CONTEXT

This module was about the cardiovascular system. The cardiovascular system is responsible for circulating blood throughout the body to deliver oxygen and nutrients, remove waste products, and maintain overall homeostasis. The module was designed to provide a comprehensive understanding of cardiovascular diseases through the integration of embryology, physiology, biochemistry, pathology, and pharmacology. Building on foundational knowledge, the module focused on major cardiovascular disorders such as congestive heart failure, infective endocarditis, arrhythmias, and vascular diseases, many of which have significant effects on other organ systems. The learning objectives emphasized understanding pathophysiology, recognizing clinical features, making rational diagnoses, and planning appropriate management. As a result, the following outcomes were achieved: demonstrating clinical competence (PO1), effective communication (PO2), and collaboration (PO5).

EXPERIENCE

This module was particularly challenging for me, especially when it came to understanding heart physiology and interpreting ECGs. Concepts such as electrical conduction pathways, arrhythmia mechanisms, and waveform analysis required repeated review and active engagement for me. Initially, I found myself feeling overwhelmed and unsure of my grasp of the material. However, over time, I realized that these difficulties were an essential part of the learning process.

First, lectures, laboratory exercises, and PBL tutorials helped develop clinical reasoning by linking cardiovascular physiology, pathology, and pharmacology to disease states such as heart failure, arrhythmias, and vascular disorders, while ECG interpretation exercises provided practical exposure to diagnostic decision-making (PO1). Second, small group discussions required me to clearly explain my thought processes, discuss clinical findings, and engage in constructive dialogue with peers and facilitators, highlighting the importance of effective communication in understanding complex cardiovascular concepts (PO2). Lastly, collaborative learning during SGDs and case discussions emphasized teamwork, shared responsibility, and learning from peers, reflecting real-world clinical environments where coordinated care and collaboration are essential (PO5).

REFLECTION

First, I realized that working through clinical cases helped me move beyond memorization and focus on understanding disease mechanisms and their clinical implications. I learned to approach cardiovascular cases more systematically, correlating symptoms with underlying pathophysiology. Second, I realized that participating in SGDs highlighted the importance of clearly expressing clinical reasoning while also listening to others. I became more aware of my tendency to hesitate when unsure, which sometimes affected my confidence in discussions. Lastly, I recognize that group learning is crucial with difficult topics as it allows us to support one another, clarify difficult concepts, and learn from different perspectives. This experience reinforced the idea that medicine is inherently collaborative and that learning is enhanced through teamwork.

ACTION

First, to strengthen my clinical competence, I plan to regularly revisit cardiovascular physiology and ECG interpretation using practice questions, reference textbooks, and online learning resources. I will also actively link theoretical concepts to clinical cases to reinforce understanding. Second, to improve communication skills, I intend to prepare more thoroughly before SGDs, so that I can participate more confidently and articulate my thoughts more clearly. Additionally, I will practice summarizing complex concepts in a concise and structured manner. Lastly, I aim to be more proactive in group settings by contributing consistently and offering support to classmates who may be struggling with similar concepts.

EVALUATION

Overall, I believe my attitude toward the cardiovascular system module was positive despite the challenges it presented. I remained engaged, persistent, and open to learning, even when the material felt difficult. While my initial performance reflected gaps in understanding, particularly in ECG interpretation, I showed gradual improvement through effort and active participation. This module highlighted both my strengths and areas for growth, especially in confidence and communication. By acknowledging these areas and committing to specific action plans, I believe I am better prepared to continue developing as a competent, communicative, and collaborative future physician.