Browsing by Author "Kei, R."

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    Challenges Faced in Implementing SPICES Model at Moi University College of Health Sciences, Eldoret, Kenya
    (World Journal of Medical Education and Research, 2018) Katwa, J. K.; Baliddawa, J.; Ayiro, Laban Peter; Kei, R.
    Background: The foundation of SPICES Model of teaching and learning is in its facilitation skills and resources which are vital to student learning. SPICES Model is a mode of teaching in the undergraduate medical curriculum at the Moi University College of Health Sciences. Objectives: The objective of this study was to outline the challenges facing innovative teaching and learning method at the College of Health Sciences. Methods: 274 students, 65 lecturers and 9 administrators were recruited into the study. Self-administered questionnaires with both qualitative and quantitative were used in data collection. Questionnaire utilized a five point Likert scale (1-Totaly disagree, 2-Disagree, 3- Not Sure 4-Agree and 5-Totally Agree). Cronbach’s alpha, median and inter-quartile range (IQR) was calculated in SPSS 22.P-value less than or equal to 0.05 was taken as statistically significant. Ethical approval was obtained from the Institutional Review and Ethics Committee (IREC) of Moi University and Moi Teaching and Referral Hospital. Results: 58 (23%) of students said that the program is confusing; rarely do we know what is expected of us. Others, 72 (29%) said it demands a lot from the student; while 58 (23%) hold the view that this system gives excuse to the lazy lecturers to avoid going to class to teach in the name of the students doing self-directed learning. Sixty two students (25%) think that tutorials are overcrowded. Majority of the lecturers 40 (62 %) said that SPICES Model is not improving with a large number of them 26 (40 %) saying all members of staff should be re-trained on SPICES Model of teaching and learning in order to improve it, however some of them 5(8 %) wanted SPICES Model to be abolished. There was no statistical significance between the number of years the lecturers who have been teaching and whether SPICES Model was improving or not as the p-Value ( 0.138) this result was not statistically significant at p < 0.05. Conclusions: The main challenges were the inadequate teaching and learning resources and training in SPICES Model of teaching and learning to both staff and students. There is overcrowding in all courses in the College, to mitigate on that, management should consider reducing intake until such a time that new facilities are in place. Recommendations: The college should organize annual workshops; separately for both students and lecturers to refresh on SPICES Model of teaching and learning and this will increase acceptability of this program moreover there is need to increase teaching and learning resources; such as teaching space, laboratories and library; whiteboard, LCD projectors, computers, e-books and internet connectivity and reduce intake until such a time that new facilities are in place.
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    Students’ Perception and Preference of Problem Based Learning at Moi University College of Health Sciences
    (World Journal of Medical Education and Research, 2018-03) Katwa, J. K.; Ayiro, Laban Peter; Baliddawa, J.; Kei, R.
    The purpose of this study was to assess the perception and preference of the SPICES model among students at the Moi University College of Health Sciences. We can define innovative teaching and learning method or the SPICES model as a program or series of events which the teacher implements to assist the student to remain focused on what that individual is doing. Problem-based learning is considered superior to the lecturebased learning due to long-term retention of knowledge, development of generic skill and attitudes. This study looked into the students’ views of problem-based learning versus lecture-based learning in Moi University College of Health Sciences. Methods: 274 students were divided to School of Medicine, School of Public Health, School of Nursing and School of Dentistry as per their number of students in each school. Self-administered questionnaires were used in quantitative data collection while in-depth interviews quantitative were used in qualitative data collection. A reliable and valid questionnaire utilized a five-point forced Likert scale (1-Totaly disagree, 2-Disagree, 3-Not Sure 4-Agree, and 5-Totally Agree). Cronbach’s alpha, median and inter-quartile range (IQR) were calculated in SPSS 22.P-value less than or equal to 0.05 was taken as statistically significant. Ethical approval was obtained from the Institutional Review and Ethics Committee (IREC) of Moi University and Moi Teaching and Referral Hospital. Results: The response rate among students was 250 (91%) out of 274 who were given questionnaires. Majority of the students 179 (72 %) preferred SPICES model compared to 71 (28 %) who preferred lecture method of learning. A chi-square test to determine the measure of association between schools and preference of Problem Based Learning and Lecture method of learning showed no statistical significance with a P-value of 0.092; at p < 0.05. Conclusions: Problem based learning is fun, provides contextual learning and imparts long -term retention of knowledge through students’ active participation in a small group. It also promotes generic skills and self-directed life-long learning.
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    Successes and Limitations of Community- Based Education Service at Moi University School of Medicine, Eldoret, Kenya
    (World Journal of Medical Education and Research, 2018) Katwa, J. K.; Ayiro, Laban Peter; Baliddawa, J.; Kei, R.
    Background: Community-based education has been introduced in many medical schools around the globe, but evaluation of instructional quality has remained a critical issue. Community-based education is an approach that aims to prepare students for future professional work at the community level. Instructional quality should be measured based on a program’s outcomes.. The purpose of this study was to evaluate the successes and limitation of COBES. Methods: 274 students, 65 lecturers and 9 administrators were recruited into the study. Self-administered questionnaires with both qualitative and quantitative were used in data collection. Questionnaire utilized a five point Likert scale (1-Totaly disagree, 2-Disagree, 3- Not Sure 4-Agree and 5-Totally Agree).. Cronbach’s alpha, median and inter-quartile range (IQR) was calculated in SPSS 22.P-value less than or equal to 0.05 was taken as statistically significant. Ethical approval was obtained from the Institutional Review and Ethics Committee (IREC) of Moi University and Moi Teaching and Referral Hospital. Results: The response rate among students was 250 (91%), 65 (48%) among lecturers and 9 (100%) among administrators. 77% of students accepted that the college is short of vehicles for COBES. Majority of the students felt that COBES provides an opportunity to meet real life problems of the community and is challenged to provide solutions to the existing health problems. Participant 098 stated that “COBES Provides different approach to solving problems and alternative and realistic approach in seeking answers to actual health problems”. Conclusions: Community based education motivates students to practice community health care. In addition, their motivation is increased by the health education activity. Participating in this activity probably produces a positive effect and improves the instructional quality of the program based on its outcomes. Policy Implications: Community based education during medical school has a positive effect on students. However, the adoption has been met with some concern, primarily because of the substantial manpower and means of transport. COBES becomes a major concern when there are limited resources available.