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Reflecting on exchange students' learning: Structure, objectives and supervision.
Dan Xu1, Mitchell Atkinson1, Timothy Yap1
1Curtin Medical School, Curtin University, Perth, Australia.
Medical Teacher
|November 14, 2019
Summary
Structured international medical electives enhance students' professionalism and cultural competence. Supervised short-term programs offer valuable learning experiences and improve clinical reasoning skills.
Area of Science:
- Medical Education
- Global Health
- Professionalism
Background:
- International electives offer opportunities for medical students to enhance professionalism and cultural competence.
- However, these experiences can be unstructured and lack sufficient supervision, with limited evidence on learning outcomes.
- Structured, supervised electives are proposed as a method to achieve specific learning objectives.
Purpose of the Study:
- To evaluate the learning outcomes of a structured, short-term international medical elective.
- To explore how such electives can enhance medical students' clinical reasoning, professionalism, and cultural competence.
Main Methods:
- Seven medical students from Curtin Medical School participated in an 18-day supervised elective at Sun Yat-sen University, China.
- Daily debriefs and weekly summaries were conducted to gather reflections on learning experiences across different disciplines.
Main Results:
- Key themes included improved skills in history taking, physical examination, and clinical reasoning.
- Students gained experience with diseases rare in Australia, learned about diverse healthcare systems, and enhanced cultural competence.
- Participants reported personal development and increased sensitivity to doctor-patient relationships and clinical ethics.
Conclusions:
- Short-term supervised overseas electives can be structured to effectively improve medical students' clinical reasoning and skills.
- Joint supervision facilitated the achievement of learning outcomes, enhancing professionalism and cultural competence.
- These experiences provided a comprehensive understanding of multifaceted healthcare models.
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