Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Acad Med. 2013 Jun;88(6):811-8. doi: 10.1097/ACM.0b013e318290f9c7.
To describe community leaders' perceptions regarding the impact of a fully distributed undergraduate medical education program on a small, medically underserved host community.
The authors conducted semistructured interviews in 2007 with 23 community leaders representing, collectively, the education, health, economic, media, and political sectors. They reinterviewed six participants from a pilot study (2005) and recruited new participants using purposeful and snowball sampling. The authors employed analytic induction to organize content thematically, using the sectors as a framework, and they used open coding to identify new themes. The authors reanalyzed transcripts to identify program outcomes (e.g., increased research capacity) and construct a list of quantifiable indicators (e.g., number of grants and publications).
Participants reported their perspectives on the current and anticipated impact of the program on education, health services, the economy, media, and politics. Perceptions of impact were overwhelmingly positive (e.g., increased physician recruitment), though some were negative (e.g., strains on health resources). The authors identified new outcomes and confirmed outcomes described in 2005. They identified 16 quantifiable indicators of impact, which they judged to be plausible and measureable.
Participants perceive that the regional undergraduate medical education program in their community has broad, local impacts. Findings suggest that early observed outcomes have been maintained and may be expanding. Results may be applicable to medical education programs with distributed or regional sites in similar rural, remote, and/or underserved regions. The areas of impact, outcomes, and quantifiable indicators identified will be of interest to future researchers and evaluators.
描述社区领导对完全分布式本科医学教育计划对小型医疗服务不足的主办社区的影响的看法。
作者于 2007 年对 23 名社区领导进行了半结构化访谈，这些领导分别代表教育、卫生、经济、媒体和政治部门。他们对来自试点研究（2005 年）的六名参与者进行了重新访谈，并使用有目的和滚雪球抽样法招募新的参与者。作者采用分析归纳法，按照部门框架进行主题组织，并采用开放式编码来确定新的主题。作者重新分析了记录，以确定计划的结果（例如，增加研究能力），并列出可量化的指标（例如，拨款和出版物的数量）。
参与者报告了他们对该计划对教育、卫生服务、经济、媒体和政治当前和预期影响的看法。对影响的看法绝大多数是积极的（例如，增加医生招聘），尽管也有一些是消极的（例如，对卫生资源的压力）。作者确定了新的结果，并证实了 2005 年描述的结果。他们确定了 16 个可量化的影响指标，认为这些指标是合理的和可衡量的。
参与者认为，他们社区的区域性本科医学教育计划具有广泛的、地方性的影响。研究结果表明，早期观察到的结果得到了维持，并可能在扩大。结果可能适用于在类似的农村、偏远和/或服务不足地区设有分布式或区域性基地的医学教育计划。确定的影响领域、结果和可量化指标将引起未来研究人员和评估人员的兴趣。
