Department of Academic Affairs, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53705, USA.
Am J Prev Med. 2011 Oct;41(4 Suppl 3):S187-92. doi: 10.1016/j.amepre.2011.06.004.
Healthcare and public health systems are each transforming, resulting in a need for better integration between clinical and population-based approaches to improve the health of populations. These changes also demand substantial transformations in the curriculum for medical students. Integrative Cases were designed for all first- and second-year medical students to provide them with more awareness, knowledge, and skills in integrating public health into clinical medicine. Each case examines basic science factors, clinical approaches, and public health determinants, including risk factors and direct and indirect contributing factors.
This study was designed to evaluate the effectiveness of Integrative Cases in the medical student curriculum.
Integrative Cases were formatively evaluated using standardized online post-event questionnaires emailed to students after each case. The questionnaires focused on goals specific to each case, ratings of particular sessions and facilitators, general impressions of the case, and student suggestions for improvement.
Student evaluations indicate that Integrative Cases achieved their goals, especially providing experiences that offer a more expansive view of medicine and public health, stimulating interest and questions that anticipate future learning and making connections across basic science, medicine, and health. Students also indicated that these cases added to their understanding of public health issues and how to apply what they had learned to patient care.
Integrative Cases demonstrate the effectiveness of a comprehensive approach that integrates clinical medicine with basic science and public health perspectives.
医疗保健和公共卫生系统都在发生变革，这就需要更好地整合临床和基于人群的方法，以改善人群的健康。这些变化还要求对医学生的课程进行重大改革。综合病例旨在为所有一年级和二年级医学生提供更多的意识、知识和技能，以将公共卫生融入临床医学。每个病例都检查了基础科学因素、临床方法和公共卫生决定因素，包括危险因素以及直接和间接促成因素。
本研究旨在评估综合病例在医学生课程中的有效性。
综合病例通过在每个病例后向学生发送的标准化在线事后问卷调查进行形成性评估。问卷调查侧重于每个病例的具体目标、特定会议和促进者的评分、对病例的总体印象以及学生的改进建议。
学生评估表明，综合病例达到了他们的目标，尤其是提供了更广阔的医学和公共卫生视角的体验，激发了对未来学习的兴趣和问题，并在基础科学、医学和健康之间建立了联系。学生们还表示，这些案例增加了他们对公共卫生问题的理解以及如何将所学知识应用于患者护理。
综合病例证明了一种综合方法的有效性，该方法将临床医学与基础科学和公共卫生观点相结合。
