scholarly journals It takes a Village: Utilizing a Community‐Based Longitudinal Integrated Clerkship Model at a Regional Medical Campus to Provide the Core Emergency Medicine Clerkship Experience

Author(s):  
Robert Lam ◽  
Chad Stickrath
2019 ◽  
Vol 2 (5) ◽  
Author(s):  
Christine Waasdorp Hurtado ◽  
Erik Wallace ◽  
Chad Stickrath

Purpose The best methods for learning outside of the clinical setting in the core clinical year, especially at Regional Medical Campuses with limited full-time academic faculty, are unknown. Methods We developed and implemented a peer-led didactic program to complement our longitudinal integrated clerkship (LIC) for students at our new regional medical campus (RMC) to achieve the same goals, objectives, and competencies as students at our main campus. These didactic sessions were developed and led by students for their peers with the assistance of community faculty members. Student scores on USMLE Step exams and National Board of Medical Examiner (NBME) subject exams for the core specialties were compared among the intervention group at the Regional Medical Campus, the main campus, and the national average. Finally, a student focus group provided qualitative data about student perceptions of these sessions.   Results Among participating students, ninety-five percent reported that the student-led didactics were relevant to their clinical work and eighty percent reported that these sessions enhanced their knowledge and the content was provided at the right pace and level. Students ranked preparing to teach student-led didactics as one of the most valuable learning experiences and “worth the time it took to prepare.” Students scored comparably to their main campus peers on all seven NBME subject exams and the Step 2 CK exam. Conclusion Utilizing peer-led didactics as a part of a longitudinal integrated clerkship is feasible and effective in helping students achieve the goals, objectives, and competencies of the core clinical year. This educational method should be considered at other LIC-based programs. The authors do not have any conflicts of interest to disclose. This project received no funding. As all data were completely anonymized thought the internet survey and no patients were involved, this was not reviewed by an ethics board.


2005 ◽  
Vol 10 (1) ◽  
pp. 25-38 ◽  
Author(s):  
Hilde Iversen ◽  
Torbjørn Rundmo ◽  
Hroar Klempe

Abstract. The core aim of the present study is to compare the effects of a safety campaign and a behavior modification program on traffic safety. As is the case in community-based health promotion, the present study's approach of the attitude campaign was based on active participation of the group of recipients. One of the reasons why many attitude campaigns conducted previously have failed may be that they have been society-based public health programs. Both the interventions were carried out simultaneously among students aged 18-19 years in two Norwegian high schools (n = 342). At the first high school the intervention was behavior modification, at the second school a community-based attitude campaign was carried out. Baseline and posttest data on attitudes toward traffic safety and self-reported risk behavior were collected. The results showed that there was a significant total effect of the interventions although the effect depended on the type of intervention. There were significant differences in attitude and behavior only in the sample where the attitude campaign was carried out and no significant changes were found in the group of recipients of behavior modification.


Author(s):  
Sonny Tasidjawa ◽  
Stephanus V Mandagi ◽  
Ridwan Lasabuda

Bahoi village is located in West Likupang District of North Minahasa Regency. It is one of the villages that is included in the conservation network of North Sulawesi Province. A marine sanctuary has been established in this village in 2003 and it has been managed by local community, known as community-based marine sanctuary management, since then, this sanctuary has been in operation. As a small community-based marine protected area with lots of users, it requires an appropriate method to determine the Core Zone that allows an effective preservation of the marine biota. This is the driving factor of this study.  The purpose of this study is to examine the processes and output of determining the core zone of a Marine Sanctuary using a conventional method and Marxan Method. The conventional method is a simple method in determining a core zone such as using manta tow technique. While Marxan, it only requires input of data such as spatial and figures to generate information for determining the core zone. After comparing the processes of these two methods in the study site, it was found that Marxan method was more effective and more accurate with lower costs than the conventional one. In addition, the final decision of the core zone depended on the outcome of the village meetings when the conventional method was applied. This long process could be avoided when Marxan method was used. Therefore, it is highly recommended to use Marxan in determining core zones© Desa Bahoi terletak di Kecamatan Likupang Barat Kabupaten Minahasa Utara. Desa ini merupakan salah satu desa yang masuk dalam jejaringan kawasan konservasi di Provinsi Sulawesi Utara. Sebuah Daerah Perlindungan Laut telah didirikan di desa ini pada tahun 2003 dan dikelolah oleh masyarakat setempat, yang dikenal sebagai pengelolaan Daerah Perlindungan Laut Berbasis Masyarakat, sejak saat itu Daerah Perlindungan Laut ini telah beroperasi. Sebagai Daerah Perlindungan Laut Berbasis Masyarakat yang kecil namun memiliki banyak pengguna, diperlukan metode tepat yang akan menentukan Zona Inti yang memungkinkan pelestarian biota laut menjadi sangat efektif. Ini adalah faktor pendorong dari penelitian. Selanjutnya, tujuan dari penelitian ini adalah untuk mengkaji proses dan hasil penentuan zona inti Daerah Perlindungan Laut dengan menggunakan metode konvensional seperti survei manta tow dan marxan. Metode konvensional adalah metode sederhana dalam menentukan zona inti seperti teknik manta tow. Sedangkan marxan, hanya perlu memasukan data seperti spasial dan angka untuk menghasilkan informasi penentuan zona inti. Setelah membandingkan proses dari dua metode di lokasi penelitian, ditemukan bahwa metode marxan jauh lebih baik dari pada metode konvensional, karena lebih efektif, lebih akurat dengan biaya yang lebih rendah. Selain itu, keputusan akhir dari zona inti tergantung pada hasil rapat desa ketika metode konvensional diterapkan, proses panjang ini dapat dihindari jika metode marxan digunakan©


Author(s):  
Frances Rudolf ◽  
Leslie C. Oyama ◽  
Kristy Schwartz ◽  
Jorge A. Fernandez ◽  
Stephen R. Hayden

1999 ◽  
Vol 16 (6) ◽  
pp. 465-465
Author(s):  
A. McGowan

2011 ◽  
Vol 12 (4) ◽  
pp. 537-542 ◽  
Author(s):  
Aaron Bernard ◽  
Nicolas Kman ◽  
Sorabh Khandelwal

2005 ◽  
Vol 45 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Wendy C. Coates ◽  
Andrew M. Gill ◽  
Richard Jordan

2019 ◽  
Vol 51 (10) ◽  
pp. 811-816
Author(s):  
Joanna Drowos ◽  
Tomoko Sairenji ◽  
Kristen Hood Watson ◽  
Vanessa A. Diaz ◽  
Jasmine Pinckney ◽  
...  

Background and Objectives: Family medicine clerkship directors must secure an adequate number of teaching sites while maintaining or improving the quality of teaching. This survey details how family medicine clerkship directors identify community-based clinical sites with performance challenges, types of challenges, and whether a remediation option exists for struggling clinical sites or preceptors. This study also investigates the relationship between clerkship structure and problems with maintaining high-quality teaching sites. Methods: Data were gathered and analyzed as part of the 2018 Council of Academic Family Medicine’s (CAFM) Educational Research Alliance (CERA) survey of family medicine clerkship directors. Results: There was a significant relationship between ease/difficulty of identifying clinical sites and paying preceptors (P=.032). A lower proportion of sites where a system is in place for remediation reported it being difficult to identify clinical sites (70.0% vs 92.2%, respectively, P=.011). Having a remediation system in place was also associated with less removal of sites (2.5% removed three or more sites vs 25% removed three or more sites, respectively, P=.005). Conclusions: Medical education leaders can explore payment to incentivize community-based preceptors in schools where identifying clinical sites is a challenge. Offering centralized preceptor development activities from medical schools, geared toward the importance of evaluations, balancing learners and opportunities for student engagement, may overcome some of the identified challenges. Medical schools may also consider providing additional time and support for clerkship directors to assist with tracking teaching quality at sites, and to assist struggling preceptors prior to removing them from teaching.


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