Medical Students' Experience and Learning Outcomes of Overseas Community Involvement Project: a Qualitative Study

Overview

Journal BMC Med Educ

Publisher Biomed Central

Specialty Medical Education

Date 2024 Aug 8

PMID 39118034

Authors

Gayathri Devi Nadarajan

Kumaran Rasappan

Jonathan Shen You Ng

Melvin Lim Junchen

Sungwon Yoon

Affiliations

Soon will be listed here.

Abstract

Background: Medical students in Singapore engage in short term medical missions, locally known as Overseas Community Involvement Projects (OCIPs). Little is known about the learning outcomes of an OCIP and how this complements their medical education back home. Understanding this can help the medical educators structure the OCIP to optimise its learning value.

Objectives: This study aims to gain an in-depth understanding of the experiences and learning outcomes of the medical students who participated in the OCIP.

Methods: This was a qualitative study involving Singaporean students from one medical school travelling to Nepal. Data was collected from reflective journals, overall group reflections and two focus group discussions. The data was thematically analysed using the Accreditation Council for Graduate Medical (ACGME) core competencies for medical professionals.

Results: The data could be classified under various themes within the six domains of the ACGME framework. The study revealed themes of: humanism, socioeconomic and cultural determinants of health under the domain of patient care, application of medical knowledge, investigating and evaluating the needs of a population and feedback to drive improvement under the domain of practice-based learning and improvement, use of non-verbal cues and communicating across language barriers under the domain of interpersonal and communication skills, healthcare systems and delivery, resourcefulness and adaptability, health equity and accessibility under the domain of systems-based practice, ethics, role-modelling, teamwork and leadership skills, interprofessional skills and resilience under the domain of professionalism. Understanding the students' motivations, utilising reflections, and following the patients' journey facilitated attainment of these outcomes.

Conclusions: This OCIP experience translated to learning outcomes aligned with the ACGME framework. There is great potential for the experiential learning from a well-structured OCIP to help with personal and professional development and global health education.

References

Koehn P, Swick H . Medical education for a changing world: moving beyond cultural competence into transnational competence. Acad Med. 2006; 81(6):548-56. DOI: 10.1097/01.ACM.0000225217.15207.d4. View

Dunn D, Chaput de Saintonge M . Experiential learning. Med Educ. 1997; 31 Suppl 1:25-8. DOI: 10.1111/j.1365-2923.1997.tb02583.x. View

Frenk J, Chen L, Bhutta Z, Cohen J, Crisp N, Evans T . Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010; 376(9756):1923-58. DOI: 10.1016/S0140-6736(10)61854-5. View

Hayes F, Clark J, McCauley M . Healthcare providers' and managers' knowledge, attitudes and perceptions regarding international medical volunteering in Uganda: a qualitative study. BMJ Open. 2020; 10(12):e039722. PMC: 7735101. DOI: 10.1136/bmjopen-2020-039722. View

Wolfberg A . Volunteering overseas--lessons from surgical brigades. N Engl J Med. 2006; 354(5):443-5. DOI: 10.1056/NEJMp058220. View

Elam C, Sauer M, Stratton T, Skelton J, Crocker D, Musick D . Service learning in the medical curriculum: developing and evaluating an elective experience. Teach Learn Med. 2003; 15(3):194-203. DOI: 10.1207/S15328015TLM1503_08. View

Pinto A, Upshur R . Global health ethics for students. Dev World Bioeth. 2009; 9(1):1-10. DOI: 10.1111/j.1471-8847.2007.00209.x. View

Dharamsi S, Richards M, Louie D, Murray D, Berland A, Whitfield M . Enhancing medical students' conceptions of the CanMEDS Health Advocate Role through international service-learning and critical reflection: a phenomenological study. Med Teach. 2010; 32(12):977-82. DOI: 10.3109/01421590903394579. View

Shah S, Wu T . The medical student global health experience: professionalism and ethical implications. J Med Ethics. 2008; 34(5):375-8. DOI: 10.1136/jme.2006.019265. View

10.

Haq C, Rothenberg D, Gjerde C, Bobula J, Wilson C, Bickley L . New world views: preparing physicians in training for global health work. Fam Med. 2000; 32(8):566-72. View

11.

Kraeker C, Chandler C . "We learn from them, they learn from us": global health experiences and host perceptions of visiting health care professionals. Acad Med. 2013; 88(4):483-7. DOI: 10.1097/ACM.0b013e3182857b8a. View

12.

Withers M, Browner C, Aghaloo T . Promoting volunteerism in global health: lessons from a medical mission in northern Mexico. J Community Health. 2012; 38(2):374-84. DOI: 10.1007/s10900-012-9627-z. View

13.

Peluso M, Van Schalkwyk S, Kellett A, Brewer T, Clarfield A, Davies D . Reframing undergraduate medical education in global health: Rationale and key principles from the Bellagio Global Health Education Initiative. Med Teach. 2017; 39(6):639-645. DOI: 10.1080/0142159X.2017.1301654. View

14.

Harden R . International medical education and future directions: a global perspective. Acad Med. 2006; 81(12 Suppl):S22-9. DOI: 10.1097/01.ACM.0000243411.19573.58. View

15.

McCauley M, Raven J, van den Broek N . Experiences and impact of international medical volunteering: a multi-country mixed methods study. BMJ Open. 2021; 11(3):e041599. PMC: 7993159. DOI: 10.1136/bmjopen-2020-041599. View

16.

Crump J, Sugarman J . Ethical considerations for short-term experiences by trainees in global health. JAMA. 2008; 300(12):1456-8. PMC: 3164760. DOI: 10.1001/jama.300.12.1456. View

17.

Van Schalkwyk S, Hafler J, Brewer T, Maley M, Margolis C, McNamee L . Transformative learning as pedagogy for the health professions: a scoping review. Med Educ. 2019; 53(6):547-558. DOI: 10.1111/medu.13804. View

18.

Dornan T, Littlewood S, Margolis S, Scherpbier A, Spencer J, Ypinazar V . How can experience in clinical and community settings contribute to early medical education? A BEME systematic review. Med Teach. 2006; 28(1):3-18. DOI: 10.1080/01421590500410971. View

19.

Holmes D, Zayas L, Koyfman A . Student objectives and learning experiences in a global health elective. J Community Health. 2012; 37(5):927-34. DOI: 10.1007/s10900-012-9547-y. View

20.

Reasoner K, Desai M, Lee D . A Helping Hand: The Case for Volunteerism. J Hand Surg Am. 2018; 43(10):941-944. DOI: 10.1016/j.jhsa.2018.03.024. View