• Major CA
• Burnham KD
• Brown KA
• Lambert CD
• Nordeen JM
• Takaki LAK

• Affiliation / University of Western States. Basic Sciences Department
• Affiliation / University of Western States. Department of Clinical Education
• Affiliation / University of Western States. Department of Research
• Affiliation(G) / United States / Oregon / Portland
• Education, Chiropractic / United States
• Education, Distance
• Learning / methods
• Open Access Document

Objective: Case-based online modules can be created to integrate basic science and clinical science knowledge. An integrated module was designed, implemented, and evaluated for student performance and perception.

Methods: Five faculty members from both basic science and clinical education departments developed an integrative, online, case-based learning module. The case involved a patient with facial asymmetry, and the student was led to a diagnosis of Bell's palsy. Material on Bell's palsy was presented in an integrated module in addition to traditional lecture for a fall cohort of students and was presented only in traditional lecture format to a winter cohort of students. Both cohorts were given the same 5 multiple-choice questions on Bell's palsy as part of a midterm exam, and the scores of these test questions were compared between cohorts. A 13-question, mixed-methods survey was given to the fall cohort to determine their perceptions of the module and their learning.

Results: Multiple-choice test question performance was equivalent between cohorts for the Bell's palsy questions (fall 2018: mean = 3.68, SD = 0.99; winter 2019: mean = 3.51, SD = 0.92). Perception survey responses indicated that students felt positively about the integrated module and that it was applicable and helpful with improving, reinforcing, and integrating basic science and clinical knowledge.

Conclusion: This study provides evidence that case-based integrated modules are perceived favorably by students and result in similar exam question performance. They can be a useful tool to help students connect information throughout the chiropractic curriculum.

Author keywords: Chiropractic, Education, Teaching, Learning

Author affiliations: CAM, KDB: Department of Basic Sciences, College of Chiropractic, University of Western States, Portland, Oregon, United States; KAB, CDL, JMN: Clinical Education, College of Chiropractic, University of Western States, Portland, Oregon, United States; LAKT: Department of Research, University of Western States, Portland, Oregon, United States   
Corresponding author: Christine Major—chmajor@uws.edu

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