Community Based Medical Education: Improving the Health of Community
Abstract
ABSTRACT:
Objective: To evaluate the effectiveness of student’s clerkship as an approach to community based medical education in
improving the health of community.
Materials and Methods: This interventional study was conducted at Ziauddin Medical College; Karachi from December 2006
to December 2007.Data was collected by using structured questionnaire after the approval of university ethical review committee.
Before collecting the data informed written consent was obtained from all study participants. Baseline data was recorded from100
enrolled families. Medical students visited the enrolled families on fortnightly basis during which they carried out detailed
counseling and interactive sessions. At the end of four month, post intervention data was recorded and all baseline parameters
were compared with.
Results: The pre and the posttest results showed significant improvement in the knowledge of mothers regarding prevention
and management of diarrhea.
Conclusion: Community-based education can be used as effective tool in improving the health of community. Health services
should support the community based interventions to improve the knowledge and practices of mother which can contribute
effectively towards improving infant and child health.
References
Ali A. Community-oriented medical education and clinical training: comparison by medical students in hospitals. Journal of the College of Physicians and Sur-geons Pakistan 2012;22(10):622-6.
Baig LA, Akram D, Ali SK. Development of the commu-nity-oriented medical education curriculum of Pakistan: A case report on the national initiative on curriculum development. Education for Health-abingdon-carfax publishing limited 2006;19(2):223-7.
Kelly L, Walters L, Rosenthal D. Community-based medical education: Is success a result of meaningful personal learning experiences? Education for Health 2014; 27(1):47-51
JBUMDC 2016; 6(4): 213-218 Page-217
Imran Shaikh1, Khola Noreen2, Nadia Khalid3
Mahoney S, Walters L, Ash J. Urban community based Doctors for the 21st century. South-East Asian Journal
medical education: General practice at the core of a new of Medical Education 2009; 3(1):20-4.
approach to teaching medical students. Australian family 18. Murtagh JE. Paradigms of family medicine: bridging
physician 2012; 41(8):631-4. traditions with new concepts; meeting the challenge of
Hunt JB, Bonham C, Jones L. Understanding the goals being the good doctor from 2011. Asia Pacific family
of service learning and community-based medical edu- medicine 2011;10(1):1-5.
cation: a systematic review. Academic Medicine 2011; 19. Jha N, Premarajan KC, Nagesh S, Khanal S, Thapa LB.
(2):246-51. Five-star Doctors for the 21st Century A BPKIHS
Community based education of health personnel, report Endeavour for Nepal. Journal of Health Management
by WHO study group, technical report series 746-1987. 2005; 7(2):237-47.
Mennin S. Self-organisation, integration and curriculum 20. Kaye DK, Muhwezi WW, Kasozi AN, Kijjambu S, Mba-
in the complex world of medical education. Medical linda SN, Okullo I, et al. Lessons learnt from comprehen-
education 2010;44(1):20-30. sive evaluation of community-based education in Uganda:
Bleakley A, Bligh J. Students learning from patients: a proposal for an ideal model community-based education
Let’s get real in medical education. Advances in Health for health professional training institutions. BMC medical
Sciences Education 2008; 13(1):89-107. education 2011; 11(1):7-11.
Van Hell EA, Kuks J, Cohena- Schotanus J. Time spent 21. Dornan T, Tan N, Boshuizen H, Gick R, Isba R, Mann
on clerkship activities by students in relation to their K, et al. How and what do medical students learn in
perceptions of learning environment quality. Medical clerkships? Experience based learning (ExBL). Advances
education 2009; 43(7):6749-53. in Health Sciences Education 2014;19(5):721-49.
www.who.int/publications/almaata_declaration_en.pdf 22. Mpofu E, Baghbanian A, Bickenbach JE, Brooks J.
World Health Organization. Report of the International Community-Oriented Health Services: History, Frame-
Conference on Primary Health Care, Alma-Ata, USSR, work, Nature, and Significance. Community-Oriented
-12 September 1978. Geneva: WHO. 1978. Health Services: Practices Across Disciplines 2014:1-5.
Steven K, Wenger E, Boshuizen H, Scherpbier A, Dornan 23. Luby SP, Agboatwalla M, Painter J, Altaf A, Billhimer
T. How clerkship students learn from real patients in WL, Hoekstra RM. Effect of intensive handwashing
practice settings. Academic Medicine 2014; 89(3):469- promotion on childhood diarrhea in high-risk commun-
ities in Pakistan: a randomized controlled trial. Jama
Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio 2004 Jun 2;291(21):2547-54.
C, Swing SR, et al. Competency-based medical educa- 24. Bell B. Analysis of school-led total sanitation in Chitwan,
tion: theory to practice. Medical teacher 2010; 32(8):638- Nepal. MSc in Sustainable Development The Nether-
lands: Utrecht Universit y Utrecht. 2010 Sep 18.
Minkler M, Wallerstein N, editors. Community-based 25. Jung S, Doh YA, Bizuneh DB, Beyene H, Seong J,
participatory research for health: From process to out- Kwon H et al. The effects of improved sanitation on
comes. John Wiley & Sons; 2011 Apr 18.
March S, Torres E, Ramos M, Ripoll J, García A, Bulilete
O et al. Adult community health-promoting interventions diarrheal prevalence, incidence, and duration in children
in primary health care: A systematic review. Preventive under five in the SNNPR State, Ethiopia: study protocol
medicine 2015;76:S94-104. for a randomized controlled trial. Trials. 2016;17(1):1.
Girotti JA, Park YS, Tekian A. Ensuring a fair and 26. Haroun HM, Mahfouz MS, El Mukhtar M, Salah A.
equitable selection of students to serve society's health Assessment of the effect of health education on mothers
care needs. Medical education2015; 49(1):84-92. in Al Maki area, Gezira state, to improve homecare for
Salam A. Community and Family Case Study: a comm- children under five with diarrhea. Journal of Family and
unity-based educational strategy to promote Five Star Community Medicine 2010;17(3):141.
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Copyright (c) 2016 Imran Shaikh, Khola Noreen, Nadia Khalid
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