Mareck Daniel G, Uden Donald L, Larson Tom A, Shepard Melanie F, Reinert Roger J
Department of Family Medicine, University of Minnesota School of Medicine-Duluth, 55812-3031, USA.
Acad Med. 2004 Jul;79(7):672-6. doi: 10.1097/00001888-200407000-00011.
The Minnesota Rural Health School (MRHS), which operated from 1996 to 2003, was the University of Minnesota's first initiative that provided rural, community-based, interdisciplinary health professions education. The newly funded Minnesota Area Health Education Center (AHEC) is now coordinating interprofessional rural clinical education at the Academic Health Center level for the university. The service-learning curricular component is one of the most lasting legacies of the MRHS. This article provides a descriptive summary of the initial 61 service-learning projects completed by students from various health professions who participated in the MRHS and indicates the type of projects that have continuing effects. The seven community site coordinators affiliated with the MRHS completed a survey analyzing service-learning projects performed in their communities. Student interest was predominant in selecting 28% of the 61 projects, community interest was paramount in selecting 10%, and a mixture of both student and community interest contributed to 62% of project selection. Thirty of the projects were designed as single interventions, and the remaining 31 projects have ongoing impact. Students demonstrated interprofessional group synergy and significant creativity in addressing multiple community health care issues and needs, within time constraints of only ten to 12 days in which to develop and implement a service-learning project. Two project examples are described in detail to illustrate the challenges and successes of this type of civic engagement.
明尼苏达农村健康学校(MRHS)于1996年至2003年运营,是明尼苏达大学首个提供农村、社区基础的跨学科健康专业教育的项目。新获得资助的明尼苏达地区健康教育中心(AHEC)目前正在大学学术健康中心层面协调跨专业农村临床教育。服务学习课程部分是MRHS最持久的遗产之一。本文对参与MRHS的各健康专业学生完成的最初61个服务学习项目进行了描述性总结,并指出了具有持续影响的项目类型。与MRHS相关的7名社区现场协调员完成了一项调查,分析了在他们社区开展的服务学习项目。在61个项目中,28%是由学生兴趣主导选择的,10%是社区兴趣至上选择的,学生和社区兴趣共同作用促成了62%的项目选择。其中30个项目设计为单一干预措施,其余31个项目具有持续影响。在仅10至12天的时间限制内开发和实施服务学习项目,学生们在应对多个社区医疗保健问题和需求时展现出跨专业团队协同效应和显著的创造力。本文详细描述了两个项目实例,以说明这种公民参与形式的挑战和成功之处。