Utility of iRat as a Tool to Identify Low Academic Performers in 1st Year MBBS with High Scores in Pre-Medical Examination

Abstract

Objective: To identify low performers by utilizing individual readiness assurance test (i-RAT) scores in first year MBBS students using Team-based learning (TBL) strategy. Study Design: Cross sectional observational study. Place and Duration of Study: Study was conducted in Federal Medical College Islamabad from 10 January to 31 March 2022. Materials and Methods: TBL were introduced in 1 year MBBS. Six TBL activities were practiced by Anatomy Department during the 12-week respiratory and CVS course program. Premedical examination scores, first week individual readiness assurance scores and average i-RAT scores of 6 weeks were gathered. Mean and standard deviation were calculated. Difference in the first week i-RAT scores of three groups based on their premedical examination scores i.e., upper percentile group (A), middle percentile group (B) and lower percentile group (C). Each group comprised of 37 students, was calculated using One Way ANOVA Method. Pearson correlation coefficient (r) was used to access strength and direction of linear association between premedical examination scores and i-RAT scores. The data was analyzed in the statistical package for social sciences (SPSS) version 21 for analysis. Results: High scorers in premedical examination (Group A) showed lowest scores in first week iRAT (i-RAT 1) and Average i-RAT when compared with group B and C with significant p value < 0.05. Significant increase was seen in progressive i-RAT scores in all 3 groups. Negative linear association (r= -0.2) was found between premedical examination scores and i-RAT 1 scores. A strong positive linear association with r= 0.54 was found between first i-RAT and average i-RAT scores. Conclusion: High achievers in premedical examinations struggled the most in 1 year of medicine.

Keywords

• individual reassurance test
• mbbs
• premedical scores
• team based learning.