Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity

Introduction It is important to deliver acid-base balance concepts in the context of multiple physiological systems and metabolic processes that influence acid-base homeostasis. This activity combines the interactions of the respiratory, gastrointestinal, and renal systems in conjunction with basic...

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Main Authors: Renée J. LeClair, Andrew P. Binks
Format: Article
Language:English
Published: Association of American Medical Colleges 2019-01-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10793
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author Renée J. LeClair
Andrew P. Binks
author_facet Renée J. LeClair
Andrew P. Binks
author_sort Renée J. LeClair
collection DOAJ
description Introduction It is important to deliver acid-base balance concepts in the context of multiple physiological systems and metabolic processes that influence acid-base homeostasis. This activity combines the interactions of the respiratory, gastrointestinal, and renal systems in conjunction with basic metabolism to generate an integrated activity for first-year medical students. Methods We developed four concise case scenarios around various presentations of acid-base disturbance along with five sets of arterial blood gases (ABGs) and five different metabolic lab panels. M1 students were given class time to match the three different types of data in order to address how the underlying biochemistry and physiology of a scenario translated into ABG and metabolic laboratory values. Results Although not statistically significant, the students’ performance on acid-base questions was marginally higher than on standardized National Board of Medical Examiners questions on other topics covered in the same exam, and the improvement over national average scores on the same questions increased. Student evaluation of the activity was positive, with general appreciation of its application and integration of concepts. Discussion The incorporation of this activity into the M1 year was positively received and enhanced integration of content related to acid-base balance. The activity is flexible and can be adapted to most any curricular structure, with the potential to include additional content depending on the level of the learner.
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spelling doaj.art-97aa011c0edd4837a2bdb47a72e0855e2022-12-21T21:19:21ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652019-01-011510.15766/mep_2374-8265.10793Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom ActivityRenée J. LeClair0Andrew P. Binks11 Associate Professor, Department of Basic Science Education, Virginia Tech Carilion School of Medicine; Chair, Department of Basic Science Education, Virginia Tech Carilion School of Medicine2 Associate Professor, Department of Basic Science Education, Virginia Tech Carilion School of Medicine; Director of Faculty Development, Department of Basic Science Education, Virginia Tech Carilion School of MedicineIntroduction It is important to deliver acid-base balance concepts in the context of multiple physiological systems and metabolic processes that influence acid-base homeostasis. This activity combines the interactions of the respiratory, gastrointestinal, and renal systems in conjunction with basic metabolism to generate an integrated activity for first-year medical students. Methods We developed four concise case scenarios around various presentations of acid-base disturbance along with five sets of arterial blood gases (ABGs) and five different metabolic lab panels. M1 students were given class time to match the three different types of data in order to address how the underlying biochemistry and physiology of a scenario translated into ABG and metabolic laboratory values. Results Although not statistically significant, the students’ performance on acid-base questions was marginally higher than on standardized National Board of Medical Examiners questions on other topics covered in the same exam, and the improvement over national average scores on the same questions increased. Student evaluation of the activity was positive, with general appreciation of its application and integration of concepts. Discussion The incorporation of this activity into the M1 year was positively received and enhanced integration of content related to acid-base balance. The activity is flexible and can be adapted to most any curricular structure, with the potential to include additional content depending on the level of the learner.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10793WorkshopMetabolismAcidBaseArterioleBicarbonate
spellingShingle Renée J. LeClair
Andrew P. Binks
Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity
MedEdPORTAL
Workshop
Metabolism
Acid
Base
Arteriole
Bicarbonate
title Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity
title_full Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity
title_fullStr Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity
title_full_unstemmed Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity
title_short Integrating Acid-Base and Metabolic Lab Panels Across Systems in an M1 Classroom Activity
title_sort integrating acid base and metabolic lab panels across systems in an m1 classroom activity
topic Workshop
Metabolism
Acid
Base
Arteriole
Bicarbonate
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10793
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