Dotchin Catherine, van den Ende Catrin, Walker Richard
Institute for Ageing and Health, Newcastle University, Newcastle, UK.
Clin Teach. 2010 Dec;7(4):271-5. doi: 10.1111/j.1743-498X.2010.00394.x.
Medical students have an increasing desire to learn about the global context of health. Most UK medical schools do not include global health (GH) in their core curriculum, but do allow an elective period overseas.
Some UK medical schools offer an optional attachment in GH or, in some cases, an intercalated degree. All students at Newcastle University complete three student-selected components (SSCs), each lasting 6 weeks in their fourth year. In 2006, one NU medical student requested to study GH. From this request, an SSC in GH was established.
Each year the SC is open to 10 students. The timetable includes lectures from clinicians, nurses and other professionals with experience of developing countries. Weekly topics cover major themes of GH, such as war and conflict, and water supply. Students pick a project to present to their peers at the end of each week. A debate is held on two major current issues in GH. Students from the past SSC present their elective experiences. Clinical components include: infectious diseases clinics, a general practice (GP) surgery with a large number of asylum seekers and refugees, and obstetrics and gynaecology clinics with doctors who have practised abroad.
GH teaching prior to going on elective is important to set the scene for students who will never have worked in such settings before. Feeding back experiences to future years helps to consolidate key learning objectives from the SSC. By listening to the needs of medical students we have now secured a core GH session within the curriculum.
医学生对了解全球健康背景的渴望与日俱增。英国大多数医学院校未将全球健康(GH)纳入其核心课程,但允许学生有一段海外选修时间。
一些英国医学院校提供全球健康方面的选修实习机会,在某些情况下还提供插读学位。纽卡斯尔大学的所有学生在第四年要完成三个学生自主选择的课程模块(SSC),每个模块为期6周。2006年,一名纽卡斯尔大学医学院学生请求学习全球健康。基于这一请求,开设了一个全球健康方面的SSC课程。
每年该课程面向10名学生开放。课程时间表包括来自有发展中国家工作经验的临床医生、护士和其他专业人员的讲座。每周的主题涵盖全球健康的主要议题,如战争与冲突以及供水。学生们每周末挑选一个项目向同伴展示。就全球健康领域的两个当前重大问题展开辩论。往届SSC课程的学生分享他们的选修经历。临床课程部分包括:传染病诊所、有大量寻求庇护者和难民的全科医疗诊所,以及有海外行医经历的医生坐诊的妇产科诊所。
在参加选修之前进行全球健康教学对于那些此前从未在这类环境中工作过的学生来说很重要,能为他们奠定基础。将经历反馈给未来的学生有助于巩固SSC课程的关键学习目标。通过倾听医学生的需求,我们现在已在课程中确保有一个全球健康核心课程环节。