Walmsley Laura, Fortune Melanie, Brown Allison
Michael G. DeGroote School of Medicine, Niagara Regional Campus, McMaster University, Ontario, Canada.
Department of Health Research Methods, Evidence, and Impact, McMaster University, Ontario, Canada.
Can Med Educ J. 2018 Mar 27;9(1):e59-e67. eCollection 2018 Mar.
Regional medical campuses are often challenged with providing effective interprofessional education (IPE) opportunities for medical students that are comparable to those at main campuses. At distributed teaching sites, there is often less IPE infrastructure and fewer learners of other health professions. On the other hand, distributed medical education (DME) settings often have community-based clinical environments and fewer medical students, which can provide unique opportunities for IPE curriculum innovation.
At the Niagara Regional Campus (NRC) of McMaster University, the Horizontal Elective for Interprofessional Growth & Healthcare Team ENhancement (HEIGHTEN) was developed to provide first-year medical students the opportunity to learn from and work alongside nurses in a community hospital. This study assesses HEIGHTEN's impact on students' knowledge, confidence, and attitudes towards interprofessional care, as well as student satisfaction with the learning experience using a mixed methods evaluation.
Findings suggest that HEIGHTEN provided an enjoyable learning experience, fostered positive interprofessional attitudes and an appreciation for the nursing role. Voluntary participation by medical students was high and increased both within the regional campus and with students from other campuses travelling to participate.
This model for IPE can be feasibly replicated by distributed teaching sites to provide medical students with hands-on, experiential learning early in training, leading to positive attitudes and behaviours supporting interprofessional collaboration (IPC).
地区性医学分校常常面临挑战,要为医学生提供与主校区相当的有效的跨专业教育(IPE)机会。在分布式教学地点,IPE基础设施通常较少,其他健康专业的学习者也较少。另一方面,分布式医学教育(DME)环境通常具有基于社区的临床环境,医学生较少,这可为IPE课程创新提供独特机会。
在麦克马斯特大学尼亚加拉地区分校(NRC),开发了跨专业成长与医疗团队强化横向选修课(HEIGHTEN),为一年级医学生提供在社区医院向护士学习并与护士并肩工作的机会。本研究采用混合方法评估HEIGHTEN对学生关于跨专业护理的知识、信心和态度的影响,以及学生对学习体验的满意度。
研究结果表明,HEIGHTEN提供了愉快的学习体验,培养了积极的跨专业态度以及对护理角色的理解。医学生的自愿参与度很高,在地区分校内部以及来自其他校区前来参与的学生中都有所增加。
这种IPE模式可由分布式教学地点切实复制,以便在培训早期为医学生提供实践、体验式学习,从而形成支持跨专业协作(IPC)的积极态度和行为。