Community Based Medical Education

'After over 30 years in medical education, it has been very refreshing to read this book and realize that I still have more to learn.The authors build a bridge between educational principles and teaching in community clinical settings. An invaluable resource to community practitioners with a teaching role whether they are new to teaching or have had learners in their practice for many years.' Roger Strasser, in the Foreword As medical education evolves and becomes more evenly distributed between formal, university-based instruction and practical, work-based guidance, busy clinicians are increaslingly involved in training. Without formal teaching expertise, these clinicians often struggle with aspects of medical education, experience feelings of isolation, and are in need of teaching support. This comprehensive handbook provides a concise overview of information required to implement up-to-date educational strategies, offers direction on academic principles and teaches clinicians how to manage learners. Designed specifically with busy physicians in mind, it is organized to act as both a quick trouble-shooting resource and a reflective educational guide. Community-based medical educators will find this manual stimulating reading, as will all clinicians in medical education.

AI The trend in medical practice is towards longterm care in the community, as a result of medical advances, higher recovery rates, the ageing population and fewer hospital beds. Medical education, however, is still focused on acute hospital care, despite the high proportion of doctors who go into community practice. Reorganisation and restructuring of health services in the US and Europe have placed primary care centre-stage in the provision of health care. Advances in medical practice, changes to the funding of health services and an ageing population all lie behind this trend towards long term community-based care. These changes bring profound implications for medical education, not least of which is the need to reconfigure the traditional curriculum. ãCommunity-Based Medical Educationã addresses the need for change in medical education and outlines some of the key elements which are necessary to any effective reform of this kind. This invaluable text analyses relationships between health care and health care education, sets the scene for educational reform and suggests directions for the development of education programmes. Information is provided on the role of community-based teaching, teaching strategies, inter-professional education and inter-agency co-operation. International case studies and illustrations support the text and clarify the points made.

Changes in health care delivery mean that increasing numbers of patients are being treated in office or community settings. Even though internists will likely spend the majority of their time in these settings, most of their training is still in an academic institution or teaching hospital. Community-Based Teaching illustrates the benefits of training medical students and residents in the setting in which they will deliver care. This manual is an essential guide for educators, clinicians, students, and everyone interested in the newest methods for medical training and education.

Community-Based Research and Higher Education is the long-awaited guide to how to incorporate a powerful and promising new form of scholarship into academic settings. The book presents a model of community-based research (CBR) that engages community members with students and faculty in the course of their academic work. Unlike traditional academic research, CBR is collaborative and change-oriented and finds its research questions in the needs of communities. This dynamic research model combines classroom learning with social action in ways that can ultimately empower community groups to address their own agendas and shape their own futures. At the same time it emphasizes the development of knowledge and skills that truly prepare students for active civic engagement.

This progressive resource brings the innovative power of narrative medicine to the forefront of community public health care. Chapters describe community involvement across a continuum of control, from health consultants describing problems and suggesting solutions to health committees designing programs and evaluating results. Narrative strategies to this end, including authentic dialogue and community mapping, are examined in the context of public health and fleshed out with examples of different levels of participation by community members. From the respectful collaboration modeled here, the principles of community public health care can potentially expand beyond the immediate community into other social domains on a greater scale. Included in the coverage: · Narratives, local knowledge, and world entry. · Community and narratives. · What is dialogue? · Storylines, causes, and locus of interventions. · Community mapping tells a story. · The politics of storytelling. Narrative Medicine and Community-Based Health Care and Planning gives health psychologists, sociologists, social workers, and public health administrators realistic practical insights for tapping into the unique resources communities and clients have to offer. This is the next step in the evolution of public health, toward large-scale improvements in care delivery, access to and relevance of services, and patient and community outcomes.

Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a positive and caring personal rela tionship, care by a single healthcare provider for the majority of the patient's prob lems, coordination of all care by the patient's personal provider, advocacy for the patient by the provider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminishing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly. They have become viable alternatives to the specialty approach to care with its potential dehumanization, coordination problems, and increased cost.

This volume reflects on how anthropologists have engaged in medical education and aims to positively influence the future careers of anthropologists who are currently engaged or are considering a career in medical education. The volume is essential for medical educators, administrators, researchers, and practitioners, those interested in the history of medicine, global health, sociology of health and illness, medical and applied anthropology. For over a century, anthropologists have served in many roles in medical education: teaching, curriculum development, administration, research, and planning. Recent changes in medical education focusing on diversity, social determinants of health, and more humanistic patient-centered care have opened the door for more anthropologists in medical schools. The chapter authors describe various ways in which anthropologists have engaged and are currently involved in training physicians, in various countries, as well as potential new directions in this field. They address critical topics such as: the history of anthropology in medical education; humanism, ethics, and the culture of medicine; interprofessional and collaborative clinical care; incorporating patient perspectives in practice; addressing social determinants of health, health disparities, and cultural competence; anthropological roles in planning and implementation of medical education programs; effective strategies for teaching medical students; comparative analysis of systems of care in Japan, Uganda, France, United Kingdom, Mexico, Canada and throughout the United States; and potential new directions for anthropological engagement with medicine. The volume overall emphasizes the important role of anthropology in educating physicians throughout the world to improve patient care and population health.