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   2006| May-August  | Volume 19 | Issue 2  
    Online since March 14, 2013

 
 
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ORIGINAL RESEARCH PAPER
Communities' Awareness, Perception and Participation in the Community-Based Medical Education of the University of Maiduguri
BA Omotara, SJ Yahya, U Shehu, HS Bello, AP Bassi
May-August 2006, 19(2):147-154
Background: Community-based medical education (CBME) is no longer a new innovation in medical education since the establishment of The Network: Towards Unity for Health (The Network: TUFH) 25 years ago. The CBME of the University of Maiduguri medical college is 14 years old and has never been assessed in terms of the population it serves. The study was conducted to determine the level of awareness, perception, and participation of the communities in CBME. Methods: A cross-sectional survey was carried out in 11 village units of three Local Government Areas (LGAs) using a 14-item structured questionnaire administered to adults in randomly selected households. The questionnaire was based on guide questions used for focus group discussions held earlier with community leaders. Results: Awareness of students' visits among respondents was 73.7%. Knowledge of the frequency of presence of the students in the communities was 72.2%. ''To examine and treat'' (33.6%) and ''to ask questions'' (16.6%) were the most prominent reasons given for the visits. The majority of respondents perceived the visits as beneficial (72.2%). More frequent visits were requested by 54.4% of the respondents. The communities were willing to be more accessible and felt that the LGAs should provide more logistic support to the program. Discussion: This study revealed that communities were aware of students' visits and knew reasons for the visits, thought visits were beneficial, and were willing to provide more support for these visits.
[ABSTRACT]   Full text not available  [PDF]
  557 231 -
Accreditation of Undergraduate Medical Training Programs: Practices in Nine Developing Countries as Compared with the United States
Jose Cueto, Vanessa C Burch, Nor Azila Mohd Adnan, Bosede B Afolabi, Zalina Ismail, Wasim Jafri, E Oluwabunmi Olapade-Olaopa, Boaz Otieno-Nyunya, Avinash Supe, Altantsetseg Togoo, Ana Lia Vargas, Elizabeth Wasserman, Page S Morahan, William Burdick, Nancy Gary
May-August 2006, 19(2):207-222
Context and objectives: Undergraduate medical training program accreditation is practiced in many countries, but information from developing countries is sparse. We compared medical training program accreditation systems in nine developing countries, and compared these with accreditation practices in the United States of America (USA). Methods: Medical program accreditation practices in nine developing countries were systematically analyzed using all available published documents. Findings were compared to USA accreditation practices. Findings: Accreditation systems with explicitly defined criteria, standards and procedures exist in all nine countries studied: Argentina, India, Kenya, Malaysia, Mongolia, Nigeria, Pakistan, Philippines and South Africa. Introduction of accreditation processes is relatively recent, starting in 1957 in India to 2001 in Malaysia. Accrediting agencies were set up in these countries predominantly by their respective governments as a result of legislation and acts of Parliament, involving Ministries of Education and Health. As in the USA, accreditation: (1) serves as a quality assurance mechanism promoting professional and public confidence in the quality of medical education, (2) assists medical schools in attaining desired standards, and (3) ensures that graduates' performance complies with national norms. All nine countries follow similar accreditation procedures. Where mandatory accreditation is practiced, non-compliant institutions may be placed on probation, student enrollment suspended or accreditation withdrawn. Conclusion: Accreditation systems in several developing countries are similar to those in the developed world. Data suggest the trend towards instituting quality assurance mechanisms in medical education is spreading to some developing countries, although generalization to other areas of the world is difficult to ascertain.
[ABSTRACT]   Full text not available  [PDF]
  520 125 -
The Development of an Instrument for Assessing Community-Based Education of Undergraduate Students of Community and Health Sciences at the University of the Western Cape
Ratie Mpofu, Alex Imalingat
May-August 2006, 19(2):166-178
Context: In Community-Based Education (CBE) students are expected to develop problem solving, communication and critical thinking capabilities. Assessment provides an opportunity for students to improve these skills, it helps them to gain increased motivation, high achievement, it reduces anxiety over grading, and it improves communication between learners and teachers. The aim of this study was to develop a common instrument for assessing undergraduate students of Health Sciences in their placements for CBE. Objectives: (1) Identify the skill requirements of students in CBE; (2) Develop a common instrument for assessing undergraduate students in Health Sciences. Methods: The study was based in the Faculty of Community and Health Sciences at the University of the Western Cape. Existing documents relevant to the assessment of CBE were collected and analyzed to provide background information. Focus group discussions were held with lecturers from various departments, key persons from the departments and students were audiotaped and later the data analyzed into emerging themes. This was followed with a workshop by relevant experts in CBE, to identify the essential items to be included in the proposed assessment tool. The instrument was piloted with two departments in various community settings. Results: The participants identified knowledge, transferable skills, professionalism and attitudes as important elements for assessment. The instrument piloted was very comprehensive and suitable for use by students of any profession in a range of communities. Conclusion: It is recommended that the instrument can be used to assess students in any learning experience based in a community setting.
[ABSTRACT]   Full text not available  [PDF]
  530 115 -
Impact of Educational Outreach Visits on Smoking Cessation Activities Performed by Specialist Physicians: A Randomized Trial
Jean-Francois Etter
May-August 2006, 19(2):155-165
Objectives: To find out whether educational visits by a nurse to specialist physicians improved their self-reporting of smoking cessation activities; whether these visits increased the percentage of physicians who were aware of and recommended a computer-tailored smoking cessation program and who participated in a training workshop on tobacco dependency treatment. Methods: Specialist private practice physicians (n¼523) working in Geneva, Switzerland were randomly assigned to either receiving (n¼261) or not receiving (n¼262) a single 40-minute visit by a trained nurse in 2003. The physicians answered a postal questionnaire 5 months after the visits indicating the percentage of their patients they counselled or treated for tobacco dependency and we recorded whether physicians took part in the workshop. Findings: Only half (53%) of the physicians agreed to receive a visit. At follow-up more physicians in the intervention group than in the control group were aware of the computer-tailored program (73% vs. 39%, p50.001) and more physicians in the intervention group said they recommended the use of this program to more patients (20% vs. 10%, p¼0.009). Among non-smoking physicians only, the proportion of patients who were advised to quit smoking was higher in the intervention than in the control group (69% vs. 54%, p¼0.019, as reported by physicians). The intervention had no impact on physicians' participation in the workshop. Conclusions: Visits by a nurse increased the proportion of physicians who recommended to their patients the use of a computer-tailored smoking cessation program. Among nonsmoking physicians only, the intervention increased the proportion of patients who received the advice to quit smoking, as reported by physicians.
[ABSTRACT]   Full text not available  [PDF]
  523 108 -
A Survey Validation of Generic Objectives for Community-Based Education in Undergraduate Medical Training
TN Kristina, GD Majoor, C. P. M. Van Der Vleuten
May-August 2006, 19(2):189-206
Introduction: A framework for the definition of generic objectives for community-based education (CBE) was developed for undergraduate medical programmes, particularly for developing countries. To probe the validity of the set of CBE objectives generated by this approach, opinions from a wider audience were sought. Method: Questionnaires were sent to 72 medical schools in 36 developing countries. Half of the addressees were randomly drawn from the list of institutional members of The Network: Toward Unity For Health (TUFH) and stratified according to developing countries. Another 36 medical schools were randomly drawn from non-Network: TUFH schools from the same country where the selected Network: TUFH addressee was located, or from a neighbouring country. Results: A total of 43 medical schools responded to the questionnaire (60% response rate), 31 out of the 36 addressed Network: TUFH members (86%) and 12 out of 36 addressed non-Network: TUFH schools (33%). Out of all 43 respondents 39 (91%) had implemented CBE in their curricula. Opinions of Network: TUFH and non-Network: TUFH schools on the framework and the generic objectives were not significantly different. Out of the 21 proposed objectives, 17 were scored as relevant by 75% or over of all responders and one out of the four objectives considered to be less relevant by the responders was deleted. Conclusion: A framework to develop generic CBE objectives and a derived set of 21 objectives were modified based on input by 43 medical schools residing in developing countries distributed all over the globe. The outcome is a validated set of 20 generic objectives for CBE programmes in developing countries.
[ABSTRACT]   Full text not available  [PDF]
  421 95 -
Does Community-Based Education Come Close to What it Should Be? A Case Study from the Developing World: Students' Opinions
TN Kristina, GD Majoor, C. P. M. Van Der Vleuten
May-August 2006, 19(2):179-188
Context: There has been an increase in the number of medical schools implementing community-based educational (CBE) programmes. However, there are doubts whether CBE programmes are appropriately implemented. As a case study, the CBE programme of the Medical Faculty of Diponegoro University (MFDU) in Semarang, Indonesia was evaluated. Objectives: To acquire MFDU's students' opinions on their CBE programme as part of a comprehensive evaluation of that programme, and to generate recommendations for improvement of MFDU's CBE programme. Methods: Coles and Grant's model for curriculum evaluation was applied. This model recommends triangulation of data generated from comparison of the programme as designed ''on paper'', as implemented ''in action'' by the faculty, and ''as experienced'' by the students. To assess the curriculum as experienced by the students, direct participatory observation was performed and focus group discussions were conducted to collect students' opinions. Results: Students specifically signalled: (1) frequent overlap of lectures given during the CBE clerkship and in the previous part of the curriculum, (2) mismatch between their activities in the community and the community's felt health needs, (3) greater benefits of the CBE programme for Primary Health Care (PHC) centres and students than for target communities, and (4) incidental defective co-operation between students and health providers or community health workers. Conclusion: Students' opinions yielded more in-depth information on the CBE programme evaluated and facilitated formulation of recommendations for improvement of that CBE programme.
[ABSTRACT]   Full text not available  [PDF]
  406 100 -
BRIEF COMMUNICATION
Development of the Community-Oriented Medical Education Curriculum of Pakistan: A Case Report on the National Initiative on Curriculum Development
Lubna A Baig, Durre-Samin Akram, Syeda Kauser Ali
May-August 2006, 19(2):223-228
Full text not available  [PDF]
  324 136 -
Incorporating Music into Health Care Education: Experience at a College of Pharmacy1
Michael A Vance
May-August 2006, 19(2):251-255
Full text not available  [PDF]
  295 118 -
EDITORIAL
Planning for the Future
Michael Glasser, Margaret Gadon
May-August 2006, 19(2):145-146
Full text not available  [PDF]
  313 99 -
BRIEF COMMUNICATION
Primary Health Care in Hong Kong
C.Y Chan Zenobia
May-August 2006, 19(2):229-232
Full text not available  [PDF]
  280 114 -
Assessing the Required Skill Mastery in Public Health Competencies in Thailand
Marc G. B. Van Der Putten, Nuntavarn Vichit-Vadakan, Alisara Chuchat, Edgar J Love
May-August 2006, 19(2):233-243
Full text not available  [PDF]
  255 116 -
OBITUARY
Robert Wiedersheim MD, PhD (1919 – 2005)
Charles Engel
May-August 2006, 19(2):276-279
Full text not available  [PDF]
  251 117 -
BOOK REVIEW
Motivational Practice. Promoting Healthy Habits and Self-care of Chronic Diseases
Barbara Acello
May-August 2006, 19(2):269-270
Full text not available  [PDF]
  259 108 -
BRIEF COMMUNICATION
More Questions than Answers? Expanding Students' Reflections from a Community Health Experience
TJ Paul, A Mitchell, J Lagrenade, A Mccaw-Binns, D Falloon, P Williams-Green
May-August 2006, 19(2):244-250
Full text not available  [PDF]
  255 105 -
BOOK REVIEW
Helping Young People to Beat Stress: A Practical Guide
Judith Gravdal
May-August 2006, 19(2):267-268
Full text not available  [PDF]
  247 98 -
FROM THE LITERATURE
Further Reading: A Selection of Titles from Other Journals

May-August 2006, 19(2):273-275
Full text not available  [PDF]
  235 99 -
In the News
Jan van Dalen
May-August 2006, 19(2):271-272
Full text not available  [PDF]
  235 93 -
THE STUDENTS VOICE
An Interview of Liliana Lizeth Jiménez Galvań
Pertti Kekki
May-August 2006, 19(2):264-266
Full text not available  [PDF]
  223 101 -
MAKING A DIFFERENCE
An Interview of Jaime Gofin, a Promoter of COPC
Jane Westberg
May-August 2006, 19(2):256-263
Full text not available  [PDF]
  212 110 -
NEWS
International Diary

May-August 2006, 19(2):280-283
Full text not available  [PDF]
  223 90 -
CO-EDITORS NOTES
Focus on Community and Integrating Community Health
Michael Glasser, Margaret Gadon
May-August 2006, 19(2):141-144
Full text not available  [PDF]
  215 96 -
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