Fernando E, Jusko-Friedman A, Catton P, Nyhof-Young J
Undergraduate Medical Education Program, Faculty of Medicine, University of Toronto, Toronto, Canada.
J Cancer Educ. 2015 Jun;30(2):225-30. doi: 10.1007/s13187-014-0674-2.
Between 2000 and 2011, over 170 second-year medical students participated in a Determinants of Community Health (DOCH 2) project at Princess Margaret Hospital (PMH). Students undertook community-based research projects at the hospital or with PMH community partners involving activities such as producing a literature review, writing a research proposal, obtaining ethics approval, carrying out data collection and analysis, presenting their data to classmates and supervisors, and production of a final report. An electronic survey consisting of both quantitative and qualitative questions was developed to evaluate the PMH-DOCH 2 program and was distributed to 144 past students with known email addresses. Fifty-eight students responded, a response rate of 40.3%. Data analysis indicates that an increase in oncology knowledge, awareness of the impact of determinants of health on patients, and knowledge of research procedures increased participants' satisfaction and ability to conduct research following DOCH 2. Furthermore, the PMH-DOCH 2 program enhanced the development of CanMEDS competencies through career exploration and patient interaction as well as through shadowing physicians and other allied health professionals. In addition, some students felt their PMH-DOCH 2 projects played a beneficial role during their residency matching process. The PMH-DOCH 2 research program appeared to provide a positive experience for most participants and opportunities for medical students' professional growth and development outside the confines of traditional lecture-based courses.
2000年至2011年间,170多名医学二年级学生参与了玛格丽特公主医院(PMH)的社区健康决定因素(DOCH 2)项目。学生们在医院或与PMH社区合作伙伴开展基于社区的研究项目,活动包括撰写文献综述、撰写研究提案、获得伦理批准、进行数据收集和分析、向同学和导师展示数据以及撰写最终报告。开发了一项包含定量和定性问题的电子调查,以评估PMH-DOCH 2项目,并分发给144名有已知电子邮件地址的往届学生。58名学生回复,回复率为40.3%。数据分析表明,肿瘤学知识的增加、对健康决定因素对患者影响的认识以及研究程序知识的增加提高了参与者在DOCH 2之后的满意度和开展研究的能力。此外,PMH-DOCH 2项目通过职业探索和患者互动以及跟随医生和其他健康专业人员见习,促进了CanMEDS能力的发展。此外,一些学生觉得他们的PMH-DOCH 2项目在住院医师匹配过程中发挥了有益作用。PMH-DOCH 2研究项目似乎为大多数参与者提供了积极的体验,并为医学生在传统讲座课程之外的专业成长和发展提供了机会。