Chulalongkorn Medical Journal


T. Woratanarat


Background : Faculty of Medicine, Chulalongkorn University, has beenapproached by WHO SEARO to lead a mission of healthmind teaching in verifying an innovative ways to train people tobe promptly responsive to a situation of rapid socio-culturalchanges. “Graphical recording technique” is a tool used inbrainstorming session in business sector that might be of valueto new generations of students.Objective : To demonstrate the application of graphical recording techniquein the curriculum of preventive medicine for 2nd year medicalstudents.Study design : Action research.Setting Faculty of Medicine, Chulalongkorn UniversityMaterials and Methods : We instructed 290 second year medical students in a programof preventive medicine. Graphical recording technique, “Whyand Then” principle, and PESTEL framework were introduced tothe students in order to facilitate their thinking process to explainwhy the disease or the problem occurred, and what will bethe impact. We divided medical students into groups of 10, andassigned them to think about the problem of “obesity” andexpress their framework of critical thinking by graphical recordingtechnique. Online anonymous evaluation was implementedafter class.Results : Ten out of 29 groups expressed the relationship of obesityproblem in their medical student life, whereas 7/29 graphicsdealt with the relationship of obesity and economic factors. Fiveout of 29 pictures were involved in the linkage between obesityand occupation, whilst the remaining expressed the roles ofother socio-behavioral factors in the obesity and its impact. Onehundred and fifty out of 290 medical students participated inthe online evaluation. More than 75% of the students expressedthat the teaching approach was highly useful in terms ofenhancing group working skill, critical thinking skill on the linkagebetween social determinants and health problem, responsibility,creativity, and graphical explanation and expression skills.Conclusions : Graphical recording technique is useful and well-accepted. It isan interesting approach for fostering students’ holistic viewpoint.


Faculty of Medicine, Chulalongkorn University

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