Clinico-moleculo-pathological Conference (CMPC): A Clinical Teaching Method to optimise knowledge integration and collaboration in the workplace-based specialist education

https://doi.org/10.22146/jpki.105471

Rachmad Sarwo Bekti(1*), Kurnia Penta Seputra(2)

(1) Department of Medical Education, Faculty of Medicine Universitas Brawijaya, Malang – Indonesia Department of Anatomical Pathology, Faculty of Medicine Universitas Brawijaya, Malang – Indonesia
(2) Department of Urology, Faculty of Medicine Universitas Brawijaya, Malang – Indonesia
(*) Corresponding Author

Abstract


Integrating current molecular knowledge and research with real-world clinical and pathological conditions is a critical step in finding the most appropriate approach for modern and personalized patient care. A modified clinicopathological conference, called the Clinico-molecular-pathological conference (CMPC), was introduced in one out of five introductory specialist training courses at our teaching hospital. It is intended to enhance the application of basic biomedical sciences, particularly biomolecular aspects, in integrated clinical care and personalised medicine. We attempted to analyse the CMPC’s implementation and its educational impact from the perspectives of trainees through a program evaluation activity adopting the first two levels of the Kirkpatrick Pyramid. From 4 batches (2022-2024), 433 out of 447 residents (96.87% response rate) responded to our online program evaluation questionnaire. From the reaction and learning level, the CMPC has convincingly been favoured by residents as an engaged learning method for elaborating basic medical sciences, especially biomolecular topics, into a real clinical and patient care context. Despite the poor correlation of the course’s overall satisfaction to the CMPC mark and final course marks (p>0.05), there is a positive and significant correlation between CMPC mark and Course Final mark (r=0.39; p=0.00). Qualitative response to the survey triangulated the acceptance of CMPC as a promising learning method to promote integrated learning as well as multidisciplinary collaboration. The case study provides insight into how CMPC is favoured by the residents to learn difficult subjects, and is related to academic achievement. CMPC is also perceived to be a promising method to promote integration in patient care in medical specialist education. Further research is needed to optimise both the educational and quality service impact of the CMPC in the workplace-based medical specialist education.


Keywords


CPC, postgraduate medical education, program evaluation, teaching in the workplace

Full Text:

PDF


References

Collins FS, Varmus H. A New Initiative on Precision Medicine. N Engl J Med. 2015;372(9):793-795.

Haendel MA, Chute CG, Robinson PN. Classification, Ontology, and Precision Medicine. N Engl J Med. 2018;379(15):1452-1462. doi:10.1056/nejmra1615014

Harris NL, Scully RE. The Clinicopathological Conferences ( CPCs ). In: Keen Minds to Explore the Dark Continents of Disease: A History of the Pathology Services at the Massachusetts General Hospital. ; 2011:349-362.

Heudebert GR, McKinney WP. The status of the clinicopathologic conference in academic medical centers. J Gen Intern Med. 1999;14(1):60-62. doi:10.1046/j.1525-1497.1999.00282.x

Zampieri F, Rizzo S, Thiene G, Basso C. The clinico-pathological conference, based upon Giovanni Battista Morgagni’s legacy, remains of fundamental importance even in the era of the vanishing autopsy. Virchows Arch. 2015;467(3):249-254. doi:10.1007/s00428-015-1785-9

Moleyar VS. How to conduct a clinicopathological conference. Med J Dr DY Patil Univ. 2017;10(6):611-612. doi:10.4103/MJDRDYPU.MJDRDYPU_26_17

Vernino S. Clinical pathologic conference. Arch Neurol. 1953;08(12):1509. doi:10.1212/wnl.3.2.148

Neelakantan V. Health and Medicine in Soekarno era Indonesia: social Medicine, public health and medical education 1949 to 1967. Published online 2014:299.

Kutty PK, Bakar MA, Reddy SC. A Modified Clinicopathological Conference as a Potential Learning Teaching Activity for Civilian and Army Medical Students and House Officers. J Adv Med Med Res. 2020;32(6):55-63. doi:10.9734/jammr/2020/v32i630433

Potton E, Little J, Campbell J, Hind J, Corne J. The trainee-led clinicopathological conference : an innovative method for educating medical trainees. Clin Med (Northfield Il). 2010;10(1):34-36.

Park SY, Shon C, Kwon OY, Yoon TY, Kwon I. A qualitative thematic content analysis of medical students’ essays on professionalism. BMC Med Educ. 2017;17(1):4-9. doi:10.1186/s12909-017-0920-5

Jameson JL, Longo DL. Precision Medicine - Personalized, Problematic, and Promising. N Engl J Med. 2015;372(23):2229-2234.

Hajar R. The Clinicopathologic Conference. Heat Views. 2015;16(4):170-173. doi:10.4103/1995-705X.172218

Hassan S. About the clinicopathological conference and its practice in the School of Medical Sciences, USM. Malaysian J Med Sci. 2006;13(2):7-10.



DOI: https://doi.org/10.22146/jpki.105471

Article Metrics

Abstract views : 831 | views : 574

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Rachmad Sarwo Bekti

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:


JPKI Stats