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LHTL by LRon Hubbard

VIEWS: 19 PAGES: 30

									Pharmacology &
 Therapeutics
  Prof. Dr. Shah Murad
shahmurad65@gmail.com



                         1
CURRENT TEACHING PRACTICES




                             2
         Current teaching methods
   Lectures
   Pharmacokinetic practicals
   Pharmacodynamic practicals
   Pharmacy Practicals
   Pharmacognosy
   P-drug
   Prescription writing
   Biostatistics
   Tutorials
   Therapeutics-related presentation by students   3
          Lectures
Topic-vise grand lectures from
 all chapters are delivered by
professor and senior lecturers




                             4
PM&DC has assigned 150
 hours for grand lectures
  + grand tutorials to the
 subject of Pharmacology
      & Therapeutics
                             5
All the topics from complete text-book
  are not/can not be covered in grand
                  lectures

                   ↓
so only important topics are delivered in
             grand lectures
                                      6
Regarding UHS-exam syllabus, grand lectures
 are followed by 2 or 3 clinical scenario-based
      problems put in front of students,
             facilitated by teacher

                           ↓
  this method works indeed, due to vision &
    perception created by clinical condition
                  presented
                                            7
Group of MBBS & BDS students
   3rd year MBBS class is divided in four
    equal groups; A, B, C, D (from Monday
    to Thursday)

    2nd year BDS class is divided in two
    groups; A and B (Tuesday and
    Thursday)

                                            8
       Pharmacology Practicals
 CONTEXT,     Material method of
    PRACTICAL is discussed followed by
    demonstration conducted by
    demonstrator collectively in whole
    group, then individual student
    performs practical by him/herself

   Some Pharmacodynamic Practicals take more
    than 2 weeks to complete
                                          9
      Pharmacy Practicals
 PM&DC had removed Pharmacy Practicals,
 long ago but on UHS-exam instructions and
 OSPE, department has again started
 Pharmacy Practicals
             ↓
Which are no more useful for MBBS
 or BDS students

                                        10
        Pharmacokinetic Practical
   Relative rapidity in bioavailability between
    different routes of administration of drugs
    using thiopental sodium in mice

   Absorption and excretion of drug through
    specific route of administration using KI in
    volunteer students/individuals

                                              11
    Pharmacodynamic Practicals
 Effects of cardiovascular drugs on heart
  of frog
 Effects of different drug groups on small
  intestine of rabbit
 CNS Effects of picrotoxin and caffeine on
  frog
 Differentiation between MOA of different
  local anesthetics using frog’s legs
  anesthetized                           12
      Practical groups of students for
     selection of P-drug in therapeutics
   These Practicals start from mid of the
    academic session when students have
    reasonable idea of therapeutics
    >>>>>>>>>> so the selection of
    Primary/Preferred/Principal drug used in
    various diseases is easy to understand


                                           13
           Prescription Writing and
          Abbreviations used in PW
   These Practicals also start from mid of the
    academic session, when students have already
    attended different OPDs/wards of GTTH and
    observed methods of PW by consultants of
    different departments

   It is the time when 3rd year MBBS
    students are eligible to understand, retain
    and express importance of abbreviations
    used in PW                               14
          Biostatistics
In 3rd year MBBS , students are ,
according to of PMDC/UHS
syllabus, just be able to learn
introduction and easy application
of Mean, variance, SD, SEM,
paired or students ‘t’-test,
Probability value, and upper and
lower limit of significance of
results regarding data given   15
CURRENT LEVEL OF INTEGRATION




                           16
        In the department of
Pharmacology, level of integration
               is limited
                    ↓
 Clinical scenario-based lectures

           Tutorial Classes




                               17
       Clinical Scenario-based Case
      Presentation by MBBS students
   In 3rd year, MBBS students are not
    well aware about pathology of
    special organ system
    >>>>>>>>>>>>> so it is difficult
    for students to understand mode
    of action of some drugs in altered
    physiology (pathology) of specific
    organs.
                                      18
 But they are motivated to present a
 clinical scenario-based context,
 pathophysiology,sign/ symptoms,
 and management of selected
 diseases.



                                        19
 SUGGESTIONS to make
 PHARMACOLOGY MORE
CLINICAL OR INTEGRATED




                         20
      3rd year MBBS students can avail SKILL LAB
      >>>>>>>>>>>>>>>> for

(1)   Getting skill of administration of drugs by
      different routes




(2)   How to use insulin syringe subcutaneously in
      skill laboratory may be interesting for
      students to let them know “how interesting is
      it to manage IDDM patients?”
                                                    21
(3) How to use topical preparations on
  demo at SKILL LAB can be contributory
  effort to make pharmacology and
  therapeutics more clinical




                                      22
Prevention of diseases by specific
drug groups may easily and
interestingly be demonstrated at
SKILL LAB >>>>>>>>>>>> to
let students cognize
“INTERESTING”, use of medicine
for prevention of diseases !!!!!


                               23
      Clinical Assignments
Students may be guided and
encouraged to interact with their
neighbour general medical
practitioner to get clinical data of
medicine ; wrong or right…..but
just data be collected……and
discussed with teachers in the
department of Pharmacology to
make the subject more real and
so the CLINICAL                   24
    Weekly schedule at bed or patient-based
Interaction/exposure to commonly used medicine

  Pharmacology teacher may go along with
 3rd year MBBS students during their
 ward/OPD posting at GTTH, once in a
 week to discuss effects, side effects and
 compliance of different drugs >>>>>>>>
 the ONLY REASON TO BE WITH THEM
 at bed/patient side is to make
 pharmacology more interesting and
 clinical at the level of 3rd year MBBS    25
   ETHICAL COMMITTEE for use of animals in
         Pharmacodynamic Practicals
        Very Interesting Phenomenon !!!!

Establish “Ethical Committee of LM&DC” for use of
  animals in Pharmacology practicals >>>> may be
  >>>>>>>> students be more aware about their
  practical work that these type of Practicals on animals
  are not only for passing their annual exam: but it is
  real clinical work to scarify an animal and
  >>>>>>>>>>>> be accountable in front of the
  COMMITTEE if misuse of an animal in the department
  is observed/reported
                                                     26
   Clinical-case Data Collection
Make students responsible for collection of
specific number (e.g.; 10 cases per
academic year for every student) of clinical
cases from GTTH, their data related to
drugs prescribed; justification of indication
, compliance, DDI etc may be discussed
with already assigned teachers in the
department for specific no of students
(e.g.; 15 students per teacher per year)
                                         27
Establishment of Animal House
   It is very important (and PM&DC
    advised) approach to have animal
    house in the institute for Physiology
    and Pharmacology Practicals.



   Students feel clinical environment, to interact with alive
    animals and compare their own (LM&DC) institutional
    environment with those of other well established public
    sector institutions                                   28
More suggestions for the
departmental improvement
  may be appreciated !!!!




                            29
THANX ALOT


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