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Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto

BACKGROUND: In 1999, Determinants of Community Health was introduced at the Faculty of Medicine, University of Toronto. The course spanned all 4 years of the undergraduate curriculum and focused on addressing individual patient and community needs, prevention and population health, and diverse learn...

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Autores principales: Johnson, Ian L., Scott, Fran E., Byrne, Niall P., MacRury, Katherine A., Rosenfield, Jay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Journal of Preventive Medicine. Published by Elsevier Inc. 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7126546/
https://www.ncbi.nlm.nih.gov/pubmed/21961661
http://dx.doi.org/10.1016/j.amepre.2011.06.003
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author Johnson, Ian L.
Scott, Fran E.
Byrne, Niall P.
MacRury, Katherine A.
Rosenfield, Jay
author_facet Johnson, Ian L.
Scott, Fran E.
Byrne, Niall P.
MacRury, Katherine A.
Rosenfield, Jay
author_sort Johnson, Ian L.
collection PubMed
description BACKGROUND: In 1999, Determinants of Community Health was introduced at the Faculty of Medicine, University of Toronto. The course spanned all 4 years of the undergraduate curriculum and focused on addressing individual patient and community needs, prevention and population health, and diverse learning contexts. PURPOSE: To demonstrate the value of an integrated, longitudinal approach to the efficiency of delivering a public health curriculum. DESIGN: Time-series comparing the curricular change over two periods of time. SETTING/PARTICIPANTS: Undergraduate medical students from 1993 to 2009. INTERVENTION: Using a spiral curriculum, the educational materials are integrated across all 4 years, based on the concept of medical decision making in a community context. MAIN OUTCOME MEASURES: This study compares measures of student satisfaction and national rankings of the University of Toronto with the other 16 Canadian medical schools for the “Population Health, Ethical, Legal, and Organizational aspects of the practice of medicine” component of the Medical Council of Canada Qualifying Examination Part 1. RESULTS: The University of Toronto has been ranked either first or second place nationally, in comparison to lower rankings in previous years (p<0.02 on the Kruskal–Wallis test). Student ratings indicated the course was comparable to others in the curriculum. CONCLUSIONS: For the same amount of curricular time, an integrated spiral curriculum for teaching public health appears to be more effective than traditional approaches.
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spelling pubmed-71265462020-04-08 Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto Johnson, Ian L. Scott, Fran E. Byrne, Niall P. MacRury, Katherine A. Rosenfield, Jay Am J Prev Med Article BACKGROUND: In 1999, Determinants of Community Health was introduced at the Faculty of Medicine, University of Toronto. The course spanned all 4 years of the undergraduate curriculum and focused on addressing individual patient and community needs, prevention and population health, and diverse learning contexts. PURPOSE: To demonstrate the value of an integrated, longitudinal approach to the efficiency of delivering a public health curriculum. DESIGN: Time-series comparing the curricular change over two periods of time. SETTING/PARTICIPANTS: Undergraduate medical students from 1993 to 2009. INTERVENTION: Using a spiral curriculum, the educational materials are integrated across all 4 years, based on the concept of medical decision making in a community context. MAIN OUTCOME MEASURES: This study compares measures of student satisfaction and national rankings of the University of Toronto with the other 16 Canadian medical schools for the “Population Health, Ethical, Legal, and Organizational aspects of the practice of medicine” component of the Medical Council of Canada Qualifying Examination Part 1. RESULTS: The University of Toronto has been ranked either first or second place nationally, in comparison to lower rankings in previous years (p<0.02 on the Kruskal–Wallis test). Student ratings indicated the course was comparable to others in the curriculum. CONCLUSIONS: For the same amount of curricular time, an integrated spiral curriculum for teaching public health appears to be more effective than traditional approaches. American Journal of Preventive Medicine. Published by Elsevier Inc. 2011-10 2011-09-28 /pmc/articles/PMC7126546/ /pubmed/21961661 http://dx.doi.org/10.1016/j.amepre.2011.06.003 Text en Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Johnson, Ian L.
Scott, Fran E.
Byrne, Niall P.
MacRury, Katherine A.
Rosenfield, Jay
Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto
title Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto
title_full Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto
title_fullStr Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto
title_full_unstemmed Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto
title_short Integration of Community Health Teaching in the Undergraduate Medicine Curriculum at the University of Toronto
title_sort integration of community health teaching in the undergraduate medicine curriculum at the university of toronto
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7126546/
https://www.ncbi.nlm.nih.gov/pubmed/21961661
http://dx.doi.org/10.1016/j.amepre.2011.06.003
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