Unit of Development and Research in Medical Education, University of Geneva Faculty of Medicine and Geneva University Hospital, Geneva, Switzerland.
Med Educ Online. 2012;17:16741. doi: 10.3402/meo.v17i0.16741. Epub 2012 Jun 29.
In the literature the need for relevance in medical education and training has been stressed. In the last 40 years medical schools have been challenged to train doctors competent to respond to community health needs. In the mid-90s the University of Geneva Faculty of Medicine introduced an integrated medical curriculum. In this initiative a particular emphasis was put in introducing a 6-year longitudinal and multidisciplinary Community Health Program (CHP).
The aims of the present article are to describe the conception, elaboration and implementation of the CHP as well as its evolution over 15 years and the evaluation of its outcomes.
The CHP was at its origin elaborated by a small group of highly motivated teachers and later on developed by a multi-disciplinary group of primary care physicians, epidemiologists, public health and bio-ethics specialists, occupational health professionals, lawyers and historians. Evaluation of the program outcomes included educational innovations, new developments of the curriculum and interactions between students and the community.
The CHP learning objectives and teaching modalities were defined by the multi-disciplinary group in consensus meetings which triggered a collaborative spirit among teachers and facilitated further developments. The evaluation procedures allowed the monitoring of students' satisfaction which remained high over the years, students' active participation which decreased over time and success at certifying exams which was globally as good as in basic life sciences. The evaluation also assessed outcomes such as educational innovations, new developments of the curriculum and interactions between students and the community.
As suggested in the literature, our experience shows that the students' direct exposure and practice in the community health environment is an effective training approach to broaden students' education by offering them a community perspective of health and disease.
在文献中强调了医学教育和培训的相关性。在过去的 40 年中，医学院校一直面临着培训能够满足社区健康需求的医生的挑战。在 90 年代中期，日内瓦大学医学院推出了一门综合医学课程。在这一举措中，特别强调引入一个为期 6 年的纵向和多学科社区卫生计划（CHP）。
本文的目的是描述 CHP 的构思、制定和实施，以及 15 年来的演变及其结果的评估。
CHP 最初由一小群积极性很高的教师制定，后来由初级保健医生、流行病学专家、公共卫生和生物伦理学专家、职业健康专业人员、律师和历史学家组成的多学科小组进一步开发。该计划的评估结果包括教育创新、课程的新发展以及学生与社区之间的互动。
CHP 的学习目标和教学模式由多学科小组在共识会议中确定，这激发了教师之间的合作精神，促进了进一步的发展。评估程序允许监测学生的满意度，多年来满意度一直很高，学生的积极参与度随着时间的推移而降低，认证考试的成功率总体上与基础生命科学一样好。评估还评估了教育创新、课程的新发展以及学生与社区之间的互动等结果。
正如文献中所建议的那样，我们的经验表明，学生在社区卫生环境中的直接接触和实践是一种有效的培训方法，可以通过为他们提供健康和疾病的社区视角来拓宽学生的教育。
