A Modified Clinicopathological Conference as a Potential Learning Teaching Activity for Civilian and Army Medical Students and House Officers

Main Article Content

Prameela Kannan Kutty
Muhamad Abu Bakar
Sagili Chandrasekhara Reddy


The clinicopathological conference (CPC), a novel learning teaching activity, consciously integrates by clinical reasoning, to arrive at the final diagnosis of a selected case. This process traditionally involves case selection, presentation of the history and the clinical findings, interpretation of investigations, discussion of differential diagnoses with final diagnosis, followed by an energetic discussion of relevant aspects of the case and its management.

This article discusses a modified CPC, a potential educational activity for undergraduate medical students and house officers in general, with its conceptual ideas based on our pilot activity, contributing to the literature of the CPC because it highlights novel aspects of discussion used and indeed plausible, in our medical school that trains both civilian and army doctors. This academic exercise, involving preclinical and clinical specialists in a multidisciplinary environment uniquely incorporates other bodies that work together for patient care in a military hospital. The discussion embraces some views from personnel in charge of social work and administrators which could be furthered, enriching the holistic learning teaching experience of all attendees.

As the learning and teaching of medicine adapts to contemporary demands, sustained efforts and commitment from organizers and participants of such a discussion contributes constructively towards the advancement of medical education. The modified CPC as presented here is an innovative platform possibly emulated for flexibility of approach, content and delivery and for its potentials in the learning and teaching of young doctors and trainees.

Clinicopathological conference, learning teaching activity, army medical students, house officers.

Article Details

How to Cite
Kutty, P. K., Bakar, M. A., & Reddy, S. C. (2020). A Modified Clinicopathological Conference as a Potential Learning Teaching Activity for Civilian and Army Medical Students and House Officers. Journal of Advances in Medicine and Medical Research, 32(6), 55-63. https://doi.org/10.9734/jammr/2020/v32i630433
Clinical Practice Article


Fred HL, Buja ML, Willerson JT. A call for CPC. Circultion. 1995;91(8):2283.

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

Moleyar VS. How to conduct clinico-pathological conference. Med J DY Patil Vidyapeeth. 2017;10(6):611-2.

Wiley JL, Bailey H. Clinicopathological conference: Case report--a case of anorexia and weak arm. Acad Emerg Med. 2007;14(1):95-9.

Mitchell GK, Tieman JJ, Shelby-James TM. Multidisciplinary care planning and teamwork in primary care. Med J. Aust. 2008;188(8):S61.

Loftus S. Understanding integration in medical education. Med Sci. Educ. 2015;25(3):357-60.

Bloom SW. Structure and ideology in medical education: An analysis of resistance to change. J Health Soc Behav. 1988;29(4):294–306.

Kutty KP, Krishnaswamy G. The link: Pediatric history taking and physical examination. JP Brothers Medical Publishers (P) Ltd. 2016;10-100.

Hassan S. Concepts of vertical and horizontal integration as an approach to integrated curriculum. Education in Medicine Journal. 2013;5(4):e1-e5.

Faingold CL, Dunaway GA. Teaching pharmacology within a multidisciplinary organ system-based medical curriculum. Naunyn Schmiedebergs. Arch Pharmacol. 2002;366(1):18-25.

Sadofsky M, Knollmann-Ritschel B, Conran RM, Prystowsky MB. National standards in pathology education: Developing competencies for integrated medical school curricula. Arch Pathol Lab Med. 2014;138(3):328-32.

Kruk JJ, Kortekaas F, Lucas C, Jager-Wittenaar H. Obesity: A systematic review on parental involvement in long-term European childhood weight control interventions with a nutritional focus. Obes Rev. 2013;14(9):745-60.

de Saxe Zerden L, Lombardi BM, Jones A. Social workers in integrated health care: Improving care throughout the life course. Social Work in Health Care. 2019;58(1): 142-9.

Practice Relating to Rule 110. Treatment and Care of the Wounded, Sick and Shipwrecked. ICRC, Customary IHL Database.
(Accessed on 16 December 2019)

Oxtoby K. Is the Hippocratic oath still relevant to practising doctors today? BMJ. 2016;355:i6629.

Military Exposures- Public Health.
(Accessed on 16 December 2019)

Mercer SJ, Khan MA, Scott T, Matthews JJ, Henning D, Stapley S. Human factors in contingency operations. J R Army Med Corps. 2017;63(2):78-83.

Hershkovich O, Gilad D, Zimlichman E, Kreiss Y. Effective medical leadership in times of emergency: A perspective. Disaster Mil Med. 2016;2:4.
DOI: 10.1186/s40696-016-0013-8

Pai A, Suris AM, North CS. Posttraumatic stress disorder in the DSM-5: Controversy, change and conceptual considerations. Behav. Sci (Basel). 2017;7(1):7.

McDermott B, Lee E, Judd M, Gibbon P. Posttraumatic stress disorder and general psychopathology in children and adolescents following a wildfire disaster. Can J Psychiatry. 2005;50(3):137–43.

Military Social Work.
/become-a-social-worker/ social-worker-careers/ military-social-work/
(Accessed on 16 December 2019)

Malaysian Armed Forces Family Welfare (BAKAT).
/about-us/maf-headquaters/ Malaysian-armed-forces-family-walfare-bakat
(Accessed on 16 December 2019)

Mitchell GK, Tieman JJ, Shelby-James TM. Multidisciplinary care planning and teamwork in primary care. Med J Aust. 2008;188(S8):S61-4.

Boorsma M, Frijters DHM, Knol DL, Ribbe ME, Nijpels G, van Hout HP. Effects of multidisciplinary integrated care on quality of care in residential care facilities for elderly people: A cluster randomized trial. CMAJ. 2011;183(11):E724–32.

Cantrell MA, Ruble K. Multidisciplinary care in pediatric oncology. J Multidiscip Healthc. 2011;4:171–181.

Members of the Military Have a Right to Effective Self-Defense.
(Accessed on 16 December 2019)