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Related Experiment Videos

Initial community site development for first--and second-year medical students

W J Crump1, D L Chambers, J Bolt

  • 1Department of Family Medicine, University of Texas Medical Branch, Galveston, USA.

Family Medicine
|October 1, 1996
PubMed
Summary

Medical students benefit from community-based experiences, with office nurses effectively facilitating learning in generalist practices. This initiative highlights the importance of structured site development and nurse coordinators for successful preclinical education.

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Area of Science:

  • Medical Education
  • Primary Care Training
  • Community Health

Background:

  • Medical schools increasingly incorporate community-based learning for preclinical students.
  • The University of Texas Medical Branch implemented a "Community Continuity Experience" for first-year medical students in general practice settings.

Purpose of the Study:

  • To describe the development and implementation of a community-based continuity experience for first-year medical students.
  • To evaluate the effectiveness of office nurses as facilitators in this program.

Main Methods:

  • A structured process managed by the Area Health Education Center was used to identify and develop generalist physician office sites.
  • Site development focused on individual office nurses, involving site assessment and departmental participation.

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  • A nurse site coordinator acted as a central point of contact for all participating sites.

    • Main Results:

    • Office nurses proved effective as site facilitators, with a nurse site coordinator being a key enabling strategy.
    • Students reported positive experiences and preferred assigned sites over self-selection.
    • The process successfully navigated time, class size, and geographic constraints.

    Conclusions:

    • Key elements for successful community-based course development include an accurate faculty database, methodical site selection, and early orientation.
    • Considering non-physician facilitators, such as nurses, is crucial during the initial phase of such programs.
    • Structured support systems, like nurse coordinators, enhance the preclinical community experience.