Emory University School of Medicine, Atlanta, GA, USA.
Morehouse School of Medicine, Atlanta, GA, USA.
Med Teach. 2022 Mar;44(3):328-333. doi: 10.1080/0142159X.2021.1994936. Epub 2021 Nov 4.
Health Systems Science (HSS) teaches students critical skills to navigate complex health systems, yet medical schools often find it difficult to integrate into their curriculum due to limited time and student disinterest. Co-developing content with students and teaching through appropriate experiential learning can improve student engagement in HSS coursework.
Medical students and faculty co-developed a patient outreach initiative during the early phases of the COVID-19 pandemic and integrated that experience into a new experiential HSS elective beginning May 2020. Students called patients identified as high-risk for adverse health outcomes and followed a script to connect patients to healthcare and social services. Subsequently, this initiative was integrated into the required third-year primary care clerkship.
A total of 255 students participated in HSS experiential learning through the elective and clerkship from May 2020 through July 2021. Students reached 3,212 patients, encountering a breadth of medical, social, and health systems issues; navigated the EMR; engaged interdisciplinary professionals; and proposed opportunities for health systems improvement.
This educational intervention demonstrated the opportunity to partner with student-led initiatives, coproducing meaningful educational experiences for the learners within the confines of a busy medical curriculum.
健康系统科学（HSS）教授学生驾驭复杂健康系统的关键技能，但医学院校由于时间有限和学生兴趣不大，往往难以将其纳入课程。与学生共同开发内容并通过适当的体验式学习进行教学，可以提高学生对 HSS 课程的参与度。
在 COVID-19 大流行的早期阶段，医学生和教师共同制定了一项患者外展计划，并于 2020 年 5 月开始将这一经验纳入新的体验式 HSS 选修课程。学生按照脚本致电被确定为健康结果不良风险高的患者，将患者与医疗保健和社会服务联系起来。随后，该计划被纳入必修的第三年初级保健实习课程。
共有 255 名学生参加了 2020 年 5 月至 2021 年 7 月期间通过选修和实习进行的 HSS 体验式学习。学生联系了 3212 名患者，遇到了广泛的医疗、社会和健康系统问题；使用了 EMR；与跨学科专业人员合作；并提出了改善健康系统的机会。
该教育干预措施表明，有机会与学生主导的倡议合作，在繁忙的医学课程范围内为学习者共同创造有意义的教育体验。
