Department of Community Health Sciences, Boston University Schoolof Public Health, Boston, MA 02118, USA.
J Public Health Manag Pract. 2011 Jul-Aug;17(4):298-307. doi: 10.1097/PHH.0b013e3182165013.
As public health challenges grow more complex, the call for professional education to be interprofessional, collaborative, and grounded in real world practice has intensified.
In this article, we describe the development, implementation, and results of one pioneering course at Boston University that aims to prepare public health, medical, and dental students for their combined roles in community health settings.
The Schools of Public Health, Medicine, and Dental Medicine jointly offered the course in partnership with 3 community organizations. Participants include MPH, MD, and DMD candidates.
The course design integrates the use of "The Challenge Model" (created by Management Sciences for Health) with training in public health consultation techniques (eg, community-based participatory research, logic models, monitoring and evaluation). Teams of 6 to 8 medical and public health students collaborate with managers and staff of a community health center to address 1 organizational challenge and recommend a sustainability plan.
Postcourse evaluations revealed that a cross-disciplinary, practice-based education model is feasible and can meet students' learning objectives and exceed expectations of community partners. We overcame formidable obstacles related to the "silo'ed" nature of academic institutions and the competing priorities within overburdened community organizations. We found that sustained project implementation was attained at some but not all sites, yet all sites highly valued the perspective and contribution of student teams.
Dynamic and replicable, this practice-based education model is adaptable to professional schools whose work intersects in the real world and calls for collaborative leadership.
随着公共卫生挑战变得更加复杂,对专业教育的呼吁越来越强烈,要求其具有跨专业、协作性,并立足于实际实践。
本文描述了波士顿大学一门开创性课程的发展、实施和结果,该课程旨在为公共卫生、医学和牙科学生在社区卫生环境中的综合角色做好准备。
公共卫生学院、医学院和牙医学院联合与 3 个社区组织合作开设了这门课程。参与者包括 MPH、MD 和 DMD 候选人。
课程设计将“挑战模型”(由健康管理科学创建)的使用与公共卫生咨询技术(例如,基于社区的参与式研究、逻辑模型、监测和评估)的培训相结合。6 到 8 名医学和公共卫生专业的学生组成团队,与社区卫生中心的管理人员和工作人员合作,解决 1 个组织挑战,并提出可持续性计划。
课后评估显示,跨学科、基于实践的教育模式是可行的,可以满足学生的学习目标,并超出社区合作伙伴的预期。我们克服了与学术机构“筒仓化”性质以及负担过重的社区组织内部竞争优先级相关的巨大障碍。我们发现,虽然有些但不是所有站点都实现了持续的项目实施,但所有站点都非常重视学生团队的观点和贡献。
这种基于实践的教育模式具有动态性和可复制性,适用于其工作在现实世界中交叉并需要协作领导的专业学校。