Evaluating distributed medical education: what are the community's expectations?

Med Educ. 2009 May;43(5):457-61. doi: 10.1111/j.1365-2923.2009.03357.x.

Abstract

Objectives: This study aimed to explore community members' perceptions of present and future impacts of the implementation of an undergraduate medical education programme in an underserved community.

Methods: We conducted semi-structured interviews with eight key informants representing the health, education, business, economy, media and political sectors. A two-stage approach was used. In the first stage, the interviews were analysed to identify sector-specific impacts informants perceived as already occurring or which they hoped to see in the future. The transcripts were then re-analysed to determine any underlying themes that crossed sectors.

Results: Community leaders described impacts that were already occurring in all sectors and also described changes in the community itself. Four underlying themes emerged: an increase in pride and status; partnership development; community self-efficacy, and community development. These underlying themes appear to characterise the development of social capital in the community.

Conclusions: The implementation of distributed undergraduate medical education programmes in rural and underserved communities may impact their host communities in ways other than the production of a rural doctor workforce. Further studies to quantify impacts in diverse sectors and to explore possible links with social capital are needed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • British Columbia
  • Community Health Services / organization & administration*
  • Curriculum / standards
  • Education, Medical, Undergraduate / methods
  • Education, Medical, Undergraduate / organization & administration*
  • Humans
  • Medically Underserved Area*
  • Problem-Based Learning
  • Program Evaluation
  • Rural Health Services / organization & administration*