sites for their clinical teaching. Each medical student. 4th year, 5th year and 6th year. Has an undergraduate administrator who distributed and collected the questionnaire. Comparisons between, students’ responses according to their studying years in the college and their gender were taken in consideration. Conclusion : The DREEM provides useful diagnostic information about medical schools, whether it is in developing or western developed countries. The DREEM gives a clear indication of the priorities for reform of the curriculum. These data can also serve as a baseline for a longitudinal quality assessment of student’s perceptions of the changes planned for the college of medicine King Abdulaziz University, Saudi Arabia. ID: 108 Dental Interns’ Perception of Student-Centered Small Group Teaching Based on Clinical Scenarios Ammar Abu Mostafa Riyadh Colleges, Saudi Arabia Introduction: A revolution in medical and dental education has occurred at the beginning of the 20th century as a result of major changes in the science itself, nature of society and principles of learning. Education in the medical fields has responded to those changes by developing its pedagogy to adopt more interactive student centered approach, with learners collaboratively work in small groups. In this regard the learners’ perspective is considered important in providing feedback about efficiency of teaching strategies, curriculum, assessment methods and facilities, in more general terms, the “overall learning process”. Methodology : This study was aimed at investigating the dental interns’ perceptions toward using student-centered small group teaching method based on clinical scenarios at Riyadh Colleges of Dentistry and pharmacy – Riyadh. A focus group was used as a qualitative research tool in which different themes were discussed. Results : Our findings indicated general satisfaction of the dental interns with the student-centered small group teaching approach based on clinical scenarios; and indicated their preference over the traditional lecture-based approach stating greater independence, more joy, less stress, deeper thinking, better understanding, teamwork, more student involvement and an enhanced learning environment similar to the real context. Conclusion : It can be concluded that adopting this teaching method has positively reflected on the learning process of the dental interns, additionally using qualitative research tool was appropriate in investigating learners’ perceptions. ID: 111 Credit hours policy & hybrid problem-based learning (PBL) medical curriculum reform: An Experience of Najran school of medicine KSA Mohamed Hanafy Morsy1,7, Jobran Miree Al-Qahtani2, Mohamed Saeed Alayed2, Saeed Ali Alsareii3, Moawia Hassan Alshiek4, Metwally Abdullah5, Shiraz Elkheir6, Mohamed Amin Al-khawanki1, Mohamed Sabry6 1Hematology Department -Faculty of medicine – Najran University; 2Pediatrics Department-Faculty of medicine – Najran University; 3Surgery Department-Faculty of medicine – Najran University; 4Community medicine Faculty of medicine – Najran University; 5Forensic Medicine Faculty of medicine – Najran University; 6Anatomy Department Faculty of medicine – Najran University; 7Al-Azhar school of Medicine - Clinical Pathology Department-Cairo-Egypt Problem-based learning (PBL) promotes self-directed learning (SDL) which is often linked to lifelong learning and higher learning skills notably critical thinking. With the introduction of (PBL) into most Medical Schools, the number of lectures in undergraduate courses has significantly being reduced while other teaching modalities adopted. This has led to the main problem of increased courses credit hours. This constituted a dilemma of PBL curricula to adopt a credit hour policy suitable for both PBL system as well as the requirements of accreditation. In Najran College of Medicine a similar problem was faced concerning how to estimate the courses credit hour of the different learning activities while reducing the number of lectures to move towards promoting SDL. The main aim of this paper was to adopt a new credit hours policy in our college and evaluate the impact of this change on calculating credit hours suitable for accreditation purposes. The approach we followed was content analysis of the literature concerning what is written about credit hour of the different learning 145 activity. We found that the adoption of our new policy can reduced lectures by (8 %- 66%) and increased significantly the student’ centered learning activities. The application of this policy was suitable for adjustment of the credit hours of our Hybrid PBL Curriculum for the purpose of academic accreditation. It can also give flexibility to the process of curriculum reform that is highly relevant to PBL philosophy ID: 115 Insight of medical students for achieving competencies Abdul Sattar Khan, Feroze Kaliyadan, Fahad AlWadani, Seba Greiz College of Medicine, King Faisal University, Saudi Arabia Introduction: Medical students are expected to acquire some competencies whether learning in Problem-Based Learning (PBL) or Subject-Based Learning (SBL) system. It has been debated as to which competencies are required for undergraduates level. Curriculum planners claim that problem-based learning curriculum develop almost all competencies. However so far no such study has been conducted to assess what medical students themselves understand about competencies. Method: A quantitative and qualitative study was designed. We developed a questionnaire to assess the perception about understanding of competencies based on a five point Likert scale. A focus group discussion was conducted with three groups of each class from male and females. The repeated themes were extracted and reported. We focused on trying to find out what competencies the students felt were important and whether they felt that their curriculum addressed those competencies are addressed sufficiently. Results: There was no statistically significant difference between students following the PBL and SBL (>0.05). The reasons mentioned as to why students did not understand about the concept of ‘competencies’ well by PBL students included: ‘No clear understandings of objectives’, ‘lack of training of staff’, etc. SBL students mentioned other factors like: ‘nobody discussed about competencies’, ‘teachers are not aware of these competencies’, ‘do not have special programs for any competency’ etc. Discussion: The fact that in spite of being in a earlier stage of study the PBL students had an equal understanding of the concept of ‘competencies’ suggests that the PBL curriculum might better able to address the concept of competencies. Conclusion: It may be justified to state that students should receive understanding of required competencies at beginning of the curriculum whether it SBL or PBL. . 146 ID: 114 The evaluation of hospital-learning environment for pediatric residency in Eastern Region and comparison with other studies in Saudi Arabia Waleed Hamad BuAli1, Abdul Sattar Khan1, Mohammad Hussain Al-Qahtani2, Sheikha Al-Dossary3 1College of Medicine, King Faisal University, Saudi Arabia; 2Pediatric Department , University of Dammam; 3Pediatric Department, King Fahad university hospital Background: The hospitals play a pivotal role in educational cycle for undergraduate as well as for postgraduate level in clinical teaching. So far no study has been conducted to assess the hospitals’ environment for learning purposes in multicenter sites in Saudi Arabia. We have conducted this study to evaluate the environment of hospitals for learning purposes of pediatric residents. Methods: We applied Postgraduate Hospital Educational Environment Measure (PHEEM) to measure the learning environment at six teaching hospitals in Eastern Region of Saudi Arabia. A total of 104 residents of pediatrics specialties have participated in the study. The authors were not aware about any identification of residents and made codes for different teaching hospitals. Results: The response rate was 87.5% from a total of 120 residents, and 37 (35.5 %) females and 67 (64.4 %) males residents have responded. The residents rated overall learning environment as favorable for training (100/160). There were some items in social support domain suggesting improvements. Though there was no significant difference between male and female residents, the questionnaire pointed to differences (p<0.05) among the participant teaching hospitals. Conclusion: PHEEM questionnaire pointed to an overall positive rating and some areas where there is still a room for improvement. ID: 122 Male Medical Students’ Preference of Resource Material and Academic Performance: A Correlational Study at Taif University Meshari Alzahrani, Syed Aly Taif University, Saudi Arabia Introduction and research problem: Selection of reading material is an important determinant of academic performance. Studies have shown that using books for studies has a positive impact on examination results, and on academic achievement. This aims to explore students’ study habits with emphasis on which sources they use and the pattern of resource use. It also attempts to seek correlation between reading choices and grades. Research Methodology: This is a correlational, study obtained from an online questionnaire which 132 male medical students filled and sent. Descriptive statistics were reported. Spearman’s correlation was used to test the hypotheses. SPSS version 17.0 was used. Main results: 90.8% do not often read articles. 79.5% students do not often study recommended books. 66.6% students depend mainly on lectures. Only 27.3% feel that reading books will help them get good grades. There was a positive significant correlation between: • satisfaction with information from lectures and grades(rho=0.585,p= 0.000) • depending on lectures for information and grades(rho = 0.698, p = 0.000). There was a significant negative correlation between reading recommended textbooks and grades (rho = -0.399, p = 0.000). Conclusion and recommendations: This study shows how much students depend on lectures for their information. This practice is rewarded by high grades. More extensive research is needed in medical students’ reading preferences. Medical schools need to include strategies which promote wider reading. One important way of doing this is by including topics or content from books and articles in examinations. ID: 123 Pre-constructed concept maps of clinical problems as a tool in medical education. Consistent differences between concept maps constructed by medical experts versus residents Nicolaas Verloop, Sylvia Vink Leiden University, Netherlands, The Introduction: Increasingly, pre-constructed concept maps (i.e. schematic overviews of a clinical problem, depicting the relevant concepts and the links between them) are used in medical education. However, a major question is how complex these concept-maps should be. Should concept maps for undergraduate medical programs be constructed by experienced medical experts, or would that result in concept maps that are too complex and are too far above students’ knowledge level? An alternative would be to have residents as constructors. To date, there is no systematic knowledge about consistent differences in complexity between concept maps constructed by experts versus residents. Methods: Seven expert groups and seven ‘parallel’ resident groups (with an equivalent disciplinary composition, like surgery, radiology, internal diseases, et cetera) constructed a concept map about a clinical problem (like coughing, diarrhoea, chronical abdominal pain). The resulting concept maps were analysed with a category system, enabling us to determine the characteristic features, like organisation (e.g. “umbrella-concepts”) and degree of integration between clinical and basic science concepts. Results: In general the number of clinical and basic science concepts used by experts versus residents did not differ significantly. The most striking result was that the resident concept maps tended to be more elaborate. They used significantly more ‘umbrella concepts’, i.e. concepts that subsumed other concepts. Discussion: Concept maps constructed by experts differ systematically from those constructed by residents. The main reason experts express less ‘links’ between the concepts might be related to the social dimension during the concept mapping process: being “among experts” might lead them to explicate less, assuming that their interlocutors rely on the same knowledge base. Conclusion and implications: The consistent explicitness of the concept maps preconstructed by residents might make them more suitable for scaffolding undergraduate students’ learning than expert preconstructed concept maps. ID: 124 CRISIS: A glimpse of a Family Physicians Education Program at present SYED IRFAN KARIM1, FARHANA IRFAN2 1Dept.of Family & Com. Medicine ,College of Medicine ,King Saud University , Riyadh , Saudi Arabia; 2Medical Education Research Chair ,College of Medicine ,King Saud University , Riyadh , Saudi Arabia Background: The dynamic nature of health care necessitates that physicians remain competent and up to date through Continuing Professional Development (CPD). The challenge is to develop effective CPD Programs. CRISIS, an acronym (convenience, relevance, individualization, self-assessment, interest, speculation and systematic), is a practical tool for developing and evaluating CPD programs. Objectives : This study aimed to evaluate the King Saud University Continuing Professional Development (CPD) Program for Family Physicians in relation to the CRISIS criteria. Methods: A descriptive study, conducted at King Saud University (KSU) in Riyadh, Saudi Arabia. The authors used the six strategies of CRISIS for evaluation. The program was independently analyzed by the three authors using CRISIS framework. The results were synthesized. The suggestions were discussed and agreed upon, to be documented finally. 147 Results: The results indicate that KSU-CPD program meets the CRISIS criteria for effective continuing professional development and offers a useful approach to learning. The course content covers specific areas of practice, but some shortcomings were found that need to be improved like self assessment area and individual learning needs analysis Conclusion: This program is suitable for Family Physicians, as it is well planned and utilizes most of the principles of CRISIS, but there is still room for improvement. Designing a program for general practitioners using hybrid model that offers a blend of e-learning as well as face-to-face learning opportunities would be an ideal solution. ID: 129 The Malaysia DREEM: Perceptions of Medical students about the Learning Environment in a Medical School in Malaysia Redhwan Ahmed Al-Naggar Universiti Teknologi MARA, Malaysia, Malaysia Background: Student’s perceptions of learning environments are important to continuously improve the educational environments of a curriculum by defining its strengths and weaknesses. Therefore, the aim of this study was to explore students’ perceptions of learning environments among medical students in Malaysia. Various aspects of education environment were compared between year levels and gender. Methods: This cross-sectional study was conducted at the Management and Science University (MSU), Shah Alam, Malaysia in 2012. A total number of 438 medical students were participated in this study and the response rate was 87.6%. Data were analyzed using SPSS18. Comparisons of the mean scores of Dundee Ready Education Environment Measure (DREEM) subscales were calculated. The t-test was used to determine statistically significant differences. Results: The majority of the study participants were female, Malay and from year three (68.7%, 65.3, 55.7%; respectively). Analysis of individual of the 50 items of the DREEM inventory showed that 47 items scored range between 2.00 and 3.00, 3 items scored below 2.00. These were identified as problem areas in this medical school that are required to be critically addressed. The overall score showed that the medical students’ perceptions were positive. The students’ perception toward educational environment was positive for all 5 DREEM subscales. Conclusion: The study found that in general the perceptions of the participants about the learning environment were positive. Nevertheless, the study also found there is a need for curriculum improvement in this school and identified priorities areas for such improvement. ID: 132 TEACHING BIOSTATISTICS TO MEDICAL UNDERGRADUATES IN INTEGRATED CURRICULUM Waqas Sami1, Mohammed Almansour1, Tayyaba Waqas2 1Department of Public Health & Community Medicine, College of Medicine, Majmaah University, Saudi Arabia; 2Punjab Institute of Cardiology Lahore 148 As medicine has moved to become more evidence based, biostatistics has become ever more important in practicing medicine and for the education of tomorrow’s doctors. The role of biostatistics in medical education is now well recognized, and the curricula in almost all the medical colleges and postgraduate institutions across globe has provision of teaching biostatistics. In an integrated curriculum biostatistics and research methods, course should be inducted in-combination from 1st year of study and its Curricula should be developed by content experts with taking care of the spiral approach. Integration is now considered the best way to teach so the tutors should get maximum benefit of teaching biostatistics under this system. The curriculum contents should be updated at the end of course every time based on feedbacks and recent advancements in the field. Computer based approach should be used to make the learning more interactive. Assessment must be aligned with teaching methods, curriculum outcomes and course objectives. ID: 134 Students’ perception towards teaching pharmacology on module based curriculum Mahfoudh Al-Musali Mohammed Abdulghani Qassim University, Saudi Arabia Understanding current perceptions held by future medical practitioners regarding pharmacology and its role in both clinical practice and research may be helpful in improving teaching on this subject. This study was conducted to evaluate medical students attitudes toward pharmacology by conducting a cross sectional survey. The majority of the participants were from the Bachelor in Medical Science (42%), female (75.3%), Malay (68%), from semester four (21.3%). About 28% of the students mentioned that pharmacology is their favourite subject. However, the majority of them (66.6%) reported that the pharmacology subject has created the knowledge base which will help them in choosing drugs rationally in their future practise. Conclusion: The results of this study indicate that students are able to reflect on what and how they are learning. There is a need to delete the general stigma related to this subject that it’s a dry and boring subject by the students. Various efforts are directed towards the objective of making pharmacology teaching an interesting and a significant learning experience, by formulating new educational strategies and modules for the medical students. ID: 135 Practical Research Experience Course for Medical Students Tarig Hakim Merghani, Maree Alamri University of Tabuk, Saudi Arabia Recent years showed an increasing interest in undergraduate research among both medical students and faculty members. Participation in undergraduate research has positive effects on analytical and critical thinking of students and increases their interest in postgraduate studies. As part of their curriculum, medical students are taught principles of research methodology; however, this may not satisfy needs of those willing to gain practical skills and graduate with strong research portfolio. In this article, we have described general outlines of an elective practical research experience course which will be implemented in Faculty of Medicine- Tabuk University. Research experience of each student will be completely supervised by a faculty member, starting from preparation of a research proposal to publication. Objectives of the course are presented and responsibilities of supervisors are discussed. The course allows teaching staff in the Faculty of Medicine to transfer part of their knowledge and research experience to their students. Although a supervision increases the workload and consumes valuable time, previous studies showed that participating faculties benefit from these courses and experience significant improvement in quality of work. The course reflects a strong commitment of the Faculty of Medicine to scientific research. ID: 136 Effect of Blended Learning on Newly Nursing Student’s Outcomes Regarding New Trends in Nursing Subject at Ain Shams University. Fathia Ahmed Mersal12, Nahed Ahmed Mersal2 1college of Nursing Qassim university and Ain shams University , Saudi Arabia; 2Faculty of Nursing Ain Shams university Background Blended learning is a new educational approach used in nursing education to enhance nursing student’s outcomes. Aim of this study : was to examine the effect of blended learning on newly nursing student’s outcomes regarding new trends in nursing subject at Ain Shams University. Hypothesis : Students who will be exposed to Blended Learning (CD) in combination with lecture (Study group) will have improved Outcomes compared to the Students in the control group who will be exposed to lecture only regarding new trends in nursing subject. Design : A quasi experimental study design was utilized to accomplish the aim of this study. Setting: The study was conducted in Faculty of Nursing Ain Shams University Cairo Egypt. Sample : Two convenience samples of all available first year students’ from the previously mentioned study setting in 2012/2013 and 2013/2014 academic years as control group and study group respectively. Tools for data collection : A self-administered structured questionnaire to assess demographic characteristics and learning needs, student’s satisfaction , student’s academic achievement. Results : There was improvement regarding satisfactory level of achievement and decrease in the percent of poor and very poor of blended learning group with no statistical difference between two groups. There was improvement in student’s satisfaction of blended learning group regarding the course and teaching method with highly statistical significant difference between two groups. Conclusions : blended learning improved newly nursing student’s Outcomes both Academic achievement and Student’s satisfaction than Lecture only regarding new trends in nursing subject at Ain Shams University. Recommendations : blended learning can be used to facilitate the implementation of nursing educational programs. In the early 19th century an Islam-based reform movement, led by Shehu Usmanu Danfodiyo, succeeded in establishing a purely Islamic government in Hausaland, which is today the Northern part of Nigeria. . One of the movement’s scientific legacies is its leaders’ extensive works on clinical education which, if examined carefully, would be found to be substantially still relevant today. An important piece in this regard, Kitab Masalih al-Insan al Muta’alliqah bi al-Adyan wa al-Abdan, authored by one of the jihad leaders, Shehu Abdullah Danfodiyo, is examined in this paper. The aim is to bring to the fore the extent to which works of local scholars on medical sciences could still be relevant today. The paper focuses on this book which serves as the principal instrument for data collection. Descriptive method is used in data interpretation where relevant portions are brought out and discussed. It is revealed that .the book sounds relatively modern and substantially in tandem with contemporary medical education. It is discovered that aspects of ailment diagnosis, treatment of disease, prevention of infection, maintaining a healthy body and good doctor-patient relationship are relatively adequately explained. Similarly, what to be considered before prescription and types of treatment such as dietary, therapy, Cupping, etc., are discussed. Though authored more than two hundred years ago, this book could still be relevant today. At a time when medical sciences appear to be geared towards destructive purposes, when several home-grown doctors seem to behave harshly towards patients and when medical profession is generally assumed to be independent of religion this book could be of significant importance. This is because, among other things, it stresses on both preventive and curative healthcare, begins from simple to complex aspects and expatiates on the virtues and functions of the physician, the patient and the nurse. ID: 139 Student Stress: A Letter Abdelmageed Mohamed Imam, Saleh Alqaryan College of Medicne - Qassim University, Saudi Arabia Student Stress: A Letter Stress may be defined as the human response to environmental pressures. The stress response seems to be stimulated by a variety of underlying risk factors and/or aetiologic situations. The prevalence and sources of stress among medical students in Universiti Sains Malaysia and Universiteit Maastricht, have recently been analysed & compared. The authors concluded that academic requirements ( AR ) were the most stressful events as perceived by students. The purpose of this communication is to raise a question: What are the probable underlying risk factors and/or aetiologic situations that may convert AR into stressful events ? The Letter: In a scientific communication ( in press ), we have suggested that in any given medical school: if the student mother-tongue language ( SML ) is not the same as the school instruction language ( SIL ), then a stressful event may arise. In this sense, non-fulfilment of AR is a complication of stress secondary to an underlying risk factor which is the discrepancy between the SML and the SIL. We think, such a situation, remains a dilemma-like issue that needs to be approached and evaluated by medical ID: 138 education experts and teachers. Conclusion: We suggest, Clinical Ethics according to Sheikh Abdullahi Danfodiyo it is more rewarding to explore on why and how stress is born. For example, in AR, the underlying risk factors and/ and its Relevance to Modern Medical Education or aetiologic situations of stress seem to be very diverse. They may include language, culture, faith, socio-economic Ahmad Yahya status, gender, and ethnicity. Federal College of Education, Nigeria 149 ID: 140 Role of Medical Councils in Accreditation and Evaluation of Medical Institutes- A Pakistani Perspective Musadiq Idris, Umer Farooq The Islamia University Bahawalpur, Pakistan, Pakistan The Higher Education Commission of Pakistan (HEC), is an independent, autonomous, and constitutionally established institution of primary funding, overseeing, regulating, and accrediting the higher education efforts in Pakistan. In 2003, Canada began helping Pakistan develop an accreditation system. According to the charter of HEC “the HEC of Pakistan may set up national or regional evaluation councils or authorize any existing council or similar body to carry out accreditation of institutions including their departments, facilities and disciplines by giving them appropriate ratings. Various councils were established under Quality Assurance Agency of HEC viz. National Accreditation Council for Teachers Education (NACTE), National Agricultural Education Accreditation Council (NAEAC), National Business Education Accreditation Council (NBEAC) and National Computing Education Accreditation Council (NCEAC). However, the five (06) councils associated with the accreditation/evaluation of medical institutes are independent bodies, though, recognized by the HEC. These include Pharmacy Council of Pakistan (PCP), Pakistan Medical and Dental Council (PMDC), Pakistan Nursing Council (PNC), Pakistan Veterinary Medical Council (PVMC), National Council for Homeopathy (NCH) and National Council for Tibb (NCT) (Eastern Medicine). The present work will discuss the role of these councils in accreditation/evaluation of their respective medical institutes in Pakistan. Furthermore, it will unearth the innovations being made in the aspect of accreditation and the issues of concern, thus arising. ID: 141 Usage Rate of Emerging Web Technologies by Undergraduate Medical Students in the University of Tabuk Amina Anwar Unis, Reham Al Khubrani, Ameera El Howatee University of Tabuk, Saudi Arabia 1 Amina Unis, 2 Reham El Khubrani, 3 Ameera El Howatee 1 Assistant professor of Pharmacology-Faculty of Medicine-University of Tabuk -Saudi Arabia 2,3 Sixth year medical student -Faculty of MedicineUniversity of Tabuk -Saudi Arabia BACKGROUND Recently, it has been noticed an increasing use of new web technologies by medical students. Even though these technologies were developed for social communication , it has been tailored by medical students to substitute traditional medical knowledge and information. In addition, faculty members started to intermingle with students using such technologies. Hence, the present study was developed to measure usage rate of these emerging web technologies by medical students and to identify its impact on the process of medical education. METHODS A semi structured questionnaire survey was developed to measure the usage rate new web technologies for medical education and was distributed to all undergraduate medical students (285 students in both male and female campuses) in Faculty of Medicine in the University of TabukSaudi Arabia. RESULTS The present study has recognized that undergraduate medical students in the University of Tabuk have great familiarity with emerging web technologies. In addition, it has been found a significant increase in the usage rate of new web technologies among undergraduate medical students. Such increase in utilization rate was justified by medical students as these technologies facilitated their study tasks e.g. searching for information, submitting assignments and attending virtual classes. CONCLUSIONS Emerging web technologies have a positive impact on the process of medical education for most of the students which was justified by its increased usage rate. Proper integration of such technologies in the medical education is needed in order to maximize and measure its benefits. ID: 150 Can The Basic-Clinical Barrier Fade in The Integrated Medical Education? Emad Abdulqader Koshak, Adel Abdulaziz, Essam Mady, Usama Akl Albaha University, Saudi Arabia Introduction: Despite the recent dramatic shift of medical curricula towards more integration that loosen a lot of traditional barriers, the divide between the basic and clinical years, still exists. According to regulations of study and assessment (RSA), students who fail in any basic sciences course had to stay at home for a full academic year to restudy and examine this course before pursuing their study into the clinical sciences phase. Methods: Al-Baha University Faculty of Medicine (ABUFM) has adopted a six years system based modular curriculum with a vertical and horizontal integration. 20% of the clinical phase content is taught in the basic sciences years and vice versa. A study and assessment committee (SAC) was assembled to develop an updated RSA. Non structured meetings, focus groups and questionnaires were among the utilized tools to conduct situation analysis. Results: A set of organizing rules shaped out ABUFM regulations for RSA: • Students who fail in one basic sciences module can be allowed to register the full clinical modules. • Students who fail in two basic sciences modules (not major prerequisites) can be allowed to register non-conflicting clinical modules. • In the clinical phase, these students can reset for the examination of the failed modules within their regular time. 150 Discussion: The basic-clinical barrier is incompatible with the goals of integration. New RSA rules will then recommend case sensitive solutions that can diminish the basic- clinical barrier. Accordingly, failed students will be protected from multiple deleterious psychological effects from staying at home such as: losing their enthusiasm to study and feeling deteriorated beyond their colleagues. Conclusions or take home messages PBL is an unconscious enabler of learning / practice of Evidence Based Medicine. Take home message: Based on integration advantages in modern medical education, innovative RSA will bring novel practical case sensitive solutions. Ultimately, fading the basic – clinical barrier, which will allow defaulter to study at their own pace. ID: 159 ID: 156 Evaluation of different teaching learning methods as enablers of EBM –Learning and Practice Syed Suhail Naser Osmani, Murugesan Kannan RAK Medical and Health Sciences University, United Arab Emirates IIntroduction: The Sicily statement states that, “all health care professionals need to understand the principles of EBP, recognize it, in action, implement evidence-based policies, and have a critical attitude to their own practice and to evidence.(1) Evidence-based medicine (EBM), has become an integral part of the undergraduate curriculum. The opportunities for learning of EBM are variable and so are the methodologies.(2) Our school has a credit course, “Clinical Decision Making” (CDM) as a vertical weave from year II to year V, as a part of its curriculum. Aim A questionnaire study was done, to assess students’ perceptions, about the impact of different teaching-learning methodologies on their learning during the CDM course. Methods Survey was done amongst, 120 students, of years III, IV and V at RAK College of Medical Sciences, to evaluate the student perceptions. Results Problem Based Learning (PBL) and Bedside clinical teaching, were identified to have greatest impact on their learning during “CDM” course. Problem Based Learning was the most favored choice. Discussion: Health professionals, educated within traditional lecture system of medical education, are not confident about accessing, understanding, and critically appraising evidence from research, whereas, process-oriented methods such as the problem-based learning, allow students to learn how to locate new information, work co-operatively, and find solution to practical problems, preparing them to make clinical decisions based on best available evidence. 4,5,6,7 Our students have pointed out that Problem based and bedside clinical teachings are the two most effective educational methodologies which develop the attitude and skills, essential for the Learning / practice of EBM Evidence based medicine course curriculum should use real patients, bedside teaching, case discussions and Problem based learning as educational methodologies. Designing and Evaluation of an Innovative Multidisciplinary Clinical Module on Cardiology and Cardiovascular Surgery for Medical Students in Al-Baha University. Walyeldin Elnour Elfakey1, Emad Abdelgader Koshak2, Adel Abdelaziz3, Usama Akl4, Fahad AlQahatani5, Essam Mady6 1AlBaha University, Saudi Arabia, Bahri University, Sudan; 2AlBaha University, Saudi Arabia; 3AlBaha University, Saudi Arabia; 4AlBaha University, Saudi Arabia; 5AlBaha University, Saudi Arabia; 6AlBaha University, Saudi Arabia Background: Al-Baha Faculty of Medicine is adopting an integrated system based curriculum .In the basic phase, integration was a straightforward, while challenging in the clinical phase. To develop an integrated clinical module, it was necessary to recall surgery, medicine and paediatrics from their ivory towers to be tailored in one medium. Methodology: To develop, implement and evaluate a module on: Cardiology and Cardiovascular Surgery (CCVS), a module committee was assembled including an internist, surgeon, paediatrician and community physician. ILOs related to basic and clinical sciences were formulated. Content organization was performed depending on the ILOs. Varieties of teaching/learning and assessment strategies were adopted. Inferences of program evaluation were obtained through self administered students’ and staff questionnaires. Results: The study guide developed. The contributing specialties were: internal medicine, paediatrics, surgery and community medicine. 20% of the content was allocated to basic sciences. The module introduced for study by the fourth year. Teaching/learning activities were: Lectures: 32, Tutorials: 2, Seminars: 4, PBL sessions: 8, SDL sessions:4, Skills’ Lab. sessions:5, day-long hospital-based clinical sessions:12, basic sciences practicals:2. ILOs were perceived as comprehensive by 23.3% and 86.7% of staff and students respectively. 23.3% of both staff and students perceived the content as satisfactory. Perceived points of weakness were: imbalance between basic and clinical contents and between medicine and surgery in other side. Discussion and Conclusion: Validity of integration in the clinical phase indicates loosening the borders between clinical specialities. CCVS module can be seen as a prototype of integration between clinical sciences. Medical and surgical problems of the cardiovascular system in all age groups are put together. In spite of perceiving it as satisfactory, students and staff members identified some points of weakness considering the novelty of the experiment. Take home massage: The development of multidisciplinary integrated system-based clinical modules is achievable. 151 ID: 160 Students’ Perception of Educational Environment at Rabigh Medical College Fahd Altherwi, Mukhtiar Baig, Shahid Shamim, Abdullah Ahmad Alahmary, Sami Anwarfathi Kalantan Rabigh Medical College, King Abdul Aziz University, Jeddah, KSA, Saudi Arabia Introduction: Students’ perception regarding educational environment is a valuable basis for modifying and improving the quality of educational environment. Assessing educational environment is vital in determining the success or failure of any institute. A positive environment leads to achievements of students in learning while a negative one would hinder their accomplishments. Rabigh Medical College (RMC), at King Abdulaziz University (KAU), Jeddah, is a relatively new institute for undergraduate medical education. The first batch of RMC will graduate in 2014. The purpose of present study was to assess the students’ perception of educational environment at RMC. Methods: A cross-sectional study was conducted with students of 2nd to 6th year of RMC, KAU, during March 2014. Dundee Ready Education Environment Measure (DREEM) questionnaire was employed to assess the educational environment as perceived by students. The English version of the DREEM inventory was translated to Arabic and students’ perception was taken anonymously. This oral presentation part of systematic reveiw study was conducted to compare the effectiveness of stress management programs in dental education, through a systematic review of the literature. The number of studies concerning stress management programs for dental students is limited, compared to studies discussing the sources of stress among dental students. Different types of programs for stress management have been reported, and they differ in their duration content, and outcomes. Two main strategies have been used to help stressed students: 1) decrease the number of stressors and 2) increase coping with stress. The first strategy includes several actions, such as reducing fear of failure and workload pressure due to examinations and requirements. The second strategy includes stress coping techniques, such as deep breathing exercises. Although positive effects have been reported for most of the programs, these results have mainly been found using self-report subjective measures. There is a need for more research to suggest the most effective stress management program. ID: 164 Four Years Experience Of Progress Tests Nabil Amer Amer Sulaiman Alrajhi Colleges, Saudi Arabia Conclusion : Students at RMC have an overall positive opinion regarding educational environment at the Institute. However, a number of areas are recognized which require improvement. Progress test is a comprehensive test which reflects the achievements of all students at certain times. It includes all medical students but each year is compared with its counter part.Their is negative marking inorder to discourage the guessing factor. The norm is decided by the group after the exam and not before.Sulaiman Alrajhi Colleges conduct six progress tests per year. As we have an agreement of collaboration with Maastricht University, we receive four progress tests per year conducted together with other seven universities world wide from Australia to Brazil. Also as a collaboration with Gassim University we conduct two progress tests per year ; one in each semester together with other nine national universities. We have four batches of students who sat for these progress tests from first year to fourth year. Our results showed a clear improvements in the last progress tests and some times we score better than our counterpart the international medical students (ITM) who study in Maastricht using the same curriculum. This indicates clearly that our students if giving the right directions and encouragements they can be as good as any other medical students although we are just a five years old medical college. I will present the results of both Maastricht progress tests in comparison with ITM students and also our four results of University of Gassim progress tests. ID: 161 ID: 168 Stress Management in Dental Students Importance of Clinical Reasoning in Medical Education: An experience of using case-based studies at Sulaiman AlRajhi Medical College. The study was approved by the Dean of the RMC. The data was analyzed on SPSS version 16, for mean and standard deviation of total DREEM scores and five subscales were reported. Results: Total respondents were 86 (response rate = 57.33%) and total DREEM mean score was 116.79/200 (58.4%). Highest score was found in the domain of student’s academic selfperception (61.12%) and lowest in domain of students’ social self-perception (52.89%). A significant number of items were presented with a mean of two or less indicating problem areas and majority of the items had a mean between two and three indicating further improvement. Abdullah Alzahem1, Henk van der Molen2, Benjamin de Bore3 1Ministry of National Guard - Health Affairs, Saudi Arabia; 2Erasmus University; 3Princes Nora University Zaka Khan Sulaiman AlRajhi Colleges, Saudi Arabia Much has been emphasized on the importance of clinical reason in medical education. Enforcing clinical reasoning in 152 medical students is grounded in different educational principles that prepares students to deal with better diagnostic process and further patient management. The process of clinical reasoning incorporates hypotheses generation wit testing through subsequent questioning, reanalysis, differential diagnosis and eventually a working diagnosis. In this paper, we will discuss an experience of using problem-based learning through case-based studies to teach clinical reasoning to medical students in clinical years at Sulaiman AlRajhi Medical College.We will explain different challenges and strengths that our faculty has faced in teaching clinical reasoning to medical students. ID: 170 Impact of an Educational Intervention on Family Physicians’ Compliance with Screening for Depression in Diabetic Patients Mohammad Zaki AlBaik Prince Sultan Medical Military City, Saudi Arabia Background Diabetes mortality is increased when accompanied with depression. Screening for depression is recommended by national and international authorities. Objective To evaluate the effect of a brief and interactive seminar to family physicians on their compliance with depression screening in diabetic patients. Methodology The study was designed as a quasi-experiment of pre and post assessments. Physicians with a minimum of one year experience and diabetic patients of either sex, 18 years and older, new to the clinic or follow up were included. Mentally retarded patients or with psychiatric disease were excluded. Convenience sample was used. There were 102 patients in the pre intervention group and 101 patients in the post intervention group. All the 13 physicians were included. An interview questionnaire and abstraction sheet were used for data collection. The two-item version of patients health questionnaire (PHQ-2) was used as a screening tool. Interactive seminar lasting 30-minutes was used as intervention and post seminar assessment was done after one month. Results Thirteen physicians and 203 patients were included. Participating physicians screened one patient before the intervention, and 24 patients (23.7%) after it (p<0.0001). Patients with PHQ-2 positive were constituting 45.8%. Depression was associated with female gender (p=0.049), long standing diabetes (p=0.035), insulin use (p=0.024), and with other medical comorbidities (p=0.006). Conclusion A brief and interactive seminar can improve family physician’s compliance with screening for depression in diabetic patients. Further study is needed to determine whether the beneficial effects are maintained. ID: 171 Improvement in medical education teaching with simple steps Shahid Akbar, Mohammad Alorainy, Mansour Alsharidah College of Pharmacy, Qassim University, Saudi Arabia Sometimes more importance is attached to the methods of teaching rather than the teaching itself. Regardless of the system of teaching, effective teaching in general and medical education in particular involves three components; the teacher (Professor), the student and the purpose that connects them. These components are interconnected and interdependent and their individual significance cannot be overemphasized. Purposeful teaching is not simply a passive transfer of information but involves a carefully crafted strategy that requires a number of factors to be taken into account for it to be a purposeful exercise. Imparting knowledge is a process that entails, in addition to competence, thoughts, compassion and sincerity of the teacher. It is part of the responsibilities of a professor to inspire students and instill confidence and define the purpose of the process of teaching and learning. Moreover, learning is an active process for which the active participation of the learner is a prerequisite. The learner (the student) must have a desire, a passion, and a higher goal to achieve as a result of the learning process. In addition, the student must have a faith and trust in his teacher’s knowledge and sincerity. We intend to present some simple steps for both effective teaching and to improve the learning process. ID: 172 Getting ready for success in a PBL medical program: Introducing PBL in the English language classroom at Sulaiman Alrajhi Colleges Abdelmoniem Fahmy M. Soliman Sulaiman Alrajhi Colleges, Saudi Arabia Introduction Recently, there has been a critical change in higher education from teacher-centered approach towards studentcentered approach where students are responsible for their own learning. Methods This paper examines the effectiveness and usefulness of using PBL in the English language classroom, particularly in teaching English Grammar to EFL Preparatory Year Program (PYP) students at Sulaiman Alrajhi Colleges (SRC) to prepare them to the PBL learning environment when they join the College of Medicine. In order to increase their chances for success, PYP students are fortunate to start their first PBL experience in the English Grammar II class. In this class, both students and the EFL teacher address some of the challenges that students may encounter during their next academic years (e.g., interpersonal communication, group dynamics, etc.). It is an opportunity to provide students with the philosophy of PBL, the basic information needed to do PBL, the objectives it is designed to achieve and an introduction to group work. Results Although getting knowledge of the philosophy and objectives of PBL is essential, a true understanding of PBL may 153 only come through taking part in the process in class. The English Grammar II class represents the transitional period that PYP students experience before joining the medical program. The results of this experiment reveal that PYP students have developed and acquired the basics of PBL through their engagement in identifying and solving authentic problems in English Grammar. Discussion It is useful and beneficial for PYP students to do PBL before joining the medical program in order to work more productively with other classmates to solve problems in both the medical program and their daily life situations as well. ID: 173 Innovation in Ethics and Professionalism Course: Early Experience with Portfolio-Workbook Nadeem Alam Zubairi, Mohamad Hesham Ahmed, Muhammad Shahid Shamim King Abdulaziz University, Saudi Arabia Introduction Ethics is considered an essential trait for medical graduates and has become a part of formal curriculum in almost all healthcare institutes. However, there are still no evidencebased, recommended strategies for ethics teaching in order to achieve the outcomes of ethics course in most medical colleges of the world and the situation is equally worse in the Saudi Arabia. We developed a portfolio-workbook for Professionalism and Ethics Course at our College. We believe this innovation improved the delivery, students’ understanding and learning of the subject content. The aim of this study is to analyze students’ and faculty’s feedback regarding the innovative use of Portfolio-workbook in Ethics and Professionalism course. Method Innovation: A “portfolio-workbook” folder is developed on the principles of cognitive load and guided learning theories. The portfolio-workbook contains reading material, exercises for students to reflect on what they have learnt and evidence of their experiences in clinical work. Students from early clinical years completed the two-week module in ethics (and professionalism), during which they learned with small group discussions, students’ presentations and role-plays, on the topics expressed in the portfolio-workbook. Data Collection: Proforma with open and closed ended questions were used to collect the required data. Feedback regarding the innovative learning process and Portfolioworkbook was gathered from faculty involved in delivery of the course and students who finished the two-week course. Analysis: The quantitative data is analyzed for frequencies and percentages. Content analysis was conducted for the open-ended responses. Results In process 154 ID: 177 Portfolio at Sulaiman Alrajhi Colleges, Self analysis- the difference. A pilot project. M.Ishaque Sarhandi. Sulaiman Al-Rajhi Colleges, Bukayria Qaseem., Saudi Arabia Dr. M. Ishaque Sarhandi. Introduction: Medical education research has changed over the years from merely descriptive studies towards justification or curriculum comparison studies and, nowadays, towards a slow introduction of more clarification studies. Portfolio is an integral part of the assessment strategy, used to look into the progress of a student. The present study has evaluated the difference perceived by the students in reflecting on their own self, while using the old and new techniques. Method: This is descriptive study done prospectively. Ten students were selected from SRC students’ batches from each batch. A structured questionnaire developed by the author was presented to all the selected students’. Prior to this consent form and confidentiality issues were ensured.The data was interpreted and analyzed on SPSS 17th version. Any student of SRC who has used both types of portfolio programs, selected through randomized systematic sampling and willing to sign the consent form.All the students of first year as they haven’t used the old portfolio program and using only the new program.. Results: This pilot study has revealed promising results in terms of comfort to use the new strategy to write the self analysis and covering all the areas they want to describe in their self analysis. The new strategy has also helped them to get a clear feedback from their mentors along with planning for their future learning objectives for the upcoming blocks/ clusters. ID: 178 Student’s Perception on Objective Structured Practical Examination in College of Applied Medical Sciences NAZIM NASIR AHMAD1, Mohammad Rehan Asad2, Waqas Sami3, Khwaja Mohammad Amir4 1KING KHALID UNIVERSITY, Saudi Arabia; 2Majmaah University, Saudi Arabia; 3Majmaah University, Saudi Arabia; 4Majmaah University, Saudi Arabia Introduction: The Objective structured practical examination (OSPE) is the modified version of the OSCE used for the summative assessment of practical knowledge and skills in Medical Education. Although College of Applied Medical Science’s is following traditional curriculum but it implements OSPE as one of the assessment tool in curricula. In this study, the student’s feedback and perception will provide the baseline for any required modification in future and eventually leads to more effective implementation of the OSPE. Objectives: To evaluate student’s response for OSPE in College of Applied Medical Sciences Khamis Mushaiyat and to correlate responses of the students from three different levels. Materials and Methods: It is institutional based cross sectional study. The responses were collected by using self-administered questionnaire based on Likert scale. Student’s feedback for OSPE was assessed from 79 students of 3 different levels (level 3, 6&7). The questionnaire was divided into three parts; structure/format of examination, conduct of examination and evaluation of the examination. The perception of students were statistically analyzed and then compared among different levels. Results OSPE stations were properly organized 58 (74.4%), OSPE eliminates factor of luck 40 (52.1%), time allocation was appropriate 39 (49.4%) and assessment was fair 54 (48.6%). Students from all three level agrees and showed significant association (p<0.001) that OSPE eliminates factor of luck among them. There was also a significant association (p<0.001) between students of different level for the presence of examiner on each station facilitated their exam. Conclusion It can be concluded from the study that OSPE is an effective/unbiased and authentic mode of assessment and can be extended to other level of students. ID: 182 The effect of reducing the number of options on the psychometric properties of a MCQs test in a medical school. BAHAELDIN AHMMED HASSAN, OMER ABDELGADER ELFAKI KING KHALID UNIVERSITY- ABHA- SA. COLLEGE OF MEDICINE Introduction: . Optimal numbers of options in single best answer MCQs is still a matter of debate that needs further evidence. The aim of this study was to explore the effect of reducing the number of options of MCQs test in gynecology from four to three on psychometric parameters of the same test. Methods: Four options MCQs test was conducted to a cohort of fifth year medical students after completing their clinical course of obstetrics and gynecology in a six-year MBBS program in college of medicine- King Khalid University- Saudi Arabia. The same test was modulated by removing the options with the least students’ responses. This reformed test was administered to another cohort of students from the same course. Item analysis of both tests was conducted. Paired ttest and chi-square tests were used to compare the psychometric parameters with P value set at 0.05 as significant. Results: The three options test showed a small but significant increase in test reliability compared to four options test (0.89 Vs. 0.8 respectively). The mean item difficulty index of four options test was 0.879 compared to 0.808 for the three options test (P=0.0001). The mean item discrimination index was found to be 0.3111 and 0.2333 for the four and three options tests respectively (P value =0.0001)thirty five percent of the distracters in the three options test were identified as non-functioning distracters (NFDs) compared to 49% in four options test (P value= 0.001). The mean functioning distracter per item was found to be 1.27 for four and 1.53 for three options tests respectively (P value = 0.024). Conclusion: The three options test showed significant improvement in three of the four psychometric properties studied. ID: 183 Evaluating Knowledge, Attitude and Skills Toward Patient Safety Among Medical Students in Saudi Arabia Abeer Arab, Hussain Abubakr, Rawan Benkuddah, Waleed Bokhari King Abdulaziz University, Saudi Arabia Introduction This study aims to evaluate the impact of teaching a patient safety module on medical students’ knowledge, attitude, and practice. Methods A case-control study was done between two groups. The first group included students from King Abdulaziz University that offers a patient safety module as part of their curriculum compared to a second group from other five different saudi universities. A self-rating questionnaire was designed to measure knowledge, attitude and skills toward patient safety. Results 392 final year medical students filled the questionnaire, with current response rate of 60.3%. In the first group, 77.8% claim to understand the definition of medical error, while 62% only from the second group think they do. Only 40.5% from the first group declared they know how to report an error with 18.8% from the second group (P-value= .094).. Only 52.5% of the first group and 41.9% of the second group agreed that competent physicians do not make medical errors that lead to patient harm (P-value= .842). Both groups agreed on the need for teaching a patient safety curriculum. Moreover, 55% of the first group answered the hand hygiene practice questions correctly compared to 42.4% only from the second group. That difference was consistent for other questions but more prominent with questions related to vital safety practice as needle safety and medication errors. Conclusions Our study concluded that students who participated in patient safety module through their curriculum were more knowledgeable and alert regarding WHO objectives of patient safety. D: 185 The Use of Social Media in Education among Medical Students, Saudi Arabia Anas khaleel Alsuraihi, Sultan adnan abu ganim, Ahmed Saeed Almaqati, Dr.Nisreen Jastaniah King Saud bin Abdulaziz University for Health Science, Saudi Arabia Background Social Media (SM), a virtual place where people can share, exchange, and communicate their ideas and knowledge, has become the new trend in communication and learning. This study aims to explore the usage of SM by medical students in Saudi Arabia and to find out the most common resource used in medical education. Furthermore, it aims to illustrate the impact of SM on students’ learning. 155 Method This is a cross-sectional study where pretested questionnaire was distributed to medical students from different universities in Saudi Arabia, during the period June – August 2013, via emails, Twitter, Facebook and SMS. Statistical analysis was done using SPSS V17. We used Chi-square, t test, and Mann-Whitney U when appropriate. Results The total respondents were 657 students, from 23 different medical schools in Saudi Arabia, females represented 60.5% (n=397). The most common site used by both gender was YouTube 42.3% (n=185), however males preferred using Twitter and Wikis (P=.001). In regards to utilizing SM for learning 95.8% (n= 419) of the students believed that it is beneficial, whereas 4.2% (n=18) found it not beneficial. Females stated that SM helps them linking basic with clinical science (P=.003). Surprisingly, data showed that as students advance in level, premedical, medical, and clinical years, their awareness of ethical guidance for proper use of SM decline (P=.0001). Conclusion Medical schools need to improve the utilization of SM, by faculty and students to develop activities and encourage the usage of SM in education. Therefore, it is essential to establish an ethical guidance to ensure the appropriate use. ID: 187 An Empirical Examination on Using e-learning in Medical Education from Innovation perspective as non-linear processes carried out in Universities Networks Prof.Dr.Tarek Taha Ahmed Pharos University in Alexandria, Egypt Background/Research Problem/Purpose: Despite e-learning can offer medical education students an innovative learning environment compared with traditional education, limited studies addressed this phenomenon in developing countries context. Thus this research paper aimed to empirically examine e-learning implementation in medical education form innovation perspective as nonlinear processes carried out in university network, conceptualize, develop and validate a mathematical model for examining the critical innovation constructs that significantly influencing this usage, assessing their relative importance, and predicting medical students’ intention to take up elearning study Design/Methodology/Approach: The research design involved a cross-sectional survey for data collection. Among a total of 500 questionnaires that were randomly distributed, 369 valid patient responses were received and used in data analysis. The reliability of instruments was assessed, and showed high using internal consistency (Cronbach’s alpha > 0.8). A multi-stage research methodology was used, combining quantitative and qualitative methods to validate the research model and empirically test the hypothesized relationships. Pre-study was conducted using focus group and complemented by in-depth interviews. Multiple regression analysis with its associated statistical inference tests was applied, and muticollonearity effects were assessed. 156 The results showed that there was no significant collinearity detected among regressors Findings/implementation/Results: Based on our findings the current study has made a number of important practical and academic implications. These findings provide valuable guidance for researchers and practitioners for effective e-learning implementation and can assist as a framework for enhancing medical education outcomes Discussion/Originality/Results: Unlike previous studies this study has taken a further significant step in contributing to both theory and practice and expand the research scope through integrating the critical critical innovation adoption antecedent predictors, cited in literature, into one framework subject to examination for validation and relationship in e-learning medical education setting. ID: 193 Perception and influence regarding career decisions of undergraduate Saudi dental students’ at Qassim region Saeed Banabilh, Abdulwahab Alshahri, Roba Alsalhy, Rawan alrothey, Walied Al-Lahyan Qassim University-College of Dentistry, Saudi Arabia Background: Students’ reasons for choosing dentistry as a profession have not been well documented, especially in the developing countries. Objective: The aims of this study were to determine the reasons why undergraduate Saudi dental students who attended both public and private University at Qassim region chose dentistry as a career and to know who influencing student’s choice. Method: A total of 270 out of 300 responses were recorded for this study, a response rate of 90 percent. An anonymous questionnaire was administered to dental students, and a chisquare test was used for statistical analysis of the data. Results: The results showed that students chose dentistry as a career for the following reasons: economic (easy to find jobs, 81.9 percent); professional (one of my parents working in health care professional, 80.7 percent); personal (dentist usually doesn’t deal with life threat cases, 74.1 percent) and vocational (I like to interact with others, 70.0 percent). When group and item scores were compared between genders, statistically significant differences were only found for economic reasons (p<0.05). In addition, self-motivation; father and mother were the strongest influencing factors in the choice of dentistry as a career by Saudi students. Conclusion: The reasons Saudi dental students chose dentistry as a profession were mainly economic then professional. However, economic reasons were found to be the significant factors for choosing dentistry as a career by both genders in this group of Saudi dental students. ID: 190 ID: 191 Academic Performance and Study Pattern Styles among Medical Students in Saudi Arabia Nivin Sharaf Eldin, Akef Obeidat Alfaisal University, Saudi Arabia Oral Presentation Rational The capability and willingness of students to develop and implement time management skills is crucial for better academic performance and quality educational outcome Over the last two decades, student mentorship showed promising results to better prepare students for high academic performance through identifying their studying barriers and helping them implement the required corrective measures. Objective The main objective of the current study is to explore students’ different studying patterns and observe the learning behaviours among Medical Students in Saudi Arabia in order to improve their academic performance Methodology Our methods include questionnaire survey and student mentorship interviews. These tools are aiming to produce observational insights and student awareness for their studying styles and their capabilities for preforming the required corrective measures and accepting interventions. Students then will be re-evaluating their perceptions and academic performance. The modified questionnaire is based on an extensively tested and validated time management questionnaire of Kent University, UK. Data collection and statistical analysis will be carried out using SPSS VR20 Results Many medical students volunteered to be involved in the current study. Our target is to recruit 100 subjects from the Saudi medical student. Between 2011 and 2014, 20 students were interviewed and answered the survey. Preliminary results showed that 10 students (n=10, 50%) were capable of changing their studying pattern from late evening to early morning hours. Moreover, this group showed elevated GPA from 2.25±0.5 to 3.5±0.5with p ≥..05. Conclusions Student’s mental stress due to lack of proper time management and feelings of inadequacy to learn were identified as core barriers to achieve higher academic performances. Here, we showed that proper mentorship and better time management plus the identification of study pattern styles among students are clearly affecting the academic performance of the medical students in Saudi Arabia. More studies are required to improve Mentorship development program Kiran Mehtab, Sharmeen Amin, Zafeer Ahmed Yazdani, Sundus Khan, Aliya Khan jinnah sindh medical university karachi, Pakistan Original Article “Comparison between Learning Environment in Government and Private Hospitals in Karachi in Relation Of Gender” Researchers: Kiran Mehtab1 Sharmeen Amin2 Zafeer Ahmed Yazdani3 Sundus Khan4 Aliya Khan5 Introduction: It is an essential need of every medical student to be provided with a supportive and instructive environment in their learning hospital. This environment should be similar for the students learning in both, government and private hospitals settings. This environment should be free from any discrimination among the students on the basis of gender. AIMS: This study aims to: 1) Compare the proficiency of the clinical environment provided to the students in Government and Private Hospitals in Karachi 2) Determine the presence of discrimination among the students in Government and Private Hospitals on the basis of gender Methodology: A cross-sectional survey conducted among the students of four major tertiary care hospitals of Karachi. A total of 600 students were included in the study, 150 from each hospital. The data was collected using a self-administered questionnaire. Data was analyzed using SPSS 20.0. A confidence level of 95% and a p-value of < 0.05 were considered significant. Results: The students learning clinical skills in Private hospitals were more satisfied 56% of the environment as compared to those studying in Government hospitals 34.7%. The chi square value for the comparison between these hospitals settings is 10.173 with a p-value <0.005. The mean for the grading of Private hospital’s learning environment is 6.76 with a standard deviation of 1.883 as compared to the Government hospitals having a mean of 5.73 and standard deviation of 1.815. The Chi Square value for the comparison of clinical environment for male and female students is 3.168 with a p-value between 0.05 and 0.1. Conclusion: From this comparative study it was deduced that there is significant difference between the learning environments of these systems. The students need an environment in which there is active interaction between students and doctors and ample chances for them to develop their clinical skills. Fortunately, there is no discrimination among the medical students in these systems on the basis of gender. 157 ID: 195 Introduction: Introduction of Evidence-Based Medicine (EBM) in the 4th Year MBBS Integrated Modules at Ibn Sina National College for Medical Studies: Student’s Perception Our medical school has a 5 year undergraduate program (excluding a year of internship). The first year of this program is a preparatory course which covers an introduction to medicine module and also English language courses. Assessment for the medicine module includes a written examination in the form of multiple choice questions (MCQs), student portfolios and student presentations. The English course in the preparatory year is constructed as a standardized course covering all aspects of medical English including – medical terminology, reading, writing, speaking and comprehension. We aimed to study the effect of English language proficiency on the academic performance in the medicine module by correlating the scores of the English language module with those of the medicine module. Hani Salem Atwa, Rashad Hassan Alkashgari, Mohammed Younis Jan Ibn Sina National College for Medical Studies, Saudi Arabia Introduction: Ibn Sina National College for Medical Studies is the first private medical college under supervision of Saudi Ministry of Higher Education. It runs Medicine, Dentistry, Pharmacy and Nursing programs. Medicine (MBBS) program employs an integrated curriculum that has both systems-based modules and problem-based learning (PBL). In Year 4 MBBS, a module called “Integrated Multisystem Module”, or IMS, is a transitional module between basic and clinical sciences, where integration between both takes place. Themes in IMS focus on history, physical examination and investigations of different body systems. A proposal for introducing the concept of EBM in this module was welcomed by the curriculum committee, especially because it is not taught anywhere else in the curriculum. Scores obtained in each component of the medical content assessment were correlated with the total score in the English assessment. Statistical analysis was done using SPSS software. Non-parametric correlation using Spearman’sRho was the primary statistical measure. Interactive lectures about EBM were conducted, followed by assigning a case for each student (or group of 2-3 students), and they were requested to analyze the case, formulate answerable EBM question, search databases for evidence and provide valid answers for the questions. Assessing students’ work was based on skills in applying EBM steps and quality of evidence they provide. Results A significantly positive correlation (Spearman’s Rho, at 0.01 level) was seen between the scores of the English exam and the written exam (p –value 0.000) and the oral exam ( pvalue -0.003). Significant correlation with the English exam score was not obtained for the other components – student assignments, presentations and portfolio. Methods: A self-administered questionnaire was used to obtain students’ perception of the EBM topic. A sample size of 60 students was calculated, and response rate was 95% (n=57) . Descriptive statistics were used and statistical significance was set at p < 0.05. Results: Overall, the great majority (86%) of students perceived the EBM topic as “useful”. Only 3.5% of them said it is “useless”. There were differences between males’ and females’ perception. However, such differences were not statistically significant (p > 0.05) . Conclusion: The initiative can be described successful. There is a general agreement between the students about usefulness and importance of teaching EBM. Introducing this topic on a wider scale in the undergraduate MBBS curriculum is important, as also said by some of the students. ID: 194 English language proficiency and academic performance: a pilot study of a medical preparatory year programme in Saudi Arabia Feroze Kaliyadan, Nazer Thalamkandathil, Srinivas Rao Parupalli, Magdy Hassan Balaha, Waleed Hamad Al Bu Ali king faisal university, Saudi Arabia 158 Methods A cross sectional design was implemented where all students in the sample were asked to fill the information sheet including their scores and bio-data. One hundred and three students; 54 female and 49 male participated in the study. Conclusion To conclude we feel that English language proficiency is an important factor in determining academic scores of medical students in our college. This was significantly more important in the context of summative assessments compared to formative assessments where students had more time to prepare for the assessment. ID: 196 Towards Active Learning-Case study at the end of the Physiology Course of Dentistry Students Noha Abdel-Aziz Nassef1,2, Magda Hassanein Youssef2, bd El Rahman Rayan2 1University of Tabuk, Saudi Arabia; 2Ain-Shams University, Egypt Traditional learning is the current approach of teaching in our Physiology Department faculty of Medicine, Ain Shams University for the first year of dentistry students and involves theoretical lectures, practical and tutorial classes. The lecture content is well organized and presented to the students. Most of the lecturers use some modern teaching techniques such as multimedia instructional materials and power point slides to make the lecture more interesting. Lecturers mainly focus on how to deliver knowledge and center on the content of the course. It has been proved that basic science knowledge learned in the context of a clinical case is actually better comprehended and more easily applied by medical students than basic science knowledge learned in isolation (Abraham et al., 2008)1. We try to make physiology interesting to dentistry students. The best approach may be to integrate modern teaching methods as case study learning with our traditional teaching methods to develop critical-thinking skills in undergraduate dentistry students and to help them understand and apply the basic physiological concepts in clinical practice later and to motivate students to learn physiology (Allers, 2010)2. At the end of the physiology course(Cardiovascular 12 hours; blood: 12 hours; Nerve and Muscle: 6 hours; Autonomic nervous system: 6 hours; Respiratory: 6 hours; Endocrine: 12 hours; Gastrointestinal: 6 hours) we apply eleven case study covering these systems.So the aim of the present study istovalidate the effectiveness of case-studylearning in physiology at the end of the physiology course. ID: 197 Professionalism needs training: The results of a workshop for general practitioners Dr. Abdul Sattar Khan, Dr. Hatim Sid Ahmed, MONTASER ABDULLAH BU KHAMSEEN, Dr.Mohammed A Al Eithan., Dr. Syed Ali Ibrahim Ministry of Health, Saudi Arabia Introduction: Though new curriculums follow to achieve professionalism at undergraduate level however what about those who already passed out and now in practices. Therefore, we designed a training workshop on professionalism for general practitioners (GPs) and aimed to assess the affect of this training workshop and see their perception too. Methods: We randomly selected 30 GPs who works at primary health care centers for the training of professionalism. However only 16 GPs showed interest to attend the workshop. It was a day workshop. One presentation of about 40 minutes was given and followed by small group discussion on 6 – vignettes and give the answers of structured questions related to vignettes. A pre and posttest was designed that included 10 questions related to definition, concept and application of professionalism. And also asked their opinion for workshop and compared their pre and posttest results. Results: The results showed that mean score for pre-test was 4.19 (±2.0) and posttest mean score was 7.69 (±1.6). The paired t-test showed high significant difference (P=0.0001) in pre and postest. The participants scored all vignettes from not serious to very serious (from 1 to 10) and gave 8 scores to only two vignettes. All participants rated high the workshop and strongly recommended for other GPs. Discussion: Though setting expectations for physicians to become professional start from institutional level however, it must be a continuous process. Therefore it is emphasized that we need to develop some refresher workshops for the physicians and literature supported that discussion about different vignettes is one of the best ways to teach professionalism. Hence it is confirmed by our results. It has high impact and received high rating from the participants. Conclusion: All participants strongly recommended it for others and felt that this is a good way for learning about professionalism. ID: 201 Policies and Procedures Library: The second step in QUCOM simplistic approach to set a quality assurance system Mohammad Nader Allam, Abdullah Alghasham Qassim University College of Medicine, Saudi Arabia Introduction: Quality can be defined as Doing the Right Things Right, First Time and Every Time . In our previous report, we identified key areas in our educational system that need specific regulations to control quality; and mission-extracted institutional objectives were set to outline the quality attributes for each area (the Right Things). The present work aims to draw the road-map to accomplish each area objectives (how to do the right things right). Methods: Policies Management Unit (PMU) is assigned to construct the Policies and Procedures Library. Steps include: 1-Initiate and develop: in consultation with stockholders, 2-Approval: by the Quality Assurance Committee (QAC) and the College Council, 3-Implementation: by the concerned authority (Dean or Vice-Dean), and 4-Evaluate and Maintain: by the Quality Control Unit which submits a feedback report to the PMU and to the QAC. Results: The library is structured in two volumes, Academic and University Hospital Policies. Each volume is divided into chapters (may include sub-chapters), each represents the general topics that encompass many individual policies. Each policy has its own page on the library and has a definite ID. Discussion: Each policy acts as a statement of management philosophy aligning the institutional operations with the college mission. The library manual brings together in one convenient location guidance and directions for all areas of the college’s programs and functions and serves as a resource that can be easily revised and updated. Conclusion: Defining the right thing (the first step) and the way to do it right (the second step) energizes us to tackle the third step to implement a quality assurance system. Our next challenge is to translate “First time and Every Time” into measures to control the quality of our processes and to define the most relevant and realistic Key performance Indicators to monitor and benchmark our success. ID: 202 Adaptation of educational program to prevent infectious diseases in Saudi Arabia: A Report Paper Eman Kamel Aldigs, Hind Abdulrazak Abdulmajed King Abdulaziz University, Saudi Arabia Introduction: New and re-emerging infectious diseases create a growing global health threat with major social and economic impacts on affected populations. Despite the efforts and successes of awareness and preventive programs of infectious diseases, progress soon began to falter. This raised the question if blended learning can be a cornerstone for public health infrastructure to prevent infectious diseases in the community. Therefore, the aim of this paper is to introduce the adaptation of European educational program in Saudi Arabia, which educate students about microbiology, hygiene and the spread, treatment and prevention of disease. 159 Methods: The adapted evidence-based program targets students at junior and senior school level with emphasis of the relationship between theory and practice. The resources comprise of a teacher and student educational pack that consider the different learning styles (visual, audio and kinesthetic). Lesson plans and activities are accompanied by interactive website (www.e-bug.eu) hosting complementary experiments, games, quizzes, disease fact sheets and animations. Results: The following implementation plan were achieved by (1) translating the full content (2) modifying some activities (3) ensuring that teachers are committed to program fidelity (4) meeting the program developer (5) assessing the need for adaptation and implementation (6) running qualitative research on the pack impact on students behavioural change (7) Staying up-to-date with program revisions and new materials. Conclusion: A paradigm shift is necessary to improve public health through adapting the appropriate professional educational resources in junior and senior schools can help in minimizing transmission of infections. However, adaptation process as a first step for implementation should be well- evaluated to avoid changing the core components of the program and diluting its effectiveness. ID: 211 Evaluation of students’ perceptions and responses to feedback at Qassim University college of Medicine Moeen Zafar Khan1, Humaid Alhumaid2, Abdulaziz Awaidh Almutairi3, Abdulaziz Faraj Aljohani4 Whereas a large proportion of respondents 229/244 (94%) considered it important to get a feedback on their work only 78 students (32%) got a proper feedback in their block. With significantly more male students getting feedback as compared to the female students (p<0.005) The source of feedback was the block organizer in 88/244 (36%) of the cases; result of the examination was the only feedback for 137/244 (56%) of the respondents; the situation of formal individual feedback was pathetic with only 10/244 (4%) getting a formal written and 44/244 (18%) formal verbal feedback on their performance. Regarding the utilization of feedback by the students, 129/244 (53%) used it to identify their weaknesses and improve themselves, 49/244 (20%) were only demoralized, 44/244 (18%) identified their position among peers and 22/244 (9%) used it to locate the difficult examiners. Discussion: A high proportion (94%) of our students realized the need for it but only 35% of them got some form of feed back during their course. And it was mostly for the purpose of correction. The senior students showed more positive attitude towards corrective feedback. Similar results have been reported by Alhaqwi et al 2012. Conclusion The situation of giving effective feedback to the students at QUCOM is not very encouraging with a high proportion of the students not getting feedback on their performance. This finding is an important milestone in the progress towards developing a feedback culture. ID: 214 1Qassim University, Saudi Arabia; 2Qassim University, Saudi Arabia; 3Qassim University, Saudi Arabia; 4Qassim University, Saudi Arabia Students’ perceptions of critical collaborative competencies which relate to effective collaborative learning in medicine Introduction: Feedback is an integral tool for the development of the skills of a medical student. Feedback is a two way approach, teachers give feedback to the students about their performance and students give their feedback about the teacher and the course both helping in the improvement of teaching. This research focuses on teacher’s feedback to the student. Adequate time should be allocated for the feedback and it must be given to all students individually. Maha Pervaz Iqbal, Gary Velan, Tony O’Sullivan, Chinthaka Balasooriya The objectives of the study were firstly to know the current status of feedback in different blocks/courses offered at QUCOM, secondly to identify the perception of medical students about feedback given to them. Methods: We conducted a cross-sectional study using online and paper-based questionnaire, from September 2013 till February 2014. The sample size was determined to be 300. A Pilot study was conducted prior to the main study to determine the expected response rate.Data were analyzed using SPSS 15 software. Results: The total number of respondents was 244 with 138 (57%) male and 106 (43%) female students. The number of respondents was 45 from year 1, 40 from year 2, 39 from year 3, 50 from year 4 and 70 from year 5. University of New South Wales Australia, Australia Introduction: Collaboration is a key element of ‘good medical practice’ and is highlighted in the competence statements of global regulatory bodies in medical education. However, it is evident in the literature that not all groups that collaborate are effective and a gap is present between the promise of collaborative learning and its implementation in practice. While a wide range of features which promote collaboration in learning have been identified, the features that are most critical in ensuring effective collaborative learning behaviours are ill-defined. The goal of this study is to understand medical students’ perceptions of critical collaborative competencies which relate to effective collaborative learning environments. Methods: Five focus group discussions were conducted with 22 Phase 1 (year 1 and 2) medical students at UNSW Australia (University of New South Wales). The data collected was transcribed verbatim and thematic analysis was conducted. Results: Students identified collaborative competencies which relate to effective small group, collaborative learning environments in medicine. Students recalled examples and experiences of small group learning activities. 160 Among the common themes which emerged included student behaviours such as contributing in a discussion and listening to others viewpoint, ability to self-reflect and selfawareness, respect for both colleagues and their work, openness in sharing ideas, diligence, enthusiasm and engagement. Discussion: Students are the stakeholders in small group, collaborative learning. Students’ perceptions elicited in this study provided insight into behaviours which they believe promote collaborative learning. This information can be used to promote such behaviours in medical students. Future research could focus on supplementing this information by understanding the perceptions of small group tutors regarding behaviours which promote effective collaborative learning. Take home message: Identifying the critical collaborative competencies which relate to effective collaborative learning is an important step in developing educational strategies to promote these competencies in medical students ID: 215 Educational environment across Health Science Colleges in a large university. Farhana Irfan1, eiad alfaris2, riaz qureshi3 1KSU, Saudi Arabia; 2KSU, Saudi Arabia; 3KSU, Saudi Arabia Background: An important component of any academic institution performance is the evaluation of its environment by the students. A positive learning environment can lead to better satisfaction, and success of a student at undergraduate as well as post graduate level. Objectives: The objectives of the study were to a) study the Educational Environment (EE) as perceived by the students from Health Science Colleges of a large University b) identify the factors associated with students perceptions according to gender, study year and the College (specialty). Methods: The Dundee Ready Education Environment Measure (DREEM) questionnaire and a demographic questionnaire were completed by 1185 undergraduate students enrolled in the Health professional colleges ( Medicine, Dentistry, Nursing and Allied Health Sciences) of the king Saud University, Saudi Arabia. Proportional Random sampling was used from each discipline. Analysis of variance techniques were utilized to investigate associations between demographic variables on the total DREEM score and subscales. Where ANOVA indicated a significant difference among groups, Tukey’s HSD (adjusted for multiple comparisons) was used to make post hoc comparisons. Significant differences (p<0.05) are reported. Results: Total DREEM scores varied significantly between colleges(p=0.000). Both Colleges and study year were found to be significantly associated with total DREEM scores, with students from Dentistry and Medicine scoring higher than Allied health sciences and Nursing ; first year students gave significantly higher positive perceptions ratings than the rest of the years (p=0.000). College of Dentistry scored the highest (120.5), followed by College of Medicine (110.72). School of nursing scored the lowest (57.48) indicating many problems . Total scores were significantly higher for male ( 92.78+33.86) than female students (84.70+32.25) p=0.000. Conclusion: This study indicated some student characteristics related to dissatisfaction with the EE..The current findings are a clear indication of negative perceptions of EE among Nursing and Allied health science students. It also offers a chance to explore in depth the underlying factors for student dissatisfaction in order to take urgent measures for rectification. ID: 216 Medical Education and Social Responsibility, Is Curriculum Responsive? Nayab Akhtar Azizi, Lubna Ansari Baig Jinnah Sindh Medical University, Karachi, Pakistan Background: Social responsibility is students’s awareness of their social responsibility to the community and country. Ideally, both curriculum and medical schools should help students to fulfill their social contract with the public. Medical schools should also increase students’ exposure to a populationbased approach to health care. In return, medical Students should participate in socially responsible activities in order to practice reliability, trustworthiness, dependability, altruism, and compassion. However, it is becoming a common knowledge and observation that like other countries, in Pakistan as well medical education is more focused on the economic pressures of the marketplace and not much attention is being given to the character development and moral education of medical students. Objective: The purpose of this study is to assess the attitudes, knowledge, and behaviors of medical students in regard to social responsibility and responsiveness of curriculum in Karachi, Pakistan. Method: This cross-sectional questionnaire based survey was carried out in two medical colleges of Karachi, Pakistan (one public and one private medical colleges), with medical students in senior years. Two hundred medical students were given self administered questionnaire, with questions on demographic variables and items related to social responsibility and accountability. Results: The data collection and analysis is still under collection and results and students’ recommendation will be shared in the conference. Conclusion: The need for informative actions investigating the best ways to incorporate measure to incorporate social responsibility aspects in medical education appears to be the only way to boost students’ morale in our country and towards this direction medical students could also be activated. In this era of curriculum dynamism we should try to make curriculum responsive to SR and incorporate the components of social accountability in a systematic way to ensure that the physicians of tomorrow are aware of their responsibilities to the community and nation. 161 ID: 218 Stress and its management in health professionals Riazul Haq Qureshi College of Medicine, King Saud University, Riyadh, Saudi Arabia Abstract: Stress is an external demand made on the adaptive capacities of the mind and the body. If these capacities can adjust well and enjoy the stimulus involved, then stress is beneficial; on the other hand, if these capacities cannot handle the external demand, then stress is unwelcome and harmful. The harmful effects of stress can affect any and every part of the body and system. Evidence based studies in different parts of the world suggest that approximately one third of the population has stress or anxiety of different levels at any given time. Health care professionals and medical students, by very nature of their work and training are prone to excessive stress. Self- awareness of this aspect of mental health among health care professionals and medical students is important to prevent ‘burn- out’ and ill health. Two studies conducted at the Family Medicine Department of the Aga Khan University Hospital in the years 2002 and 2003 among doctors of 3 teaching hospitals of Karachi, have highlighted this problem faced by the medical profession. A large study conducted at the Department of Medicine at the Mayo Clinic, USA, published in Medical Teacher in 2011 found that 82% of the medical students had at least one form of distress and 58% had three or more forms of distress. Several other studies world-wide convey the presence of excessive stress among the members of the medical profession. Following consideration of the factors which cause stress among medical students and doctors, the strategies and techniques to overcome the problems posed by stress will be discussed during this keynote address. In conclusion, time permitting and with the approval of the Chair, a relaxation technique with the participation of the audience may also be demonstrated. ID: 220 Can we teach more when we teach less? Interactive lectures, as an active learning vehicle, in comparison to traditional ones; Ahmad AbdulAzeem Abdullah Omer, Mohammed Elnibras Department of Surgery, Faculty of Medicine, University of Tabuk, Saudi Arabia Introduction: Traditional lectures have been criticized for being ineffective teaching methods because it involve passive transmission of information. Interactive lectures, on the other hand, actively involve the students in the learning process and have good implications on their learning capacity. This paper explores usefulness of interactive lectures to students` learning and its general aspects in our setting. 164 Methods: This is a case-control study conducted during the surgical module taught to the 6th year medical students at the faculty of medicine in the University of Tabuk. It involved the female batch of students which comprises twenty eight students. The module involve 32 lectures, 7 of which have been converted into interactive ones while the rest was taught in the traditional format. Interactive lectures was designed to involve work along exercises at regular intervals throughout the lecture and one minute paper exercise for feedback about the lecture. Results: Out of the twenty eight female students in the class, 25 responded by filling up the study questionnaire (response rate 89.3%). 32 students (96%) have rated interactive lectures as useful to their learning. All students have attributed usefulness of these lectures to integration of basic and clinical information, while 92% of them related usefulness of interactive lectures to enhanced memorization and understanding of the information presented. Other useful aspects of interactive lectures involved; communication in the class, allows for giving feedback about the lecture and being motivating and exciting learning method. Conclusion: This study showed that interactive lectures are useful to students` learning in our setting in comparison to traditional ones, in accordance with what is published in the literature. Among their usefulness, they enhance integration which may count to more understanding and memorization of the information presented. Feedback given by the students about the lecture helps instructors to improve its content in the future. ID: 221 Fourth year Medical Students’ Perception about the Team Based Learning in Radiology Clerkship Mehboob Hussain, Fahad Alshehri Qassim University, College of Medicine, Saudi Arabia ntroduction: Team Based Learning (TBL) is a student-centered self-directed learning, fostering students to work in a team. The role of teacher in TBL is changed from delivering of knowledge in traditional lecturing to manage the student-driven team based learning. The purpose of this study was to assess 4th year medical students’ perception about the TBL in the Radiology Clerkship. Methods: Two hundred & three 4th year medical students of Qassim University College of Medicine who attended the Radiology Clerkship course (IMG-421 course) in 2012-2013 and 2013-2014 academic years were surveyed after the completion of TBLs with a Liker type 20 statements, each rating one (strongly disagree) to five score (strongly agree). This scale measured three subclasses: preference for the TBL over traditional lecturing, applications of knowledge while working in a team and overall satisfaction for the TBL. Results: Data were analyzed using Mann Whitney U test (p < 0.05). Means and standard deviations for individual statements and subclasses were calculated for each academic year. More than 75% students had overall confidence in TBL over traditional lecturing. However, 70% agree for the increasing number of TBLs during the Radiology course, replacing traditional lecturing. ID: 192 Discussion: Majority students showed a positive attitude towards TBL and demanded replacement of traditional lecturing with TBL. OBJECTIVES: No study so far published for students’ perception about TBL in Radiology Clerkship. However, few studies conducted on TBL in pre-clinical phase have almost similar results with slight variations. A limitation of this study was small number of students and few TBLs. Further research on a large scale with total TBLs in the radiology course will explore and open the new doors. ABSENTEEISM AMONG MEDICAL STUDENTSAhmed Kiran mehtab, Abubakar khanzai, Faran Khalid, Ali Ghufran, Aiman Khursheed jinnah sindh medical university karachi, Pakistan 1. To assess the frequency of bunking lectures among medical students. 2. To review student activities during the absenteeism. 3. To assess the teaching faculty as a reason for students to bunk classes. METHOD: Conclusion: TBL is an effective, feasible, enjoyable and cost effective educational method, thereby motivating students’ pre class learning, ensuring team work, clinical reasoning and applying knowledge to the real cases with active learning. A Cross-sectional study was conducted on a sample of 318 medical students. The sample was taken through Non-Probability Purposive Sampling from different medical colleges of Karachi, within a study period of 8 months from March to October 2013. An informed verbal consent was taken. A pilot study was conducted to assess the authenticity of the questionnaire. A structured questionnaire was distributed; got filled .Data was analyzed on SPSS 20.0, with confidence interval of 95%, margin of error 5%, p-value of 0.05 ID: 225 RESULT: Attitude and perception about virtual patients by medical A total of 318 Performa’s were filled by the students. 62.3% students agreed 75% attendance is required for examination, 80.2% students disagreed on fair system of recording attendance, <50% students accepted they attended lectures, maintain strict attendance, 41.5% students marked proxies for their friends. (39.6%) Bunking students spent time in outing with friends, (9.4%), played sports (35.8%) busy in friendship, (6.6%) spent time in library studying, (33%) Students didn’t come to college, preferred to complete syllabus at home. 48.1% students were dissatisfied with teaching faculty, (19.8%) students agree teachers didn’t communicate with students which resulted in poor understanding of lecture, a reason for bunking lecture. students enrolled at Sulaiman Al Rajhi Colleges, Saudi Arabia. Mohammed el-sayed Owid, Zaka Ullah Khan, Abdullah Rehman, Abu Taiyab Nazmus Saquib sulaiman al rajhi colleges, Saudi Arabia Introduction: Learning tool such as virtual patients (VPs) is widely used in the western medical education, yet its use in Saudi Arabia is very limited. Little is known about how the local students feel about it and whether this method of learning is acceptable to them. Methods: We invited third and fourth year medical students of Sulaiman Al Rajhi Colleges (SRC) to this survey (conducted at SRC in April 2014). We presented two virtual cases, earcanal obstruction and chest-pain for third and fourth year respectively; the cases were selected with permission from reputable sources (The American Academy of Otolaryngology and Harvard University) and matched the students’ current clinical rotations. Afterwards, we asked them to fill out a set of questions that inquired about their attitude and perception about virtual-cases. The response of each question was on a 5-point Likert-scale (strongly disagree, disagree, no comment, agree, and strongly agree). Results: An overwhelming majority of the students felt that VPs were a useful learning tool (third year: 61.9%; fourth-year: 70%) and wanted them to be included as a teaching method in the coming year (61.9% & 90% respectively). Most of them found VPs helpful and realistic and suggested that they be conducted in small group setting (47.6% &70% respectively). Conclusion: VPs could be a useful addition to the current medical program at SRC as it enjoys positive support from the students. CONCLUSION: The study concluded lapse is triangular, the administration, the teaching staff, the students. We need to coin strategies focusing on strict measures taken against short attendance; flip towards competitive lecturers and building interest of students in topics. ID: 226 Designing Innovative Clinical Module on Endocrine and Endocrine Surgery for Medical Students in Al-Baha University. Ahmed Hassan AlGhamdi, Walyeldin E. Elfakey, Emad A. Koshak, Mazein ALZahrani COLLEGE OF MEDICINE, ALBAHA UNIVERSITY, SAUDI ARABIA Background: Al-Baha Faculty of Medicine is adopting an integrated system based curriculum .In the basic sciences phase, integration was a straightforward process while very challenging in the clinical phase. In order to develop a fully integrated system based clinical module, it was necessary to recall major disciplines and melt them together. 165 Methodology: To develop, implement and evaluate a module on: Endocrine and Endocrine Surgery (EES), a module committee was assembled including an internist, surgeon, paediatrician and community physician. Intended learning outcomes related to basic sciences as well as clinical sciences were formulated. Content selection and organization were performed depending on the ILOs. Varieties of teaching/ learning and assessment strategies were adopted. Results: Out of 133 videos that have been examined, only 15 (11.28%) have been included. The excluded videos that constitute (88.72%) showed a significant variation between the causes in the two searching words. Regarding the included videos, governmental organizations provided almost half of them (46.67%), TV shows came next with (26.67%), while websites and Health professionals provided (20%), and (6.6%) respectively. Results: These efforts resulted in construction of students’ study guide. The contributing specialties were: internal medicine, paediatrics, surgery and community medicine. 20% of the content was allocated to basic sciences. The module was introduced for study by the fourth year students. Teaching/ learning activities were as follow: Lectures: 28, Clinical Presentation: 2, Seminars: 3, PBL sessions: 3, SDL sessions:3, Skills’ Lab. sessions:3, day-long hospital-based clinical sessions:8, basic sciences practical sessions:2. Conclusion: Governmental organizations recorded the highest number of Arabic CPR videos on YouTube of all included videos. In contrast, private training centers show a poor contribution in spite of their increasing numbers recently. The Ministry of Health encourages both, governmental and private efforts to educate the public about national and international standard CPR, and to have them available on their popular communication channels. Discussion: Validity of integration in the clinical phase indicates loosening the borders between the related disciplines as the case of integration in basic sciences. EES module can be seen as a prototype of integration between clinical sciences. Through this module, medical and surgical problems of the endocrine system in the different age groups are put together. ID: 232 Take home massage and Conclusion: The development of multidisciplinary integrated systembased modules in clinical medicine can be achievable. ID: 227 A preliminary look at the prevalence of Arabic CPR videos on YouTube Haneen Saleh Al Owaini, Marwah Hassounah, Chadi Diab King Saud university, Saudi Arabia Introduction: Circulatory system diseases are the second most common cause of death in Saudi Arabia. Three quarters of the deaths of coronary heart disease occur suddenly in the outof-hospital settings. A crucial link in the chain of survival is the cardiopulmonary resuscitation (CPR). Public education, via the Internet, maybe critical in teaching the public about CPR. Saudi Arabia’s youth is ranked as one of the top users of YouTube as reported by several renowned news casts. Objective: The aim of the current study is to initially evaluate the availability and prevalence of the YouTube videos, teaching Arabic speaking population, on performing CPR, and to identify the main providers of these videos. Methodology: Considering the research behavior for many users, we have examined the top 20 results for each one of the four Arabic keywords; two of them were equivalent to “CPR” and two equivalent to “First Aid”. Some videos were excluded after considering the language, topic, and propose of the video. 166 INTEGRATED CURRICULUM: ASSESSING KNOWLEDGE AND ATTITUDE OF UNDERGRADUATE MEDICAL STUDENTS IN BIOSTATISTICS MODULE Waqas Sami1, Mohammed Almansour2 1Lecturer of Biostatitsics, Department of Public Health & Community Medicine, College of Medicine, Majmaah University, Saudi Arabia; 2Assistant Professor, Family Medicine, Head, Department of Public Health & Community Medicine, College of Medicine, Majmaah University, Saudi Arabia Introduction: Biostatistics is a branch of applied statistics that is concerned with the application of statistical methods to medicine, clinical trials, demography etc. Biostatistics is relevant to medical students & practitioners in health sciences and is taught as a part of medical curriculum all over the world which is actively discussed in various publications. It is of prime importance that how this subject should be taught to medical students especially in integrated curriculum. Objective: This study was designed; to compare before and after knowledge of male undergraduate medical students taking the biostatistics module in integrated curriculum which was spread over 16 weeks of education and secondly to; explore student’s attitude towards research. Methodology: It was a single group before and after study. All 21 male students studying in 3rd year were selected using complete enumeration method. The students were given an MCQ based biostatistics assessment test at the start and same test at the end of the module. To explore “students attitude towards research”, a self-constructed questionnaire comprising of 25 items was used. Results: The mean age of students was 19.35+2.67 years. Significant difference was observed between the pre-post assessment test score, showing that students’ knowledge score was much higher after taking the module (5.68+1.33 Vs 18.21+2.41, p=0.003). Regarding research attitude, majority of students 19 (90.47%) “Enjoyed research”, 16 (76.19%) “Will apply research approaches in their profession” and almost half of the students said “they made many mistakes while preparing the research proposal”. Conclusion: Integrated curriculum is one the best approach to teach biostatistics because it encourages problem based learning approach. The curriculum contents should be updated at the end of module every time based on feedbacks and recent advancements in the field. Computer based approach will give better results and make the learning more interactive instead of didactic lectures. ID: 233 “Role of Bed side teaching (BST) vs Case Scenarios using (SDL tool) in the field of clinical medicine” Zaheera Saadia Qassim University, Saudi Arabia Introduction: The SDL (Self - Directed Learning) in the field of education is booming as an essential tool which actually enhances the users in attaining knowledge, attitudes and skills through its features in the field of education. With the imminent resources and time consumption for practical observations, the students sometimes are not able to participate or compete with their clinical practicality in the current education field, especially in the medicine field. To meet this challenge in the field of education nowadays case studies and case scenarios have been approached in order to attain clarity in their learning. Introduction: Revision of the test items before exams is an important step in improving the quality of the test items and the reliability of the scores. It has an impact on the student’s performance. This study was attempted to explore the effect of pre-exam item review (as part of the quality assurance (QA) procedure) on the performance of the items and on student feedback about the exam. Methods: This study was done in the College of Medicine, Taif University. Data was obtained from examinations after relevant permission. This is an exploratory study involving post exam analysis of two theory examinations of the same module. In the first examination, in 2013, no pre exam item review was done. The next year, this procedure (of item review) was done. Difficulty and discrimination indices were compared along with the results of the two exams. Cronbach’s alphas of the two exams were noted. Students were given questionnaire to obtain feedback about the exam in which item review was done. This feedback was taken soon after the exam to reduce memory bias. t-test was done to compare the means. Descriptive statistics were calculated. All analyses were done in SPSS version 17.0. Results: A significant difference (p < 0.00) was found in the difficulty and discrimination indices of the two exams. Differences in marks obtained in the two exams also showed a significant difference (p < 0.05). The overall response of the students showed high proportion of acceptability. Methodology The participants were students of final year in their obstetrics and gynecology posting from September 2012-March 2014. They were divided into two groups .Group1 handled the case studies and group 2 handled the case scenarios. Discussion: The results revealed the importance of doing pre exam QA item revision. This improved the item quality and had a positive impact on the student’s performance. It also had a positive impact on student perception of the items. A total of 45 session each were compared to evaluate which is the better tool? Conclusions: Pre-exam item review is very beneficial for the exam’s quality and student’s performance in the exam. Results Through the data analysis and interpretation it was inferred that, students’ performance in for both groups was statistically not different p value >0.05. Discussion Although the case studies in real time favored the students with real life interaction, the case scenario have been providing the students with better picture before their practical or clinical experiences where real time exposure is optional/impossible. Hence it can be said that through adapting particular teaching methods the tutors in the education field can shape up their students who in turn can access all information prior to practical exposure. Conclusion Thus it can be inferred from the above analysis that both the case study and the case scenario have attained similar results and there is a significant relationship between them in the field of education. When the case study is not available for the students, the case scenarios can help them to attain their results. ID: 236 Teaching Infection Control Longitudinally in Integrated Medical Program Muhammad Abdulrahaman Halwani, Emad AbdulKader Koshak Al Baha University, Saudi Arabia Introduction: Healthcare associated infections and related epidemics have a massive impact on health care services. The main reason behind that is the lack of: education, knowledge and updates by clinicians. Most traditional curricula of medical schools are deficient in infection control knowledge. Aim: This study is to share its teaching experience of infection control in the integrated medical program in the Faculty of Medicine at Al Baha University (FMABU), Saudi Arabia. ID: 240 The effect of pre exam Quality Assurance on the quality and the feedback of the students Dalal Mohiddeen Nemenqani, Saeed Hamed Abbadi, Syed Moin Ali Taif university, Saudi Arabia 167 Methods An intensive search was performed to identify any national and international medical school that teaches infection control as a part of its medical program. However, no national medical school was found to teach the subject throughout their study plan. Rigorous meetings were held between FMABU faculty members and experts within the field of infection control, infectious diseases, and microbiology. This was done in order to select the most appropriate topics content and ILOs for each module in the whole curriculum. Results A total of 28 lectures, 10 practical’s, 15 seminars, 20 tutorials, 20 SDL, 8 field visits, 10 PBL were distributed into 48 modules based on the module specialty related to Infection Control. Discussion Teaching principles of infection control longitudinally in integrated medical curriculum is achievable. Although the impact of this integration might not be measurable at this stage, it is clear that our students are capable of discussing various infection control issues that even some junior working clinicians are not familiar with. Current regional recommendations strongly believe that Infection control teaching should start from the junior academic years upwards through life-long education. Conclusion Further research is needed to investigate the long-term impact of infection control education in practical settings and the decrease of infection rates in healthcare settings. ID: 241 Introducing Standardized Patients (SPs) into the Clinical Teaching at Taif University’s College of Medicine , Girls Section (A Pilot Study). Dalal Mohiddeen Nemenqani Taif university, Saudi Arabia Background: A Standardized Patient (SP) is an individual who is trained to portray an actual patient in order to be used in the teaching and assessment of medical students. The information available on using SPs in Saudi Medical schools is both limited and deficient. Aims: To assess the feasibility of using SPs in the clinical teaching at the Taif University College of Medicine (Girls Side) & to assess students’ responses to a SP based clinical exercise. Methods: The study was conducted over 2 phases: Phase I (Preparatory): case designing was completed, resources and requirements were outlined and made available, and SPs recruitment was conducted. Phase II (SP based exercise): A SP based clinical exercise was implemented on 4th year female students, later the students responded to a survey concerning the exercise. 168 Results: Male candidates were excluded from the SPs recruitment process due to gender segregation rules. Female candidates recruitment from the community failed due to cultural concerns expressed by the candidates, other candidates failed to meet the English language requirements. SPs were recruited from college academic staff. 27 out of 36 students responded to the survey. 88.9% of students expressed some degree of satisfaction with the SP based exercise. Conclusion: The findings of our study supported the use of SPs, but special cultural considerations must be made when doing so. Further research is required to establish a valid national approach. ID: 242 Teaching Medical Microbiology Longitudinally in Integrated Medical Curricula Talal A. Sallam, Muhammad A Halwani, Emad A Koshak Al Baha University, Saudi Arabia Introduction: Medical Microbiology discipline is usually taught to medical students as a one course in traditional curriculum during their basic science years. However, recent medical curricula recommend teaching integration with other disciplines both basic and clinical modules. Aim: To share the experience that the Faculty of Medicine at Al Baha University had with teaching of medical microbiology integrated longitudinally within other modules. Methods: National and international curricula content and ILOs for microbiology topics were reviewed. These topics were integrated throughout the two basic sciences years (Y2, Y3) and three clinical sciences years (Y4,Y5,Y6) phases of the medical program. Different modes of teaching were applied. Results: Total microbiology teaching included: 150 lectures, 65 practical, 30 seminars, 40 tutorials, 20 PBL, 20 SDL, 10 field activity. Basic Microbiology is taught during the students’ time from years 2-5 with the following percentages: 80% (Y2 & Y3), and 20% (Y4 & Y5). Advanced Microbiology on the other hand is taught during the duration of the students’ time from years 4-6 with the following percentages: 55% (Y4 & Y5) and 45% (Y6). Finally, Clinical Microbiology is taught during the duration of the students’ time from year2-6 with the following percentages: 10% (Y2), 10% (Y3), 20% (Y4), 40% (Y5) and 20% (Y6). Conclusion: Teaching microbiology science in integrated curriculum longitudinally is achievable. Nevertheless, fine mapping of the contents are required in order to make the most of microbiology knowledge. ID: 248 ID: 188 Measuring internal consistency of items used for assessment of clinical phase medical students in their pediatric course Role of Living and Surface Anatomy in Current Trends of Medical Education Ahmad Settin, Abdullateef Alzolibani, Yasser Farouk, Jalal Bilal, Khaled Zedan Pediatric Department, College of Medicine, Qassim University, Saudi Arabia Introduction. Instruments used for student evaluation need a follow up revision of their validity and reliability. Reliability is concerned with the ability of an instrument to measure performance of student in a consistent way. Clinical pediatric examination involves multiple instruments including written MCQs, simulated history stations, simulated physical examination stations, OSCE video and photo stations in addition to live clinical settings and continuous assessment activities. This research aims at the evaluation of the internal consistency of these instruments used in the process of student evaluation during his pediatric clinical course. Methods. This study is involving the score data of 173 students at their final year of medical education during their pediatric course in the educational years 2013, 2014. They were in the form of 6 student batches: batch 1: 33 male students, batch 2: 32 male students, batch 3: 22 male students, batch 4: 22 male students, batch 5: 31 female students and batch 6: 36 female students. Scale analysis utilizing the Cronbach alpha measurement, item-total and item-item correlation were used for assessment of all items of the pediatric clinical examination for each group. In addition, comparison of student performance was assessed between 4 groups (one female and 3 male groups) to evaluate the variance of their results related to each item type used in process of their evaluation. Results. The cronbach alpha estimate for all student groups was ranging from 0.70-0.86 being higher than 0.80 among 4 of the studied 6 groups. Regarding the individual items, although their scored cronbach alpha -if item is deletedshowed a generalized satisfactory levels, their item-total correlation values were unsatisfactory (<0.3) for some including 3 out of 17 (17.6%) photo OSCE stations, 3 out of 10 (30%) video OSCE stations, 2 out of 8 (25%) physical simulation stations, 5 out of 12 (41.7%) history simulation stations, 2 out 9 (22.2%) physical live stations. Regarding the item-item correlations it was best between the written MCQ items and the OSCE photos stations in all groups, however, a very low item-item correlation was observed mostly between the history simulation, physical live cases and videos and other stations. Comparing student scores between groups for each item showed multiple significant differences (p<0.05) indicative of either the student-groups were actually variable in their educational abilities or due to the presence of inter-rater variability that should be revised and resolved. Discussion and conclusions. Although the internal consistency of items used for evaluation of medical students in their pediatric course were overall satisfactory, there were still some pitfalls to be revised and resolved. These include the full training the students for simulation and video stations, standardizing the difficulty index for each station, improving the skills of students in live cases encounters and rectifying inter-rater vaiability. Mohammad Rehan Asad1, Fahim Haider Jafari2, Nazim Nasir3, Mohammad Othman Al Rukban4 1College of Medicine, majmaah university, Saudi Arabia; 2College of Medicine, Majmaah university, Saudi Arabia; 3College of Applied medical sciences, King Khalid university, Abha, Saudi Arabia; 4College of Medicine, King Saud university, Saudi Arabia Introduction : Teaching and learning of anatomy have greatly transformed in last two decades. Innovations in medical education, such as integrated curricula and inclusion of PBL were considered to be responsible for the decline in anatomy learning by traditionalist especially anatomist and surgeons. In last two decades, allocated time for anatomy teaching has reduced in medical schools across the world. Living and surface anatomy facilitates students in developing skills for future clinicians. Even some educationist considered it to be main teaching tool for learning anatomy as replacement of dissection based cadaveric anatomy. Innovations in medical technology and reduced time paved the way for implementing teaching methodologies e.g., body painting, peer physical examination, medical imaging and virtual anatomy software’s in teaching and learning of living and surface anatomy. Methods : This article focuses on reviewing the historical background and current trends in teaching and learning of living and surface anatomy with special emphasis upon its pedagogical aspects, some views of medical educationists and under undergraduates. It also compares pros and cons of various teaching methodologies used in learning of living and surface anatomy, emphasizing on challenges faced in its pedagogy. Conclusions : It concludes that living and surface anatomy should be considered as an integral part of the curriculum. Inclusion and implementation of teaching and learning strategies, such as body painting, peer physical examination, medical imaging and virtual anatomy software’s will enhance learning of living and surface anatomy in an integrated and relevant framework. ID: 251 Student’s perceptions of the learning environment in a private dental college of Karachi Muhammad Junaid Lakhani1, Syed Moin Ali2, Ahmed Shahnawaz3 1Jinnah Medical and Dental College, Karachi, Pakistan; 2Taif university Saudi Arabia; 3Dow University of Health Sciences, Karachi, Pakistan Introduction: Educational environment is one of the most important determinants of an effective learning. Most of the Dental colleges in Pakistan are following the traditional educational 169 Introduction: Educational environment is one of the most important determinants of an effective learning. Most of the Dental colleges in Pakistan are following the traditional educational system which has a teacher-centered approach. Learning, perceived by students as a one way transmission of information, is assessed by annual exams at the end of the year. A positive educational environment can provide the basis of positive change in the learning outcomes. The Dundee Ready Education Environment Measure (DREEM) questionnaire was used to assess the learning environment as perceived by students of Jinnah Medical and Dental College. Methods: Among students of first year BDS the Dundee Ready Education Environment Measure (DREEM) Questionnaire, was used to assess the learning environment as perceived by students. The English version of the DREEM inventory was administered to all the students. The participation was voluntary and the questionnaire was anonymous. The return of the completed questionnaire was taken as their implied consent. Results: Around 185 (100%) respondents rated reaction, learning and behavior as 3.53+0.08, 3.59+0.08 and 3.57+0.08, respectively. CFA showed and adequate validity of the survey and Cronbach’s alpha revealed an acceptable internal uniformity (0.69). Excellent students rated highly in all major domains ( vs. pass in reaction [p< 0.049], vs. average in behavior and learning [p<0.035 & p<0.031]) respectively. Students who were often involved in teamwork rated highly in both learning if compared to those who were rarely involved Results: The overall DREEM score was 125 (out of 200). The perception of the students to the learning environment was found to be positive. The general atmosphere of college was found to be comfortable. The study also highlighted the areas that need improvement in the dental college. Conclusion: This study demonstrated that Alfaisal first year medical student showed good perception towards TBL in all major Domains. Discussion: The overall DREEM score in this study was 125 (out of 200). This is comparable to the global DREEM scores reported for different medical schools around the world like 139/200 in the United Kingdom. Students felt their teachers were knowledgeable,and that their teaching helped the students to develop professional competence. The students also considered the overall atmosphere of college as comfortable and reported better-than-average social lives. ID: 249 Conclusion: The study showed a positive learning environment at the college. The students experienced educational stresses but their social life on the campus was quite satisfactory. ID: 252 Assessment of First Year Medical Students’ Perception of Teaching and Learning Functional Anatomy through Team-Based Learning Sessions Dana Arfan Kalagi, Adam Obad, Ahmed Peeran, Mohammad Shareef, Wisaal Alsheikh, Abdulhadi Alamodi, Tehreem khan, Ahmed Yaqinuddin, Paul Ganguly alfaisal university, Saudi Arabia Background: Team-based learning (TBL) is active learning strategy that is increasingly being adopted by medical schools. The College of Medicine at Alfaisal University has adopted TBL as a new teaching method for first year medical students. This study aims to describe TBL in Alfaisal college of medicine and to assess first year medical students’ perception towards this approach. 170 Method: Five-point likert scale questionnaire was structured based on kirkpatrick’s theory assessing three major domains; reaction, learning and behavior. This survey was distributed amongst first year medical students. Confirmatory factor analysis (CFA) and cronbach alpha coefficient tests were used to assess the validity and the reliability of the construct, respectively. A further analysis was conducted using willcocksin, manwhitney u test, and one way analysis of variance (ANOVA) tests. Qualitative results were analyzed using directed content analysis The Relationship between Mobile Phone Use and Ear Problems among Medical Students, Taibah University Magda Hassanein Metwally Youssef1, Tayseer Mansour2, Abrar Abd El Rahman El Harbi3 1Faculty of Medicine Taibah University, Saudi Arabia; 2Faculty of Medicine Taibah University, Saudi Arabia; 3Faculty of Medicine Taibah University, Saudi Arabia Background: Concerns regarding the potential physiological effects of exposure to radio frequency radiation have been increased recently. Objective: This study explores a relationship between the use of mobile phone and auditory problems and the gender difference among medical students. Methods: A cross-sectional study was conducted at Faculty of Medicine, Taibah University, Al Madinah Al Monawarrah, KSA during the year 2013- 2014. For this purpose a questionnaire was used as data collection tool. Results: There were 239 responses from the total population of 445 students with a response rate of 53.7%. The mean age of the students was 20.5 years, ranging from 18 to 23 years. The study showed that 59.3% of the male students and 36.1% of the female students used mobile phone for more than 7 years. There was no past history of ear diseases in 93.2% and 86.1% in male and female students. The current study revealed that female students were significantly complained of ear diseases more than male students. Mobile phone use was associated with vertigo (1.7% and 15% in male and female students; P=.000), tinnitus (3.4% and 18.3% in male and female students; P=.000), dizziness (8.5% and 20.6% in male and female students; P=0.001) and hearing loss (1.7% and 2.2% in male and female students; P=0.2). Conclusion: This study indicated that high frequency of mobile phone use could be a risk factor for ear diseases among medical students. It is concluded that the use of mobile phone is a health risk factor, and thus it is suggested that excessive use of mobile phones should be avoided and social awareness increased through health promotion activities, such as group discussions or public presentations and via electronic and printed media sources. Mobile phone use should be included in future investigations as a potential risk factor for developing ear diseases. ID: 254 Assessing an Innovative Community-Based Colorectal Cancer Awareness Initiative Osama Mufid Mustafa Alfaisal University, Saudi Arabia Background: Colorectal cancer (CRC) remains among the most common cancers in Saudi Arabia, ranking first in males and third in females. With the absence of a national screening program, public awareness continues to be particularly central to all efforts mounted to reduce CRC incidence, morbidity and mortality. Objective: To assess the effectiveness of a novel, structured, stationbased educational model in delivering CRC knowledge to members of the Saudi community. Methods: This is a prospective, pre-post, survey-based study. The 15-point, comprehensive survey was developed according to the recent literature. The item-inclusion criteria of survey were based on the relevance to the health belief model(HBM), a widely-accepted model for explaining and predicting health-driven behavioral modifications. The awareness campaign was divided into four stations, each addressing a single CRC-knowledge theme. Stations were time-and task-structured. Lasting for an average of 2 minutes, each station employed interactive audio-visual illustrations and was led by a trained medical student. Questionnaires were handled before and after the campaign. Paired t-test and McNemar’s test were used to assess for statistical significance. Results: 468 attendees consented to participate but only 359 cases (76%) met the study criteria and, thus, were included. Mean age was 35 ± 10.2. The majority were Saudis (92%), and males (74%). We found a significant difference between pre- and post-survey results, with an average improvement of 5.6 (40%) in knowledge scores (95%CI=5.35.9, p<0.001). The mean change from baseline knowledge was significant across all addressed areas (p<0.001), with the highest achieved in ‘screening age’ (66%) and ‘epidemiology’ (64%) knowledge areas. Over 85% of participants recommended using this design for future, public-targeted awareness programs. Conclusion: Public awareness is an essential component of any measures geared toward CRC control. We present an educational model that appears to be effective in conveying specific but comprehensive cancer knowledge to the community. ID: 256 Medical Education in Saudi Arabia: where do we stand? Mona Al Sheikh1, Muhammad Shahid Shamim2, Mohammed Farouq2 1University of Dammam; 2King Abdulaziz University, Jeddah Background: Department of Medical Education (DME) has become an essential part of medical institutes around the World. Their role is to oversee the process of medical education and provide support to administration, faculty and students in achieving the required standards in medical education. Nevertheless, having a DME does not guarantee the improved scenario of medical education in an institute, unless the department is actively trying to achieve its well thought of objectives for fruitful results in educational standards, faculty development and research, which are considered the key areas of DME functioning. Objective: This study will analyze the current status (SWOT analysis) of DMEs in medical colleges of Saudi Arabia and suggest possible actions to strengthen the weaknesses in this regard. Method: Data regarding the number of medical colleges in Saudi Arabia will be collected from Saudi Commission of Health Specialties. Information regarding DMEs in each of the medical college will be collected from college websites and through personal visits and/or communications with colleges’ administration or senior faculty members. Data will be considered reliable if acquired from published sources (on-line or in print) or validated by two or more of the unpublished sources. Results: Results will be drawn from the following variables • Number of medical colleges in different regions of the country and their year of start • Number of students in each year in each medical college • Presence of DME in medical college • Number of qualified full time faculty in DME • Number of qualified medical educationists in College • Availability of college’s DME policy document • Number of research publications from DME of medical college • Post Grad Course/s in Med Education from medical college Conclusion: DME’s are the heart of medical education. Curriculum development, innovations and outcome improvement cannot be achieved and sustained without establishing these functional units. 171 ID: 263 Satisfaction level about Small group discussion among Taif University, College of Medicine students and faculty Said Hamed Abbadi1,2, Syed Moyn Ali1, Dalal Nemenqani1, Adnan Sulaimani1 1Taif University, College of Medicine, Saudi Arabia; 2Suez Canal University, College of Medicine, Egypt Introduction: Small group discussion (SGD) allow the students to take active role in eliciting the learning outcomes, the problem stimulate basic science outcomes, the students have a reasonable time to search for the learning outcomes , the students discuss the gathered information in SGD. As part of the evaluation process, an in-dept study was conducted to determine how well our small group discussions are received by the students and faculty. This was done by a survey in which strengths and weaknesses were determined. Methods: The medical education unit conducted a survey to find out facts about the level of satisfaction. A questionnaire was distributed among the students. This was related to their satisfaction level about the SGDs. In-depth interviews were held with a sample of the faculty. Their views were noted. b) What are students’ perceptions of their own learning in relation to passive and active learning experiences? Method: Research Design: The study employed a mini survey method in investigating into students’ perceptions of their teachers teaching. The target population for the study was undergraduate medical students of Rabigh Medical College, King Abdulaziz University, Jeddah. Instrument: A semi-structured questionnaire was designed for eliciting information about students’ perception of their teachers’ teaching and questions were measured using a 4-point Likert-scale (1=strongly agree, 2=agree, 3=disagree and 4=strongly disagree). The questionnaire instrument was content validated by faculty at medical education unit. Data Analysis: All the copies of the questionnaires were examined to check accuracy and completeness after which the schedules were numbered serially, edited, coded and fed into the computer. The data obtained was analyzed using the Statistical Package for Social Sciences (SPSS 16.0). Descriptive statistics were depicted using absolute numbers and simple percentages. Results: The overall results of the study indicated that there are many concerns about usefulness of SGD, performance of facilitators, and the need for improvement of the whole process. Results In process Discussion: The answers of the students and views of the faculty were analyzed to know what are the main reasons behind the non-satisfaction of both students and faculty in certain items related to SGD. A plan for improvement of the quality and outcomes of the SGD session were done. The effect of MCQ review on students’ perception Conclusions: SGD is one of the most important teaching methods that need a lot of work to improve it and use it in a proper way. ID: 264 Students’ Perception of Teacher’s Teaching Styles in Rabigh Durraiz Rehman, Muhammad Abid Bashir, Muhammad Shahid Shamim, Afia Ansar, Sumera Nisar King Abdulaziz University, Saudi Arabia Introduction: Over the past several years, there have been major changes in the ways undergraduate medical education content can be delivered to college students. The curriculum delivery in medical colleges of Saudi Arabia contains mix of a variety of teaching methods including teacher centered approach like didactic lectures to student lectured approaches like PBL. Students also possess new technologies that support their learning, as they can download lectures and presentations from an ocean of data available on internet. The purpose of this study, therefore, was to examine students’ perceptions of their teachers’ teaching and the study is guided by the following research questions: 172 a) What are students’ perceptions of their teachers’ teaching methods in relation to teacher-centered and studentcentered teaching methods? ID: 265 Majed Wadi1, Ahmad Fuad Abdul Rahim2, Muhamad Saiful Bahri Yusoff2, Kamarul Aryffin Baharuddin2 1University of Science and Technology, Yemen; 2Universiti Sains Malaysia, Malaysia Introduction: MCQ review is considered an important process to ensure validity, reliability, and other quality indicators of assessment tools. A substantial amount of time and effort into this process were invested. However, there is lack of scientific evidence showing its effectiveness and how students perceive reviewed and non-reviewed MCQ. Objectives: This study aimed to measure and compare student’s perception between reviewed and non reviewed MCQ. Methodology: A parallel randomized control trial was conducted on the third year medical students in School of Medical Sciences (SMS), Universiti Sains Malaysia (USM). They were divided into two equal groups (i.e. control and experimental). A mock examination was used twice (time I and time II). It contained three types of MCQ, multiple true false (MTF), single best answer (SBA), and extended matching question (EMQ). At time I, non-reviewed MCQ were administered to both study groups (i.e. experimental and control) as a baseline measurement. At time II, reviewed MCQ were administered to the experimental group, while the same nonreviewed MCQ were administered to the control group. Students’ perception toward MCQ’s clarity, difficulty and preference was measured using a guided survey by likert scale. Results: Out of 203 students, 160 students (78.8%) participated in the 1st mock examination (Time I). Out of 160 students, 129 (80.6%) participated in the 2nd mock examination (Time II). Data from the 129 students were selected for analysis in which 65 students (50.4%) were in the control group and 64 students (49.6%) were in the experimental group. Overall, there was no significant differences mean score of students’ perception, however, there are some surprising outcomes. Conclusion: This study suggested that the review process does not influence students’ perception. Despite of these discouraging findings, the process is still an important activity to ensure test items are developed to the highest quality and standard. ID: 267 Quality metrics of a 6th year Dental Orthodontics OSCE SHOROOG HASSAN AGOU, SAMIRA MUSATFA OSAILAN, SAHAR MOHAMMEDNOUR BUKHARY KING ABDULAZIZ UNIVERSITY, Saudi Arabia Introduction: Objective reliable assessment of clinical competence is a requirement. The greatest weakness of the traditional long case is that it is subjective and there is lack of control on content representativeness.OSCE is the solution to both of these weaknesses. Methods: Sixty seven students were subjected to 13 stations of OSCE that represented the core competencies for Orthodontics. A blueprint ensured distribution of items across the subject. Checklists and rubrics for each clinical encounter stations were prepared. Raters were trained on how to score. Reliability of the whole test was measured by Chronbach’s alpha. (Ch@).Each station was assessed using “AMEE Guide 39” quality metrics. Comparing Ch@ before and after deletion of each station,and correlation of checklist and global rating were used as indicators of quality of each station and the exam as a whole. Results: Overall Chronbach’s alpha was found to be 0.518 Five stations were found to be excellent, 3 stations very good, 4 good and, 1 poor. Checklist scoring correlated positively with global rating and ranged from 0.630 to 0.812. Discussion: The Quality of most stations was good to excellent. Strong correlation between checklist and global scoring is an evaluation of the scoring process. ID: 271 Musculoskeletal Teaching and Learning in Saudi Internal Medicine Residency Programmes Rania Zaini1, Hani Almoallium1, Waleed Hafith2, Mohammed samannod1, Mayada Fouad2, Alaa Arreheli1, Suzan Awaan1 1Umm AlQura University, Saudi Arabia; 2King Faisal Specialist Hospital & Research Centre Background: Musculoskeletal (MSK) symptoms are the most common reason for patients to seek medical attention, accounting approximately 20% of both primary care and emergencyroom visits. Despite the high prevalence of musculoskeletal disorders in all fields of clinical practice, doctors continue to describe poor confidence in their musculoskeletal clinical skills. Objectives: The study aims to investigate perception of Internal Medicine (IM) residents about the prevalence of musculoskeletal medicine in daily practice, and their self-confidence in demonstrating musculoskeletal clinical skills: exploring educational opportunities provided in undergraduate and postgraduate. Methods: 31-item questionnaire is developed and piloted: The study population is residents of the Internal Medicine in Saudi Arabia. Results: 296 IM residents complete the questionnaire with 42% response rate, between July-October 2011, representing 21 residency programmes in ten different cities that covering five regions of Saudi Arabia. The study indicates residents’ low self- confidence in demonstrating MSK physical examinations with total mean (10/24). Respondents show general agreement that MSK problems are very common in patient visits, and indicate the importance of MSK clinical screening in all standard clinical examination of patients, yet they point to current inappropriate practice in handling most cases: Respondents show lower perception of undergraduate and postgraduate training, regarding the inadequate training and assessment in MSK. Conclusions: The study shows a major threaten in clinical practice: most Internal Medicine residents in the Saudi Arabia have a lower confidence in MSK physical exam. Most medical schools and Internal Medicine residency programmes do not effectively educate future physicians on MSK medicine in spite of the increasing prevalence of MSK conduction. An urgent national study must focus on integrating teaching and training with standardized approach and to emphasis rapid MSK clinical screening in all standard clinical examination. ID: 273 Research-Oriented Series: A Portal into the Culture of Biomedical Research for Junior Medical Students at Alfaisal University Nawaf Hussain Albali, Mohammad Abrar Shareef, Loai Dweik, Zainab Abudan, Abdalla Gazal, Reema Abudawas, Ranim Chamseddin, Alaa Ali, Tehreem Khan, Abdulhadi AlAmodi Alfaisal University, Saudi Arabia Students’ contribution to research has been shown to effectively reflect on their communication and critical thinking skills. Short-term research courses offer opportunities for medical students to excel at their research skills and advance their research experience in subsequent high demanding long-term research opportunities. 173 Purpose: To describe the development, implementation and evaluation of the Research-Oriented Series (ROS) at Alfaisal University. Methods: ROS was designed comprising 8 sessions. Each session addressed core principles and practice of research concepts and was based on theoretical morning sessions supplemented by afternoon practical sessions delivered by experienced senior medical students and faculty members. Students were assessed comprehensively by the end of the ROS. The series was conducted twice where thirty-five students were involved each time. A total of 70 enrolled students, half of whom were male and half female, with Grade Point Averages greater and less than 3.5, were asked to fill an anonymous, online, self-administered questionnaire assessing their perception of knowledge, skills and confidence post attending the ROS, and evaluating their senior peers. Results: 90% of medical students responded to the online survey rating the Research-Oriented Series highly in improving their research knowledge, skills, and confidence. Male students reported significant gain in comparison to their female peers (P<.05). The Grade Point Average does not seem to play a role in students’ gains post attending the ROS. Qualitative responses were in support of three recurring themes favoring the unique learning environment in the ROS. Conclusion: ROS offers a short term systematic approach to fundamental steps and concepts of biomedical research. Alfaisal University Junior medical students perceived it as a beneficial pedagogy to improve their knowledge, skills and confidence in research. Such courses could be implemented in institutes which support dynamic undergraduate research environment.. ID: 280 Team based learning as an instructional strategy in pathology leads to favourable student perceptions and improvement in assessment. Khurshid Anwar, Abdul Ahad Shaikh, Muhammad Raihan Sajid, Peter Cahusac, Norah AbdulAziz Alarifi, Ahlam Alshedoukhy Alfaisal University, Saudi Arabia Pathology is an essential course in undergraduate medical education. There is an abundance of recommendations for what and how to teach Pathology. Instructional strategies employed for the teaching of pathology traditionally include lectures, demonstrations, practical classes; problem based learning and clinico-pathological conference. Recently team based learning (TBL) as an instructional strategy has gained acceptance in a variety of undergraduate medical courses. TBL is a student centred instructional strategy providing students with an opportunity to apply their knowledge through a series of activities comprising of individual work, team work and problem solving assignments. The aim of this study was to evaluate the effect of TBL on student learning and to correlate it with the student’s performance in summative assessment. The second objective was to evaluate the student’s perceptions regarding the process of TBL. We used this strategy in a third year neurosciences block in a class of 156 students divided into 78 male and 78 female students. A total of eight TBL sessions were conducted over a period of six weeks. We found that student performed better while working in teams as compared to individual testing. The male students performed better in the TBL and had a more favourable impact on their grades in the summative examination. The students who attended the TBL sessions performed better in the summative examinations as compared to those who did not. There were favourable student responses regarding the content covered in TBL as well as the process of TBL which led to improvement in communication and interpersonal skills. We conclude that implementing TBL strategy in neuroscience block increased student’s responsibility for their own learning and helped the students in bridging the gap in their cognitive knowledge which was demonstrated by their improved performance in the summative assessment. ID: 285 Transmission line matrix modelling of bioheat transfer in cryogenic therapy applications Melouka BELLIL1, Menouar BENNAOUM2, Ali MERDJI3 1CaSiCCE Laboratory, ENSET- Oran, B.P 1523 M’Naouer- Oran, Algeria; 2LPQ3M Laboratory, University of Mascara, Algeria; 3Mascara University and Laboratory LMPM of Sidi Bel-Abbes University, Algeria The transmission line matrix (TLM) method is well suited to efficiently solve the bioheat transfer with phase change in biological tissues during the freezing process. However, the accuracy of this model relies upon thermal properties which are known to be highly dependent on temperature during solidification process. To do so, a numerical algorithm based on the TLM method with a hyperbolic model and an automatic time stepping is developed to predict temperature history during freezing process taking into consideration phase change and temperature-dependant thermophysical properties. Propagation of ice ball fronts or solid-liquid interface as well as lethal temperatures isotherms are investigated. Cooling analysis of in vivo biosystems such as cryoablation and the role of blood flow and metabolic heat generation are analyzed during phase changes. Confirmation of results through comparison with known numerical and experimental solutions is achieved where possible. ID: 286 Residents satisfaction with simulation learning environment Sami Ayed Alshammary1, Mefwaz Alshammari2, A/Aziz Aljohani2, Abdullah Alotibie2 1KFMC, Saudi Arabia; 2MOH Background: Resident’s satisfaction is an important element of the investigation of simulation learning environment efficacy. There are suggestions that resident satisfaction may have some correlation with self-confidence and learning achievement. 174 It is an important element of the investigation of simulation learning environment efficacy. There are suggestions that resident satisfaction may have some correlation with self-confidence and learning achievement. Methods: This is a prospective exploratory study that evaluates learner satisfaction with simulation learning environment and self-conference utilized satisfaction with simulation experience (SSE) scale and pre and post simulation test for learning achievement. Participants was : residents (n=39) participating in their regular simulation-based session at training center, MOH. A comparison between pre- and post-test results was conducted on the basis of t-test for related samples. Correlation was used to explore the relationships among residents satisfaction with the simulation environment and residents’ self-confidence and achievement. Results: The simulation exercise, completed by 39 residents, increased correct test scores on average from 65% to 83% (P < 0.0001 by paired t-test).Increases in test results were between pre- and post- simulation identical multiple choice questions. The mean score for satisfaction with simulation environment items was 4.48, SD (0.45), using a 5-point Likert scale with 5 = strongly agree, 4 = agree, 3 = neutral, 2 = disagree, and 1 = strongly disagree. The mean score for self-confidence in performing Basic Life Support, evaluating and managing acute cardiac patient was 3.79, SD (1.01). For evaluating the relationship between residents satisfaction with simulation learning environment and learning achievement, bivariate analysis revealed a significant positive relationship between satisfaction with simulation learning environment and learning achievement (Pearson r = .80, p < 0.01). The magnitude or strength of the correlation coefficient (r=0.80) indicated satisfaction with simulation environment and learning achievement have a strong effect and positive correlation. Conclusions: Simulation is an effective teaching supplement and can introduce experiential learning in medical education. ID: 287 Smartphones and Medical Apps utilization by Medical Students Sayed Ibrahim Ali, Abdul Sattar Khan, Hashem Taher Al-Salman, Mohammed Hassan Al-Qattan, Mohammed Ahmed Al-Bahrani King Faisal University, Saudi Arabia Introduction The smartphones are now part and parcel of our lives as general public but it becomes an essential tool for medical practitioners. The usage of apps increased tremendously during last one decade. Off course, it is also being used here in Saudi Arabia but so far no such study found that estimated the utilization rate of smartphones and its apps by medical students for their study purposes. We sought to asses the rate of adoption of smartphones and it apps for medical purposes by medical students. Methods It was a cross-sectional survey included both male and female medical students of 4th, 5th and 6th year medical students at college of medicine, King Faisal University, AlHasa, Saudi Arabia. We designed a questionnaire based literature and Delphi technique. Though smartphones and its apps are frequently use by all medical students but we have chosen only clinical years because we hypothesized that its utilization is more in these years. Results The results depicted that 134 (56.1%) were males while 105 (43.8%) were females. Out of total, 137 (57.3%) were studying in 4th year, 72 (30.1%) belonged to 5th year while 30 (12.6%) were completing 6th year. There was significant difference in using of smartphones for drug reference, that is males used it more as compared to females (p=0.021). And females spent more than 40 minutes on apps as compared to males (p=0.029). Discussion The results demonstrate that all students use smartphones but males using it more as compared to females for some applications like drug referencing while females spent more time on smartphones. The results match with global literature. Conclusion The medical students use smartphones and its apps on regular bases, we just need to utilize it for proper purposes that would be helpful for making universities paper less. ID: 288 Successful new modified problem based learning (PBL) curriculum design for undergraduate clinical phase Badr Aljarallah Qassim University, Saudi Arabia Background: Application of classic PBL in Clerkship phase is challenging. Summary of work: Case based curricular design using adult and experiential education a principle was introduced in undergraduate medicine course at Qassim University. Summary of results: Typical week includes five daily morning reports for acute management of admitted cases, three bedside teaching for demonstrating physical signs, two clinical reasoning sessions to address chronic management, and five clinical self oriented sessions to observe common daily investigations and procedures, all case based. Conclusions: New program design strengthened by Knowles’s principles. 175 ID: 290 ID: 292 Chemoprevention of Oral Cancer by Propolis Synthesis, caracterization, atropisomeric separation of thiazoline compound and pharmacological evaluation Kamal Ahmad Qureshi, Riyaz Ahmed Khan, Dr. Faisal Al-nashmy Al shalawy, Dr. Jamal Osman Unaizah College of Pharmacy, Al Qassim University, Saudi Arabia Research Problem: Oral cancer represents 3rd most common malignancy after lymphoma and leukemia of all cancers in the Saudi Arabia. In addition to high rates of recurrence of head and neck squamous cell carcinoma because of frequent formation of second primary tumor in 3% to 7% per year, among the highest for any malignancy. Significance: Chemopreventive agents can serve as appropriate therapy for patients with a premalignant lesion or patients who have had head and neck squamous cell carcinoma. Also, excellent candidate cancer for assessment of chemoprevention is Squamous cell carcinoma (SCC) of the oral mucosa because lesions are amenable to oral delivery of chemopreventive agents. Research Objectives: The objective of this study is to investigate and evaluate the chemopreventive properties of propolis. Also to identify the ability to modify the expression of several genes relevant to oral cancer development. Research Methodology: Hamster cheek pouch (HCPs) will be painted 3 times a week for 6 weeks with 0.2% 7, 12- dimethylbenz (a) anthracene (DMBA). Hamsters will be given 5% or 10% propolis in their diet prior to, during, and after and intralesional injection after carcinogen treatment. Animals will be sacrificed 12 weeks from the beginning of DMBA treatment and the number of total lesions and tumors was determined. Mohammed BOUCHEKARA1, Ayada DJAFRI2, Ahmad ALLOUCH3 1Mascara University, Algeria; 2Oran University, Algeria; 3Lebanese University, Tripoli, Lebanon The fact that atropisomers of a biologically active compound exhibit different activities has attracted worldwide attention. The pharmacological activity of a chiral molecule can vary from one atropisomer to the other. Therefore, it is essential to separate the different atropisomers in order to be able to carry out the various biological tests; an inevitable step in the drug development process. In this study, the separation of racemic-N-[(2Z)-4-methyl-3-(2methylphenyl)-1,3-thiazol-2(3H)-ylidene]-N-(2-chlorophenyl)amine to collect its atropisomers has been achieved by HPLC using hydroxypropyl- -cyclodextrin (HP CD) (to obtain chiral molecules) and hexane-propane-2-ol as a mobile phase. The optimum conditions of resolution were established by systematically studying the effect of the mobile phase, the CD concentrations and the time of incubation of the CD-substrate [1,2]. In conclusion, These atropisomers thiazoline were synthesized and their structure were determined and also assayed for their in vitro antibacterial activity against Escherichia coli A, Pseudomonas aeroginosa , Staphylococcus aureus and Streptococcus fasciens using an Agar dilution method. All bacteria were grown on Mueller–Hinton Agar (Hi-media) plates (37 °C, 24 h). The Minimum Inhibitory Concentration (MIC) was considered to be the lowest concentration that completely inhibited the growth on agar plates, disregarding a single colony or faint haze caused by the inoculums. This study should extend on tests anti-inflammatory drug and antifungal because the literature gives results enormously interesting on these subjects. Also of other bacteria should be also selected to widen the investigation [3]. ID: 291 Controls and monitoring of the right to health ID: 293 Mohammed Habib BELKAHLA The effect of the excessive chewing on the durability of the dental prosthesis Education Academy of Mascara, Algeria In recent years, the right to the highest attainable standard of health is a growing interest, including the organs of the treaty relating to human rights, WHO and the Commission on Human Rights (now replaced by the Council of Human Rights), which in 2002 established the mandate of the Special Reporter on the right of everyone to the highest attainable standard of physical and mental health. These initiatives have helped to clarify the nature of the right to health and identify ways to achieve it. The present study aims to raise awareness of the right to health as it is currently defined in the context of international law on human rights, among the multitude of initiatives and proposals on what to could or should be. Therefore, it does not purport to provide an exhaustive list of the issues involved or set specific standards for them. This paper first explains what is meant by the right to health and shows what it entails for individuals and groups, individuals, and describes the obligations for States. It concludes with an overview of the mechanisms of control and monitoring at the national, regional and international levels. 176 Laid AMINALLAH1, Ali MERDJI1, El-Bahri OULD CHIKH2, Bel-Abbes BACHIR BOUIADJRA3, Iyad MUSLIH4, Osama MUKDADI5, Rajshree MOOTANAH6 1Mascara University and Laboratory LMPM of Sidi Bel-Abbes University, Algeria; 2Laboratory LSTE, Mascara University, Algeria; 3Sidi Bel-Abbes University, Algeria; 4Department of Mechanical and Industrial Engineering, Applied Science University, Amman, Jordan; 5Center for Cardiovascular & Respiratory Sciences, West Virginia University, USA; 6Medical Engineering Research Group, Faculty of Science & Technology, Anglia Ruskin University Bishop Hall Lane, Chelmsford, Essex, UK The purpose of this in vitro study was to determine the effect of using titanium materials on overload in the dental implant body-abutment complex. This overload is of vital importance for the long term success of the dental implant complex. Inadequate overload results in either loosening or fracture of implant or supported bone , and is the most commonly occurring biomechanical complication in implant supported/retained prosthesis. Similar complications occur when excessive overload is applied to the prosthesis compounds. These complications can result in unscheduled visits with costly and time consuming repairs for the clinician and patient. .ID: 294 The effect of food materials on the longevity of the implant in the bone Ali MERDJI1, Laid AMINALLAH1, Iyad MUSLIH2, Osama MUKDADI3, Rajshree MOOTANAH4 1Mascara University and Laboratory LMPM of Sidi BelAbbes University, Algeria; 2Department of Mechanical and Industrial Engineering, Applied Science University, Amman, Jordan; 3Center for Cardiovascular & Respiratory Sciences, West Virginia University, USA; 4Medical Engineering Research Group, Faculty of Science & Technology, Anglia Ruskin University The purpose of this study was to develop a detailed 3-Dimension mandibular model with dental implants on the basis of CT data and to conduct stress analysis to characterize the effects of the material type of food on stress/ strain distribution in the mandibular bone. Four (04) types of materials with different elastic properties were chosen as the food materials. The numerical results with 3D Finite Element Analysis showed that the Mises equivalent stress and equivalent elastic strain along the circumference of the implant at distal side were much higher than in the anterior region. It was also shown that the stress/strain concentration at the bone increased with decreasing the prosthesis stiffness. The stress/strain concentration observed in the circumference of the implants could be the driving force for loosening and fracture of the implants. ID: 295 Exploring the use of Facebook in medical students: A pilot study Abdulazeez Abdulmajeed Barakat, Abdulaziz Mohammed Shaheen, Fouad Farouk Jabri College of Medicine, Alfaisal University, Riyadh, Saudi Arabia Introduction: The use of social networking has made the life style of the current youth generation much different from the previous generations. The most popular social network is Facebook with 1.11 billion users. Around 30% of the Facebook users are university students. 800 million college students spend 100 minutes/day on Facebook. This use of technology enables the students to multitask. However, studies suggest that there is a potential impact of using Facebook on students’ studying time and therefore their academic performance. Our literature review showed no studies addressed the use of social networking among university students in Saudi Arabia. This pilot study aimed to assess the use of Facebook, as a social networking website, among medical students in Saudi Arabia. Method: An anonymous online survey was conducted among medical students in Alfaisal University. Results: A total of 140 students participated; 80% were male. Among participants who study more than 3 hours per day, 41.9% spend 1 hour or less on Facebook, 32.3% spend 2 hours, 12.9% spend 3 hours and 12.9% spend >3 hours. 70.7% reported that education was one of the main purposes of using Facebook. Among the students who use Facebook in their educational process, 48.5% were first year students, 19.2% were 2nd year, 14.1% were 3rd year, 6.1% were 4th year and 12.1% were 5th year. In addition, 44.4% reported that Facebook is effective in their academic performance, 32.3% reported that it’s neutral and 23.2% reported its ineffectiveness. A chi-square test was calculated comparing the frequency of GPA≥3.25 in students who use Facebook in education and who don’t. A significant interaction was found (X2(1)=5.9,p<.05). Students who use Facebook in education were more likely to get GPA≥3.25 than who don’t use it. Conclusions: Using Facebook is expected to influence students’ studying time and academic performance. ID: 300 Evaluation of the Orthopedic Residency Training Program in Saudi Arabia and comparison with a selected Canadian residency program Abdulaziz Al-Ahaideb, Hamza Mohammad Alrabai, Osama A. Alrehaili, Abdulaziz N. aljurayyan, Ranyah M. Alsaif, Nizar Algarni, Hazem M. Al-Khawashk, Abdulrahman D. Algarni King Saud University, King Khalid University Hospital, Saudi Arabia Introduction: The primary aim of the present study was to assess the quality of the Saudi Orthopedic Residency Program. Methodology: As a comparator, a cross-sectional survey involving 76 Saudi residents and 15 Canadian-trained residents at McGill University (Montreal, Quebec) was conducted. Results: The results showed that Canadian residents read more peer-reviewed, scholarly articles compared with Saudi residents (P=0.002). The primary surgical role for residents was to hold retractors during surgery. The survey respondents strongly supported the ability to recommend removal of incompetent trainers. Saudi trainees were more apprehensive of examinations than Canadian trainees (P<0.0001). Most residents preferred studying multiple-choice questions before examinations. Saudi and Canadian participants considered their programs to be overcrowded. Unlike Canadian participants, Saudi trainees reported an inadequate level of training (P<0.0001). Conclusion: Educational resources should be readily accessible and a mentorship system monitoring residents’ progress should be developed. The role of the resident must be clearly defined and resident feedback should not be ignored. Given the importance of mastering basic orthopedic operative skills for residents, meaningful remedial action should be taken with incompetent trainers. ID: 301 RELATIONSHIP BETWEEN SCHOLASTIC EXCELLENCE & PERCEIVED INTELLECTUAL ABILITY IN STUDENTS OF HEALTH SCIENCES IN NEWLY ESTABLISHED SAUDI ARABIAN UNIVERSITIES Fuzail Ahmad, Nasser bin Ali Al Jarallah, Mohammad Othman Al Rukban, Mohammed Al Mansour, Mansour Al Zahrani Majmaah University, Saudi Arabia 177 Introduction: Examination of students’ beliefs about themselves, or selftheories, may provide important insight into their behaviour and these results shall contribute to the body of knowledge demonstrating the utility of the motivational concepts for understanding health sciences students’ effort and achievement. This study shall examine the relationship between the students’ believes about their intelligence, their curiosity and inquisitiveness, and whether these adaptive personal beliefs are predictive of their academic achievements. Method: A Sample of 245 students were randomly selected from different colleges offering medical & health sciences courses from various newly established universities in Saudi Arabia. Implicit Theories of Intelligence Scale & Curiosity & Exploratory Inventory were used for measuring the outcomes. Result: It was found that the incremental intelligence beliefs accounted for 25% of the variance in students’ course grades, F(3,563) = 40.98, p < .05, adj. R² = .31, whereas exploratory curiosity accounting for 13% and absorptive curiosity accounting for 8% of the total variance. Discussion: In our sample, the students’ incremental beliefs were significantly higher than their entity beliefs. Our results also showed that the students who believe intelligence is malleable are more likely to inquisitive behaviours; in our sample, the inquisitive behaviour were significantly positively associated with students’ course grade leading to excellence in academic performance. ID: 302 Developing Cost Effective Simulation Centers in Medical Colleges: An Experience from Rehman Medical Institute Peshawer, Pakistan Gohar Wajid1, Tariq Mufti2 1University of Dammam Saudi Arabia; 2Rehman Medical Institute Pakistan Introduction: There is increasing emphasis on patient safety and improving the quality of healthcare services today. When it comes to medical education, there is increasing emphasis on promoting student centered education. Patient centredness on one hand and student centredness on the other hand has resulted in the restructuring of curricula and introduction of teaching methods that promote quality and safety in health and encourage students to be the drivers of their own learning. Nevertheless, a disconnect still exists between the classroom and the clinical environment. Many students feel that they are inadequately trained in history taking, physical examination, diagnosis, and management. Medical simulation has been proposed as a technique to bridge this educational gap.1 Patients are increasingly concerned today that residents and trainees are ‘practicing on them’. The result is the development of simulations that are increasingly being digitalized and miniaturized and computerized. An inherent issue with medical simulation is their exorbitant cost. Objective: to develop cost effective simulation that are used frequently in medical practice (high volume use). Results: This presentation will discuss the development and use of these simulations and their cost effectiveness issues. The present will suggest a strategy to develop cost effective Simulation Center for a medical college. ID: 305 Looking into the quality of our examinations` questions: Item Analysis; Do questions perform to the expectations? Ahmad AbdulAzeem Abdullah Omer, Mohammed Elnibras Department of Surgry, Faculty of Medicine, University of Tabuk, Saudi Arabia Introduction: It is beyond doubt that important decisions are taken based on the examination results which may have an impact on the students` academic future and career (Tarrant & Ware 2008). However some reports have shown that poorly constructed items are still frequently used in medical education (Downing 2005). Item analysis is a numerical analysis derived from the item response theory (Swanwick 2010) and is conducted following test administration to scan items for possible problems in their content, and inconsistencies in teaching and assessment. Methods: We analyzed items of two final written examinations of the surgical module run in 2013- 2014 for 6TH year male (N=30) and female (N=28) students. Each examination is composed of 100 questions of best answer, 4-response MCQ format. Difficulty index, discrimination power and items with non-functioning distractors were calculated. Results: Items with difficulty index within the preferred range (0.5˃ ˂ 0.7) accounted for 24% and 30% of the female and male examination respectively. Items which were answered correctly by all students in each class (difficulty index = 1.0) represented 9% and 4% of females and males examination respectively. Items with desired discrimination power within the range 0.35 – 0.45 counted to 8% and 20% of females and males examination respectively. Items with nonfunctioning distractors averaged 69% and 41% of females and males examinations respectively, Average difficulty index and discrimination power of these items were (0.85 & 0.12) and (0.8 & 0.26) for females and males examination respectively. An interesting item analysis data of a selected item were presented. Conclusions: Items with non-functioning distractors are unacceptably high in our examinations and their item analysis parameters are below optimum. Items with difficulty index and discrimination power within acceptable range is reasonable in number. Item analysis provide a tool by which test items can be scanned for possible problems. Methods: ID: 308 Developing ‘cost effective simulations’ was taken up as a project in one of the leading medical colleges in Peshawer, Pakistan. As a result, several simulations were developed at the local levels that were highly cost effective. DESIGN AND IN VITRO EVALUATION OF GASTRIC FLOATING DRUG DELIVERY SYSTEMS OF SIMVASTATIN 178 *riyaz ahmed khan1, *yella reddy ch2, *gamal Osman osman3, *Jawed akhter akhter4, Kamal Ahmad Qureshi5 1Riyaz Ahmed Khan,onaizah college of pharmacy, Saudi Arabia; 2Yella Reddy Ch,Nizam Institute of Pharmacy, Deshmukhi, Nalgonda district, India; 3Gamal Osman; 4Jawed Akhter; 5Kamal Ahmad Qureshi Abstract: The Floating Microspheres have been utilized to obtain prolonged and uniform release in the stomach for development of a once daily formulation. The major advantage of the preparation technique includes short processing time, lack of exposure of the ingredients to high temperature and high encapsulation efficiencies. In this study preparation of simvastatin floating microspheres, evaluation of floating drug delivery system, in vitro drug release and optimization of buoyancy and drug release pattern to match target release profile was investigated. Floating microspheres were prepared by solvent evaporation technique using ethyl cellulose as the rate controlling polymer and 100mg simvastatin per batch and it’s in vitro performance was evaluated by the usual pharmacopoeial and other tests such as drug polymer compatibility (FTIR),% yield, drug entrapment efficiency, buoyancy and in vitro drug release studies. Results showed that mixing ratio of components in organic phase affected the drug contents(62-69%),yield(1675%),drug release of microspheres (6-87% after 90 min) and the best results were obtained at the ratio of drug:polymer:polymer(2:5:5 and 25:18:107).in most cases good in vitro floating behaviour was observed and a broad variety of drug release pattern could be achieved by variation of the polymer and solvent ratio, which was optimized to match target release profile. ID: 309 Evaluation of student assessment practices in the college of medicine-KKU, Abha, Saudi Arabia Omer Abdelgadir Elfaki, abdulaziz awadh alamri king khalid university, Saudi Arabia Background The importance of assessment in the educational process is well emphasized in medical education. It has been also proposed that assessment plays an important role in lifelong learning. Proper planning and implementation of assessment is therefore essential for achievement of the expected positive effect on students learning. This study was done with the objective of evaluating the quality of the current student assessment in the college of medicine, KKU. Conclusion Important shortcomings in student assessment system in many of the courses studied were identified. More attention should be given to good assessment criteria, namely, planning of the assessment (blueprint), standard setting and student feedback. More use of OSCE should be encouraged and use of methods like long case abandoned or minimized. ID: 310 The Theory of Multiple Intelligences : New Teaching Approach Norah Faisal Abukhalid, Eman Abdulrahman Alrashidi King Saud University, Saudi Arabia Norah Faisal Abukhalid, Eman Abdulrahman Alrashidi King Saud University, Saudi Arabia Introduction Integrate educational theories and teaching strategies in meaningful way would help to address students needs. In conceiving of intelligence as multiple rather than unitary in nature, the theory of multiple intelligences, developed by psychologist Howard Gardner * posits that individuals possess different relatively autonomous intelligences. The aim of this study is to introduce the theory of multiple intelligences and its application in teaching. Method Reviewing literature was the followed method to bring clarity to the theory of multiple intelligences , and we discuss published information with previous experience about applying the theory in academic institutions. Result A departure from traditional conceptions of intelligence as limited to mathematical and linguistic abilities. the theory of multiple intelligences, hypothesizes that everyone is born possessing several intelligences types, include : spatial intelligence, musical intelligence, bodily-kinesthetic intelligence. and the possibility of others may eventually expand the list. Therefore educators should structure the presentation of material in a style that engages most or all of the intelligences which can facilitate a deeper understanding of the subject material. Discussion Methods The college of medicine, KKU was established in 1980. The total number of courses included in the MBBS program in the college is 35. These are taught over five years excluding the preparatory year and the internship. In spite of the efforts made to improve the teaching and assessment methods, the program can be described as discipline based. A survey was planned to study the current assessment situation of the 35 courses, using online questionnaire developed using SurveyCrest software during the period February-May 2014. Analysis of the results was done using SurveyCrest and Microsoft Excel 2010 program. defining the intelligence as “the capacity to solve problems or to fashion products that are valued in cultural setting” , Gardner hypothesizes that these intelligences operate together, and rarely operate independently. Nevertheless the teacher can show students how to use their more developed intelligences to assist in the understanding of a subject which normally employs their weaker intelligences (Lazear, 1992). For example, the teacher can suggest that an especially musically intelligent student to learn about the revolutionary war by making up a song about what happened. Results & discussion Twenty course coordinators responded to the survey (57%). Eleven of the courses covered were basic and nine were clinical. The study clearly indicated that some of the important principles and guidelines of good practice of students’ assessment were not followed. The shortcomings identified included: lack of exam blueprint, no regular student feedback, only fixed pass mark was used and no standard setting, and use of unattended long case as summative assessment in a major clinical course. Gardner’s Theory of Multiple Intelligences lies in the fact that people have a unique blend of intelligences. So, educators should employ customized goals in their teaching that’s fit with different intelligences, to help in recognizing students talents. Conclusion 179 ID: 320 Evaluation of Discipline guided field project in improving patient safety attitudes and concepts among last year medical students Taher Halawa, Zoher Gazzaz KAU, Saudi Arabia Patient safety module at Rabigh Medical school was designed to prepare future medical professionals with the essential knowledge enabling them of avoiding adverse events and how to mitigate against these errors. Evaluation of their progress in acquiring major safety concepts and awareness of patient safety goals was conducted over Three phases pre ,mid and after their field project Significant change in their attitude was observed and more practical safety solutions were introduced by the student reflecting a great improvement in their disciplines 1qassim university, Saudi Arabia; 2university sciences malaysia-Malaysia; 3univesity of science and management-Malaysia; 4ministry of health =Khartoum state-Sudan Inroduction ;Artemisinin (ART) is an oral antimalarial agent that is poorly soluble drug with low oral bioavailability. Method:The present study describes the preparation of artemisinin freeze dried powder using dextrin, designed to increase the solubility of artemisinin. Artemisinin freeze dried powders were prepared by dissolving dextrin in water followed by the addition of artemisinin at different ratios. Result and Disscusion:The resultant products were evaluated using the solubility,dissolution studies, differential scanning calorimeter (DSC) and scanning electron microscopic (SEM). The solubility of artemisinin from freeze dried powders increased linearly with increasing the ratio of dextrin to drug. . Conclusion:These in vitro studies showed that the aqueous solubility of artemisinin has increased significantly for artemisinin-dextrin powder prepared by freeze drying ID: 323 ID: 321 Flipped classroom usage in clinical skills teaching in Qassim University: An Evaluation Study Habiba Kamal, Mohammed Saqr, Nahlah Al-juaid Qassim College of Medicine Assessment of Learning Approaches of Medical Students in University of Science and Technology (UST), Yemen Clinical sills teaching has been a challenge to keep up with the innovative educational reform in medical education, using the flipped classroom in which the students watch the prerecorded learning materials and skills demonstration at their own pace at home using their own computers or smart portable devices before class and then engage in active learning and discussions during class time. Flipped classroom offers the opportunity of enhancing the students’ knowledge- based discussions and improving the understanding and retention of examination skills and its relevance to clinical medicine as well as encourages the team based collaborative working. Subjects and Methods 1rst year medical students were asked to watch the pre-recorded clinical examination of the musculoskeletal system before class and then attend the class where they continue learning the skills and discussion of key elements of clinical techniques. Abdullah Abdu Almekhlafy1 Muneera Abdulwahab Yahya2 1University of Science & Technology, Faculty of Medicine, Community Med Dep.; 2University of Science & Technology, Faculty of Medicine, Anatomy Dep. Introduction: The learning approach has been studied extensively because it is strongly related to students’ level of understanding and learning outcomes. UST medical curriculum is integrated & hybrid with lectures, PBL, clinical skills lab and bed side teaching. Objectives of this study were to assess the UST medical students’ approaches to learning and to determine the differences according to gender. Methods: Design: cross-sectional. Participants: Medical students from the 2nd, 3rd, and 4th levels in 2nd semester of year 2013/2014. Results Students were surveyed about their reception and we found that 86% find classroom discussion helped them learning, 80% find the flipped class can help them achieve higher grade in exams, 72% find the clinical skills should use this technique and 75% will use the videos for exam preparation Instruments: An Arabic version of Biggs’s Revised Two-factor Study Process Questionnaire (R-SPQ-2F) was used. R-SPQ-2F consists of 20 items representing two main scales, Deep Approach (DA) and Surface Approach (SA), with four subscales, Deep Motive (DM), Deep Strategy (DS), Surface Motive (SM), and Surface Strategy (SS). The total score is 50 for each main scale and 25 for each sub-scale. Flipped classroom is a considerable technique to enhance students learning outcome in clinical skills teaching. Data were analyzed by using SPSS 18. T test was used to study significance of differences between male and female. Results: ID: 325 Invitro evaluation of artemisinin-dextrin powders prepared by freeze drying gamal osman elhassan1, Kah Hay yuen2, Jia Woei Wong2, Jawed Akhtar akhtar1, Riaz Ahmed Khan1, Jiyuadin khan3, Kamal Ahmed qurashi1, Khalid Omer alfarouq4 180 This study included 210 medical students (111 male, and 71 female) with response rate of 86.7% (182/210). The average scores for DA and SA were 32.90±6.1 and 30.38±6.7 respectively. Both of DA & DS scores were statistically higher among males. The score of DA was 33.58 for male & 31.76 for female (p = 0.048). However, DS score was 16.84 for male & 15.27 for female (p =0.002). Discussion: Adopting of our students of deep approach is favorable in medical education. This could help them to achieve the long term goals in their career as medical professionals. However, we need to motivate them to deeper learning approach especially female students. ID: 326 Conclusions: Medical students of UST adopted both of deep and surface approaches with slightly preferring of deep approach. Male students adopted deep approach (mainly deep strategy) more than female. Qassim College of Medicine, Saudi Arabia ID: 324 Using Social Network Analytics to Enhance Students’ Learning: An Intervention Study Ayman Hossny AlGadaa, Azzam Alkadi, Mohammed Saqr Qassim Faculty of Medicine, Saudi Arabia Introduction Online discussions have been used extensively in blended learning, The goal is to foster engagement with other learners and educators to help the develop their personal understanding and higher level cognitive processing of information beyond the limits of time and space. Adding Social Dimension to Online Education: Qassim College of Medicine Experiment. Ayman Hossny AlGadaa, Azzam AlKady, Mohammed Saqr, Habiba Kamal Introduction Online blended learning has been a standard in Qassim College of Medicine since 6 years. Keeping students interested in e-learning and online courses has always been the challenge since then social networks have gained lots of momentum and became mainstream among students, grabbing their attention and online time Methodology Sixty Students of Surgery course 2014 have been offered social networking using open discussions, comments and multimedia features as a means to enhance their commitment to the course and help their engagement. Results The Social networking component was hugely popular among students, they posted their daily activities, clinical trainings and pictures, with lots of comments and discussions about it. The theoretical principles of online discussions are derived from social learning theory which focuses on learning that occurs within a social context involving personal experiences, observations, and interactions with others. evaluation revealed that 100% of survey responders said that it helped them being engaged with e-learning, 88% said it helped them learn online, 23.5% said it had a negative impact on their time. and the overall evaluation score was 47%. Social network analytics and visual mapping of social learning can help in understanding students’ interaction, group dynamics, students-tutors interactions, factors affecting students learning, ways that help students improve learning, behaviour, attitude. This might reshape the way we evaluate learning and the way it is delivered. Discussions and Conclusions The previous results confirms the potential of social networks to help students be more linked to courses, however not without its negative side which highlights the importance of improving the social networks in education and controlling the time for the benefit of students. Aim of this study was to investigate patterns of students’ interactions and work to improve the students and tutor/ students interactions by means of network analytics. ID: 336 Methods: The study was done in two stages: TBL Tips and its Emerging Trends in Pharmacy Education in the Kingdom of Saudi Arabia The first stage was to study the patterns of interactions of students and tutors in online discussions by social network analytics in surgery course of 2014 with 60 students enrolled. Shamshir Khan1, Shahid Karim1, Sana Hashmi2, Adnan Mohammed1, Naser Al wabel1 The second stage is to improve these patterns to allow for a better learning and healthier students/tutor interactions. Results Studying online discussions revealed unhealthy patterns like an exaggerated tutor central role, less students/student interaction. discussion were more of repeating others answers rather producing analysis and synthesis of information. This allowed us to change these patterns and monitor this change, producing a students central discussions with better information processing and synthesis. Conclusions: Social network analytics of online discussions can be used to enhance students learning in a fast and efficient way. 1Buraydah College of Pharmacy and Dentistry, Buraydah Private Colleges, Al-Qassim, Saudi Arabia; 2Unaizah College of Pharmacy, Qassim University, Al-Qassim, Saudi Arabia Introduction: The pedagogic approaches used in the different educational system such as medical sciences and pharmacy have been changing and new teaching strategies are used to promote active learning. Team-based learning (TBL) is one of the approaches of innovative teaching methodology which is based on a structured or student centred but instructor-led method of cooperative learning. TBL has three phases- Phase I) Preparatory phase where students prepare for the in-class TBL session by learning the content of the material provided by the faculty. Phase II) Accountability phase where individual students demonstrate their readiness for the class by taking an in-class test called the individual Readiness Assurance Test and team Readiness Assurance Test. Phase III) Application phase where student 181 prepare for the in-class TBL session by learning the content of the material provided by the faculty. Phase II) Accountability phase where individual students demonstrate their readiness for the class by taking an in-class test called the individual Readiness Assurance Test and team Readiness Assurance Test. Phase III) Application phase where student teams’ work on the same problems or cases designed to provide the teams the opportunity to apply the concepts learned in phases I and II to solve significant real life problems of varying complexity. There is limited understanding on the concept of this innovative teaching methodology in the curriculum of pharmacy education across the Kingdom of Saudi Arabia is limited. Methodology: The methodology of present study was based on the web based search engines such as google, PubMed and survey of the abstracts of conference proceedings. Result: TBL methodology is widely acceptable in the medical science curriculum and it is in the process of transitioning from a traditional teaching practice in the Kingdom of Saudi Arabia. The College of Pharmacy, Qassim University is the pioneer to start TBL system where it was adopted only in the higher level of pharmacy curriculum as a main instructional strategy. Conclusion: Our study concludes that the TBL system is getting popularity day by day in this region. Also, in future a thorough survey must be conducted to know the students perception as well as impact of TBL in the pharmacy education. ID: 338 Death Anxiety Among Physician and Medical Students After an Orientation Course on Death Sajida Agha1, Faisal Mughal2, Najla Qazi3 1Medical Education Department, King Saud bin Abdulaziz University, Riyadh; 2College of Medicine Qassim University, Saudi Arabia; 3Family medicine department, King Saud bin Abdulaziz University, Riyadh Background: Medical schools require time for end-of-life topic. However, there is very little medical literature that directly addresses how medical students and residents are to behave, manage emotion, and confront their own grieving process when patients die. Objective: The purpose of the present research was to see the effect of an orientation course on death and to evaluate the death anxiety level prevailing among the physician and fourth year clinical year medical students. It was hypothesized that the fear of anxiety would be higher in medical students and physician in pre-test before the practical implementation of death orientation course and will be lesser in post-test. Methodology: The sample of present study consisted of 80 male and female subjects. Forty male (n= 20) and female physicians (n= 20) from King Fahd hospital, Riyadh with their age ranging between 30 182 to 40 years, and 40 male (n= 20) and female students (n=20) from King Saud bin Abdulaziz University age ranging between 20-25 years. They completed a five point Collett-Lester Fear of Death Scale before and after a short course on Islamic education including concept of death in Islam, the dying process, grief and bereavement, communication and the role of the doctor. The course consisted of approximately 27 hours of interactive sessions presented in 3-hour blocks during a 9-week period. This scale is widely used in many researches and is a cultural free test. For statistical analysis percentages were computed for gender and age and to compare the death anxiety level chisquare test of independence was applied. The level of significance was <0.05 levels. Results: Result showed significant difference between the fear of death of the two groups in both pre and post test. Results revealed the positive effects of religious education in medical education. Conclusion: End-of-life curriculum is more than teaching about the clinical care of the patient and support of family. These medical students overwhelmingly identified the need for coping strategies when confronting the dying patient. Teaching students these coping strategies should be an integral part of an end-of-life curriculum. Avenues for further research have also been suggested. ID: 340 Comparison between team based learning (TBL) marks in early and late blocks among premed 2 students Azzam Al-Kadi, Manal Al-Batanony, Adel Al-Twigry, Reham Abukhalil Qassim College of Medicine Background: The healthcare atmosphere nowadays shifts toward increased interdisciplinary patient care. Thus it becomes essential that students be accomplished at group problem solving and develop positive attitudes toward teamwork. Healthcare world wide needs translation of basic ideas into the clinic. Consequently, there is increasing demand for graduates equipped with the knowledge and skills to apply interdisciplinary medicine approaches to the development of novel solutions for healthcare, and this is the unique team based learning (TBL). Aim of the work: Is investigating and assessing the performance of students in TBLs and their increased understanding and skills in case solving by comparing the early marks of TBLs in early block and the grades of the same group of students in a latter block. Subjects and methods: All marks of 128 premed 2 students performing TBL for the first time in Unaizah College of medicine in both the first and the latest blocks of the studying year are collected. A comparison regarding TBL performance was done to reflect the gain of students to TBL concepts and the promotion of lifelong learning. Results: The study show a highly significant increase in the marks of the students in the latter block compared to the earlier one (P= <0.001). Conclusion: The knowledge and skills of case and problem solving of students along with lifelong learning increased with practicing more TBLs across the year. ID: 339 Perception and Attitude of PreMed-II female students of Qassim University on Implementation of Team Based Learning Abdulrahman S Al-Anazi1, Md Shamshir Alam1, Manal Ahmad Al-Batanony2, Jamir Anwar1, Sana Hashmi1 1College of Pharmacy Unaizah, Qassim University,Kingdom of Saudi Arabia; 2College of Medicine Unaizah, Qassim University,Kingdom of Saudi Arabia Introduction: Teamwork is a developed skill that is essential within pharmacy practice and health care. Exposure to team-based learning (TBL) may foster development of skills, strengthens student pharmacists’ ability to apply skills and concepts learned from their introductory curriculum of premedical-II (PreMed-II) course to advanced practical experiences. Inspite of wide use of team based learning in medical education; the perception of PreMed-II students who might join College of Pharmacy Unaizah has not been studied. Therefore the present study provides evidence based on the perception of female students who registered for the PreMed-II course (for opting either Pharmacy or Medicine programme) on the implementation of TBL system in the curriculum of Unaizah campus of Qassim University. Methodology: Validated questionnaire was used to conducted survey on PreMed-II students. A six-point Likert-type scale was used to appraise students perceptions of: i) TBL sessions are more useful and conceptual than traditional lectures, ii) TBL encourage me to read before iRAT, iii) TBL assist student to be more organized and punctual, iv) TBL help students to score better, v) TBL improves the overall performance, vi) feel more comfortable and enthusiastic with TBL. Result: In the present study fifty eight out of 72 female students who registered for PreMed-II course were participated in this study, where 27.58% were strongly agreed upon that this method is more useful and conceptual than traditional one. Moreover, 31.03% of students agreed whereas only 1.72 % strongly disagreed with TBL than the conventional method of teaching. Conclusion: This study concludes that the TBL system is highly acceptable from both the academicians and students perspective. Further studies are needed to explore the perception of TBL in pharmacy students of higher level. . ID: 353 The First Medical Doctor (M.D.) Curriculum Program in the Kingdom of Saudi Arabia at Unaizah College of Medicine: Report on the PreMed2 Year and Use of Team-Based Learning™ (TBL™) Fayig Ahmad Elmigdadi1, Azzam Al-Kadi1, Fahd Al-Shehri1, Adil Altwairgi1, Saleh Al-Damegh1, Dean Parmelee2 Unaizah College of Medicine (UCM) at Qassim Univeristy, in association with Wright State University Boonshoft School of Medicine (BSOM) of Dayton, Ohio, U.S., has adopted a medical doctor (MD) degree curriculum. One of the unique instructional features of the curriculum of BSOM is the use of Team-Based Learning™ (TBL™), and UCM has incorporated this instructional strategy in its PreMed 2 Year curriculum, to be continued throughout the remainder of the medical school curriculum as implemented at BSOM. We focus this report on the experience and performance of 125 students who completed the PreMed2 Year that used TBL and of our faculty with it as well. We also report on the level of satisfaction of the students and faculty with the Year’s curriculum, and highlight the changes planned for the next year based upon the constructive feedback of both students and faculty. This study was conducted between September2013 and November 2013. In the 5 major items of the Student Perception Survey: overall satisfaction with team experience, team impact on quality of learning, professional development and the team impact on clinical reasoning, Strongly Agree and Agree scores were significantly higher than those of Disagree and Strongly Disagree. In the 14 items of the Faculty Perception Survey including TBL improves knowledge retention, TBL, as a teaching strategy, is effective for all types of learners and TBL, as a teaching strategy, is effective for all subjects, Strongly Agree and Agree scores were significantly higher than those of Disagree and Strongly Disagree. These data were presented in the TBL Collaborative Annual Meeting in Texas,USA this last March of 2014. ID: 341 Unaizah Collage of Medicine and Medical Sciences: Why Team Based not Problem Based Learning? manal ahmad albatanony, Saleh All-Damegh, Azzam AlKadi, Reham Abukhalil qassim faculty of medicine, Saudi Arabia Team-Based Learning (TBL) is a special form of collaborative learning using a speci¬fic sequence of individual work, group work and immediate feedback to create a motivational framework in which students increasingly hold each other accountable for coming to class prepared and contributing to discussion. TBL allows a single instructor to manage multiple small groups simultaneously in 1 classroom. TBL has garnered interest within the medical education community because of its potential to promote active learning without requiring large numbers of faculty facilitators. Problem-Based Learning (PBL) is student-centered which refers to learning opportunities that are relevant to the students, the goals of which are at least partly determined by the students themselves. In PBL students use “triggers” from the problem case or scenario to define their own learning objectives. Subsequently they do independent, self-directed study before returning to the group to discuss and refine their acquired knowledge. Thus, PBL is not about problem solving per se, but rather it uses appropriate problems to increase knowledge and understanding. To highlight the difference between TBL and PBL and explain why Unaizah Collage of Medicine (UCM) preferred TBL model, this paper was applied. 1Unaizah college of medicine UCM, Qassim University, Jordan, Hashemite Kingdom of; 2Wright State University Boonshoft School of Medicine 183 ID: 260 Results Theme-Based Integrated Objective Structured Practical Examination (TBI-OSPE): Students’ Perception Details of results are in process. Provisional results are as follows: Mohammad Saleh Hassan, Amel Yacoubi Majority of the students interviewed were satisfied with the genetics module and considered it an important part of their program. Considerable number of students believed that the content should be more elaborated over a longer duration. Some students reported that there should be more integration between basic science modules and genetics. Senior students and doctors believe that the module needs more clinic hours with increased contact with patients and their families. Qassim University College of Medicine, Saudi Arabia This study was designed to elicit the opinion of the preclinical medical students about a suggested approach of practical assessment. Fifty three of female students (out of 87, registered in year two and three) of Qassim College of Medicine, KSA, agreed to share in this study. Full explanation was made to the students about the theme-based Integrated OSPE followed by distribution of a questionnaire to collect their opinion. Results showed that 78% of the respondents were accepting the idea and only 5.7% rejected it. This difference was statistically significant, P<0.05. : ID: 255 Students’ Interviews for evaluating effectiveness of Genetics teaching in Rabigh Medical College, KAU, KSA Hazem Atta, Muhammad Shahid Shamim, Ashraf El-Harouni King Abdulaziz University, Saudi Arabia Introduction There is no consensus on how much of genetics knowledge and skills are required for medical students and how much does it help the students in their later years of education. We conducted a qualitative interview based study to evaluate the effectiveness of genetics teaching in Rabigh Medical College (RMC), KAU, and compared the content of our course with content taught in medical colleges of USA. Methods Focus interview based, qualitative study was conducted at RMC, with students of 4th, 5th and 6th years and graduates of KAU. Each interview was conducted by the same faculty members and included questions regarding content, effectiveness, strengths and weaknesses of the genetics course. The interviewees were also asked to give their suggestions for improvement of the course. The data gathered from interviews was analyzed manually by content analysis method to develop themes and categories from responses and interpretations and inferences were drawn. 184 186 187 Conference Sponsors Main Sponsor 188 Golden Sponsors 189 Silver Sponsors Bronzy Sponsors Media Sponsors 190 General Information 192 Exhibitor / Sponsor Area .Medical Engineering Equipments & Services Co. Ltd 1 Info Disk 2 Medical College at Qassiem University Mada Media Group Gulf Medical Co. Ltd. Salhia Co, Al.Attia Holding Co. 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