1. Impact of a Residential Rural Community-Based Training Program for Medical Students on Cognitive and Affective Domains of Learning in Community Medicine: A Mixed Methods Study.
- Author
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Fathima, Farah Naaz, Johnson, Avita Rose, Kiran, Pretesh Rohan, Ratnakumari, S., and Joseph, Bobby
- Subjects
STATISTICS ,EVALUATION of human services programs ,TEACHING methods ,RURAL conditions ,MEDICAL students ,MANN Whitney U Test ,INTERNSHIP programs ,LEARNING strategies ,COMMUNITY-based social services ,DESCRIPTIVE statistics ,DATA analysis software ,DATA analysis ,THEMATIC analysis ,MEDICAL education - Abstract
Introduction: As part of undergraduate training in community medicine, students of 1st-year MBBS at our medical college in South India undergo rural residential community-based training called Rural Orientation Program (ROP). Objective: The objective was to study the impact of ROP at a medical college in South India. Methodology: Short-term impact was studied immediately before and after ROP using a 30-item questionnaire administered to 142 students. Medium-term impact was studied among 23 students in 2nd-year MBBS. Quantitative component consisted of objective structured practical examination scores and qualitative component documented reflections on learnings. Long-term impact was studied by surveying 287 alumni (batches of 1979 onward) to explore the impact of ROP on their career. Results: We found a significant (P < 0.001) improvement in the median posttest score (21, interquartile range [IQR]: 20--23) when compared to pretest (12, IQR: 10--16). The mean OSPE score was 19.34 ± 3.19 (maximum score = 25) with 54.55% obtaining a score ≥20. Thematic analysis of reflections depicted that students gained insights on factors influencing health and social organizations in rural areas. ROP helped develop empathy toward patients and a holistic approach toward health, in understanding rural dynamics and improved communication skills. Conclusion: ROP increases subject knowledge and plays a role in molding attitudes of students toward the care of people in rural areas and improves communication skills. This time-tested model can be replicated in other medical colleges across the country. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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