Document Detail


A community continuity programme: volunteer faculty mentors and continuity learning.
MedLine Citation:
PMID:  23294738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Longitudinal generalist preceptorship experiences early in medical education can have beneficial effects on how students practise the art and science of medicine, regardless of their eventual career choices.
DESCRIPTION: We evaluated the first 2 years of implementation of an integrated, regional campus-based, early clinical experience programme, the Community Continuity Program, at our new community-based medical school that is under the supervision of volunteer primary care faculty members acting as continuity mentors (CMs). Curricular components for years 1 and 2 consisted of three annual 1-week community-based experiences with CMs, extensive physical diagnosis practice, interprofessional learning activities, a multigenerational family care experience, a mandatory Community Health Research Project (CHRP) in year 1 and a mandatory Quality Improvement Project in year 2.
EVALUATION: Outcome measures included student, faculty member and programme evaluations, student reflective narratives in portal-based e-journals, a Liaison Committee on Medical Education (LCME) self-study student survey and serial level-of-empathy surveys.
RESULTS:   Students found all elements of this integrated community experience programme beneficial and worthwhile, especially the CMs and the use of standardised and real-life patients. CMs noted effective and professional student-patient interactions. The number of reflective e-journal postings per student during year1 ranged from 14 to 81 (mean, 47). Serial empathy questionnaires administered over 2 years demonstrated preservation of student empathy, and students believed that the programme had a positive effect on their personal level of empathy.
CONCLUSION:   An integrative, longitudinal, community-based, early clinical experience programme driven by volunteer CMs provides patient-centered instruction for preclinical students in the clinical, social, behavioural, ethical and research foundations of medicine.
Authors:
John McGeehan; Richard English; Keith Shenberger; Gerald Tracy; Raymond Smego
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The clinical teacher     Volume:  10     ISSN:  1743-498X     ISO Abbreviation:  Clin Teach     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-08     Completed Date:  2013-06-10     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  101227511     Medline TA:  Clin Teach     Country:  England    
Other Details:
Languages:  eng     Pagination:  15-20     Citation Subset:  IM    
Copyright Information:
© Blackwell Publishing Ltd 2013.
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MeSH Terms
Descriptor/Qualifier:
Clinical Clerkship / organization & administration*
Community Health Services / organization & administration
Curriculum
Education, Medical / organization & administration*
Empathy
Faculty, Medical / organization & administration*
Humans
Mentors*
Patient-Centered Care / organization & administration
Program Evaluation
Volunteers / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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