1. The Indian system of modern medicine is disorganized due to rapid expansion of medical colleges and lack of senior teachers to serve as role models for students. 2. New generations of medical students are learning in nonlinear ways through digital technologies rather than traditional lectures, but digital learning lacks structure without support from trained digital teachers. 3. The author proposes experimenting with "flip classes" which use online learning at home and active learning in class, to bring order to the disorganized digital learning many students now pursue independently.

1. Dr.T.V.Rao MD
The Indian system of Modern Medicine is disorganized with rapid expansion of Medical colleges and lack of
Senior Teachers who were supposed to be role models but failed to impress many students, and the system
runs with few excellent Teachers who live as role model still the system of human contribution is respected, I
never underestimate the power of Human contribution after all Medicine is human interaction and wise and
committed teachers can only do the best, with open access to knowledge and Medicine the new generation
of doctors / medical students are learning medicine in a new nonlinear way through digital and social
technologies. But if you think today’s medical students are learning the way you did, you need schooling.
Sitting in a crowded lecture hall to hear a professor and scribble notes, then heading home or to the library to
memorize the material, will soon seem as archaic as overhead projectors which perished already, Never
forget students have least concentration on the tedious and continuous matters as in life today which is
becoming faster, they wish to do the matters fast than what we think, I think no one Today without a smart
phone and many students browse through the topics as we taught
Not only is a wider range of thinkers through these new platforms and technologies spreading more ideas,
but also new ways of learning are opening up ways to think differently. When the teachers cannot impress
the next alternative remain their own prescribed books A certain category of people learn well from books,
but many people don’t. We think we can do away with the notion of someone who is book smart, and bring
people who don’t learn well from books into the fray of being fantastic academic performers. – Inkling
In the Medical Webinar, Inkling defines ways learning on a digital medium promotes thinking differently:
1. Learning is Interactive. Instantly tap on a word for a definition when you don’t understand it. Get instant
feedback when you take a quiz. Learning is Modular. Professors can single out only relevant chapters, and
students pay attention for the chapters they need for passing the examination or competitive examination,
which many take sooner than later.
2.
Learning is Social. If you look at the FACEBOOK or Twitter many scientific topics and portals are connected
we are updated every moment of search Professors and students can communicate right inside a social
network plat form by sharing highlights, notes and ideas. As social media plays an increasingly important role
in health care delivery, a growing number of medical educators are helping future physicians develop what
they call digital literacy and digital professionalism.
3. The impact of social media in medicine can be great, but is not limited just to patient care – education and
public health surveillance are two other examples of usage.
4. There are lots of role models out there…find them and learn from them.
5. In response to the new technology, and changes in student habits, medical schools in developed and even
developing countries are quickly implementing sweeping curriculum reform and “flipping the classroom.” It’s
now assumed that students will absorb the basics on their own, at their convenience, using smartphones,
tablets or web-based lectures and interactive learning modules. Then they come back to school / college to
work out problems they’ve encountered or apply what they’ve learned.
But even as students learn about evidence-based medicine, the flipped classroom model in medical
education has little study data to back it up.
Most learners appreciate this new convenience, but whether it’s better for retention or practice is very much
an open question.
On matters what we can learn on our own, practical experience and that of our peers offers an irreplaceable
education. We are all eternal students and teachers, with or without the cramped lecture halls. As Sir William
Osler wisely stated long before tablets and podcasts, “He who studies medicine without books sails an

2. uncharted sea, but he who studies medicine without patients does not go to sea at all.” Never forget the
patients is the real source of information in Medicine rest are all supportive tools
If determined we can bring changes in education reducing the many non functional and unproductive
teachers, the head counting of the Teachers during MCI not served the purpose to solve the students
problems it just satisfy the regulations, If we think sensibly we can think of new ideas of Flip class room,
Flipped classroom is an instructional strategy and a type of blended learning that reverses the traditional
educational arrangement by delivering instructional content, often online, outside of the classroom and
moves activities, including those that may have traditionally been considered homework, into the classroom.
In a flipped classroom model, students watch online lectures, collaborate in online discussions, or carry out
research at home and engage in concepts in the classroom with the guidance of the instructor. (WIKIPEDIA)
A cornerstone of the ‘flipped’ classroom model is that technology will guide students through the material –
before coming to class, during interactive class activities, and afterwards. Here are some of the tools, and
companies, trying to make a difference in this realm. Digital Smarts aims to prepare our students for the
realities of the digital age. I wish even go further to suggest that medical schools / college shave a civic if not
a moral obligation to be preparing our students for how to maintain themselves in the public space. Medical
colleges and schools, have a responsibility to help students understand where the limits are students turning
on their own TO DIGITAL LEARNING without systematic and trained digital teachers support anyhow it will
have repercussion and prove to be disorganized learning
THINK ABOUT FLIP CLASSES ON EXPERIMENTAL BASIS
Ref – Changing trends in Medical Education
DR.T.V.RAO MD PROFESSOR OF MICROBIOLOGY FREELANCE WRITER