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Titolo:
Practical skills and valued community outcomes: the next step in community-based education
Autore:
Williams, RL; Reid, SJ; Myeni, C; Pitt, L; Solarsh, G;
Indirizzi:
Univ New Mexico, Dept Family Med, Albuquerque, NM 87131 USA Univ New Mexico Albuquerque NM USA 87131 y Med, Albuquerque, NM 87131 USA Univ Natal, Dept Paediat, ZA-4001 Durban, South Africa Univ Natal DurbanSouth Africa ZA-4001 iat, ZA-4001 Durban, South Africa McCords Hosp, Vocat Training Program, Durban, South Africa McCords Hosp Durban South Africa Training Program, Durban, South Africa Halley Stott Hlth Ctr, Bothas Hill, South Africa Halley Stott Hlth Ctr Bothas Hill South Africa othas Hill, South Africa
Titolo Testata:
MEDICAL EDUCATION
fascicolo: 10, volume: 33, anno: 1999,
pagine: 730 - 737
SICI:
0308-0110(199910)33:10<730:PSAVCO>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICAL-EDUCATION; HEALTH; TIME;
Keywords:
community health planning; community health services; education, medical, undergraduate; programme evaluation; South Africa; treatment outcome; tuberculosis, therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Williams, RL Univ New Mexico, Dept Family Med, 2400 Tucker Dr NE, Albuquerque, NM 87131USA Univ New Mexico 2400 Tucker Dr NE Albuquerque NM USA 87131SA
Citazione:
R.L. Williams et al., "Practical skills and valued community outcomes: the next step in community-based education", MED EDUC, 33(10), 1999, pp. 730-737

Abstract

Objectives Community-based medical education (CBE) has clear value. However, there are aspects of CBE where improvement is possible. First, communities do not generally receive valued outcomes in exchange for participation in the CBE process. Secondly, students are usually not trained to influence health in the community using methods that are realistic in busy clinical practice. Design A CBE rotation was designed to address these problems. Rotation activities were structured to facilitate development of a health programme desired by the community while giving students practical skills for later use. Working with community residents and health staff, sequential groups of students carried out, in turn, problem analysis, resource identification, planning and implementation activities aimed at establishing a community tuberculosis (TB) control programme. Setting The University of Natal in Durban, South Africa. Subjects Final-year medical students. Results At the end of the academic year, the TB control programme was approximately 60% in place, and 90% of TB patients cared for by the students were completing treatment. Overall, students rated the experience good for learning about health care in community settings and about methods for community health programme development Student ratings were significantly higher for those groups whose activities brought them into greater contact with community residents. The 'real-time' nature of planning the sequential student groups' work created logistical problems and, as an isolated activity, the rotation had little impact on student attitudes toward community-based careers. Conclusions Expanding the goals for CBE is both feasible and important. Further work should focus on refining designs for this next step in CBE.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 12:58:24