Teaching internal medicine in the community

Autor: Mordechai Dayan, M Ben-Ami, Hava Tabenkin, M Weingarten, Sophia Eilat-Tsanani
Rok vydání: 2016
Předmět:
Zdroj: Education for health (Abingdon, England). 28(3)
ISSN: 1469-5804
Popis: Background: Teaching Internal Medicine is mainly hospital-based. Chronic diseases are treated mostly in community-based ambulatory care. This study describes our experience during the first year of teaching Internal Medicine in the community, with a focus on chronic disease management. Methods: This was an observational study describing the content of clinical exposure and the feedback from students after a two-week clerkship in community health centers. Results: Over a period of three months, 54 students spent two weeks in health centers singly or in pairs. The disciplines covered were: Endocrinology, Gastroenterology, Pulmonology, Rheumatology and Geriatrics. In their feedback, the students most frequently noted knowledge acquired in the management of diabetes, infectious diseases and cardiology. The teaching content was determined by the case-mix of patients. The spectrum of conditions was wide. Students who were used to more structured hospital-based study found it difficult to cope with this mode of learning by discovery. Discussion: Future research should concentrate on the transition between the different modes of learning as students move from the hospital to the community setting.
Databáze: OpenAIRE