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Published in: Israel Journal of Health Policy Research 1/2018

Open Access 01-12-2018 | Integrative article

Implementation of a competency-based medical education approach in public health and epidemiology training of medical students

Authors: Rachel Dankner, Uri Gabbay, Leonard Leibovici, Maya Sadeh, Siegal Sadetzki

Published in: Israel Journal of Health Policy Research | Issue 1/2018

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Abstract

Background

There is increasing agreement among medical educators regarding the importance of improving the integration between public health and clinical education, understanding and implementation of epidemiological methods, and the ability to critically appraise medical literature. The Sackler School of Medicine at Tel-Aviv University revised its public health and preventive medicine curriculum, during 2013–2014, according to the competency-based medical education (CBME) approach in training medical students. We describe the revised curriculum, which aimed to strengthen competencies in quantitative research methods, epidemiology, public health and preventive medicine, and health service organization and delivery.

Methods

We report the process undertaken to establish a relevant 6-year longitudinal curriculum and describe its contents, implementation, and continuous assessment and evaluation.

Results

Central competencies included: epidemiology and statistics for appraisal of the literature and implementation of research; the application of health promotion principles and health education strategies in disease prevention; the use of an evidence-based approach in clinical and public health decision making; the examination and analysis of disease trends at the population level; and knowledge of the structure of health systems and the role of the physician in these systems. Two new courses, in health promotion, and in public health, were added to the curriculum, and the courses in statistics and epidemiology were joined. Annual evaluation of each course results in continuous revisions of the syllabi as needed, while we continue to monitor the whole curriculum.

Conclusions

The described revision in a 6 year-medical school training curriculum addresses the currently identified needs in public health. Ongoing feedback from students, and re-evaluation of syllabus by courses teams are held annually. Analysis of student’s written feedbacks and courses evaluations of “before and after” the implementation of this intervention is taking place to examine the effect of the new curriculum on the perceived clinical and research capacities of our 6-year students.
Literature
1.
go back to reference Seshia SS, Young GB. The evidence-based medicine paradigm: where are we 20 years later? Part 2. Can J Neurol Sci. 2013;40(4):475–81.CrossRefPubMed Seshia SS, Young GB. The evidence-based medicine paradigm: where are we 20 years later? Part 2. Can J Neurol Sci. 2013;40(4):475–81.CrossRefPubMed
2.
go back to reference Kaprielian VS, Silberberg M, McDonald MA, Koo D, Hull SK, Murphy G, Tran AN, Sheline BL, Halstater B, Martinez-Bianchi V, Weigle NJ, de Oliveira JS, Sangvai D, Copeland J, Tilson HH, Scutchfield FD, Michener JL. Teaching population health: a competency map approach to education. Acad Med. 2013;88(5):626.CrossRefPubMedPubMedCentral Kaprielian VS, Silberberg M, McDonald MA, Koo D, Hull SK, Murphy G, Tran AN, Sheline BL, Halstater B, Martinez-Bianchi V, Weigle NJ, de Oliveira JS, Sangvai D, Copeland J, Tilson HH, Scutchfield FD, Michener JL. Teaching population health: a competency map approach to education. Acad Med. 2013;88(5):626.CrossRefPubMedPubMedCentral
3.
go back to reference Riegelman RK, Garr DR. Evidence-based public health education as preparation for medical school. Acad Med. 2008;8(4):321–6.CrossRef Riegelman RK, Garr DR. Evidence-based public health education as preparation for medical school. Acad Med. 2008;8(4):321–6.CrossRef
5.
6.
go back to reference Ben-Shlomo Y. Public health educatiob for medical students: reflections over the last two decades. J Public Health (Bangkok). 2009;32(1):132–3.CrossRef Ben-Shlomo Y. Public health educatiob for medical students: reflections over the last two decades. J Public Health (Bangkok). 2009;32(1):132–3.CrossRef
7.
go back to reference Garr DR, Lackland DT, Wilson DB. Prevention education and evaluation in U.S. medical schools: a status report. Acad Med. 2000;75(7):S14–21.CrossRefPubMed Garr DR, Lackland DT, Wilson DB. Prevention education and evaluation in U.S. medical schools: a status report. Acad Med. 2000;75(7):S14–21.CrossRefPubMed
8.
go back to reference Greer AG, Clay M, Blue A, Evans CH, Garr D. The status of interprofessional education and interprofessional prevention education in academic health centers: a national baseline study. Acad Med. 2014;89(5):799–805.CrossRefPubMed Greer AG, Clay M, Blue A, Evans CH, Garr D. The status of interprofessional education and interprofessional prevention education in academic health centers: a national baseline study. Acad Med. 2014;89(5):799–805.CrossRefPubMed
9.
go back to reference Finkelstein JA, GT MM, Peters A, Cadigan R, Biddinger P, Simon SR. Teaching population health as a basic science at Harvard Medical School. Acad Med. 2008;83(4):332–7.CrossRefPubMed Finkelstein JA, GT MM, Peters A, Cadigan R, Biddinger P, Simon SR. Teaching population health as a basic science at Harvard Medical School. Acad Med. 2008;83(4):332–7.CrossRefPubMed
10.
go back to reference Miles S, Price GM, Swift L, Shepstone L, Leinster SJ. Statistics teaching in medical school: opinions of practising doctors. BMC Medical Education. 2010;10:75.CrossRefPubMedPubMedCentral Miles S, Price GM, Swift L, Shepstone L, Leinster SJ. Statistics teaching in medical school: opinions of practising doctors. BMC Medical Education. 2010;10:75.CrossRefPubMedPubMedCentral
11.
go back to reference Schapiro R, Stickford-Becker AE, Foertsch JA, Remington PL, Seibert CS. Integrative cases for preclinical medical students. Am J Prev Med. 2011;41(4S3):S187–92.CrossRefPubMed Schapiro R, Stickford-Becker AE, Foertsch JA, Remington PL, Seibert CS. Integrative cases for preclinical medical students. Am J Prev Med. 2011;41(4S3):S187–92.CrossRefPubMed
12.
go back to reference Frank E, Dresner Y, Shani M, Vinker S. The association between physicians’ and patients’ preventive health practices. Can Med Assoc J. 2013;185(8):649–53.CrossRef Frank E, Dresner Y, Shani M, Vinker S. The association between physicians’ and patients’ preventive health practices. Can Med Assoc J. 2013;185(8):649–53.CrossRef
13.
go back to reference Englander R, Frank JR, Carraccio C, Sherbino J, Ross S, Snell L, ICBME Collaborators. Toward a shared language for conpetency-based medical education. Med Teach. 2017;39(6):582–7.CrossRefPubMed Englander R, Frank JR, Carraccio C, Sherbino J, Ross S, Snell L, ICBME Collaborators. Toward a shared language for conpetency-based medical education. Med Teach. 2017;39(6):582–7.CrossRefPubMed
14.
15.
go back to reference Gurpinar E, Musal B, Aksakoglu G, Ucku R. Comparison of knowledge scores of medical students in problem-based learning and traditional curriculum on public health topics. BMC Med Educ. 2005: Feb 10;5(1):7.CrossRefPubMedPubMedCentral Gurpinar E, Musal B, Aksakoglu G, Ucku R. Comparison of knowledge scores of medical students in problem-based learning and traditional curriculum on public health topics. BMC Med Educ. 2005: Feb 10;5(1):7.CrossRefPubMedPubMedCentral
16.
go back to reference Committee on Integrating Primary Care and Public Health, Board on Population Health and Public Health Practice, Institute of Medicine. “Primary care and public health: exploring integration to improve population health.” Washington: National Academies Press (US); 2012 Mar 28. Committee on Integrating Primary Care and Public Health, Board on Population Health and Public Health Practice, Institute of Medicine. “Primary care and public health: exploring integration to improve population health.” Washington: National Academies Press (US); 2012 Mar 28.
17.
go back to reference Forrester-Paton C, Forrester-Paton J, Gordon AL, Mitchell HK, Bracewell N, Mjojo J, Masud T, Gladman JR, Blundell A. Undergraduate teaching in geriatric medicine: mapping the British geriatrics society undergraduate curriculum to Tomorrow's doctors 2009. Age Ageing. 2014: May;43(3):436–9.CrossRefPubMed Forrester-Paton C, Forrester-Paton J, Gordon AL, Mitchell HK, Bracewell N, Mjojo J, Masud T, Gladman JR, Blundell A. Undergraduate teaching in geriatric medicine: mapping the British geriatrics society undergraduate curriculum to Tomorrow's doctors 2009. Age Ageing. 2014: May;43(3):436–9.CrossRefPubMed
18.
go back to reference Gillam S, Abhijit B. Undergraduate public health education in UK medical schools - struggling to deliver. Med Educ. 2006;40:430–6.CrossRefPubMed Gillam S, Abhijit B. Undergraduate public health education in UK medical schools - struggling to deliver. Med Educ. 2006;40:430–6.CrossRefPubMed
19.
go back to reference Gillam S, Gillian M. Public health education for medical students: rising to the professional challenge. J Public Health (Bangkok). 2009;32(1):125–31.CrossRef Gillam S, Gillian M. Public health education for medical students: rising to the professional challenge. J Public Health (Bangkok). 2009;32(1):125–31.CrossRef
21.
go back to reference Altman DG, Bland JM. Improving doctors’ understanding of statistics. J R Soc Health Stat. 1991;154:223–67.CrossRef Altman DG, Bland JM. Improving doctors’ understanding of statistics. J R Soc Health Stat. 1991;154:223–67.CrossRef
22.
go back to reference Freeman JV, Collier S, Staniforth D, Smith KJ. Innovations in curriculum design: a multi-disciplinary appraoch to teaching statistics to undergraduate medical students. BMC Med Educ. 2008;8:28.CrossRefPubMedPubMedCentral Freeman JV, Collier S, Staniforth D, Smith KJ. Innovations in curriculum design: a multi-disciplinary appraoch to teaching statistics to undergraduate medical students. BMC Med Educ. 2008;8:28.CrossRefPubMedPubMedCentral
23.
go back to reference Butt AK, Khan AA. Teaching biostatistics and epidemiology in a postgraduate medical institution: are we going in the right direction? East Mediterr Health J. 2008;14(5):1192–7.PubMed Butt AK, Khan AA. Teaching biostatistics and epidemiology in a postgraduate medical institution: are we going in the right direction? East Mediterr Health J. 2008;14(5):1192–7.PubMed
24.
go back to reference Novack LA, Knyazer JB, Novack V. Evidence-based medicine: assessment of knowledge of basic epidemiological and research methods among medical doctors. Postgrad Med J. 2006;82:817–22.CrossRefPubMedPubMedCentral Novack LA, Knyazer JB, Novack V. Evidence-based medicine: assessment of knowledge of basic epidemiological and research methods among medical doctors. Postgrad Med J. 2006;82:817–22.CrossRefPubMedPubMedCentral
25.
go back to reference Oster RA, Lindsell CJ, Welty LJ, Mazumdar M, Thurston SW, Rahbar MH, Carter RE, Pollock BH, Cucchiara AJ, Kopras EJ, Jovanovic BD, Enders FT. Assessing statistical competencies in clinical and translational science education: one size does not fit all. Clin Transl Sci. 2015;8(1):32–42.CrossRefPubMed Oster RA, Lindsell CJ, Welty LJ, Mazumdar M, Thurston SW, Rahbar MH, Carter RE, Pollock BH, Cucchiara AJ, Kopras EJ, Jovanovic BD, Enders FT. Assessing statistical competencies in clinical and translational science education: one size does not fit all. Clin Transl Sci. 2015;8(1):32–42.CrossRefPubMed
26.
go back to reference Wu Y, Zhou L, Li G, Yi D, Wu X, Liu X, Zhang Y, Liu L, Yi D. Cognition of and demand for education and teaching in medical statistics in China: a systematic review and meta-analysis. PLoS One. 2015;8(10):e0128721.CrossRef Wu Y, Zhou L, Li G, Yi D, Wu X, Liu X, Zhang Y, Liu L, Yi D. Cognition of and demand for education and teaching in medical statistics in China: a systematic review and meta-analysis. PLoS One. 2015;8(10):e0128721.CrossRef
27.
go back to reference Johnson IL, Scott FE, Byrne NP, MacRury KA, Rosenfield J. Integration of community health teaching in the undergraduate medicine curriculum at the university of Toronto. Am J Prev Med. 2011;41:S176–80.CrossRefPubMed Johnson IL, Scott FE, Byrne NP, MacRury KA, Rosenfield J. Integration of community health teaching in the undergraduate medicine curriculum at the university of Toronto. Am J Prev Med. 2011;41:S176–80.CrossRefPubMed
29.
go back to reference Rhodes M, Ashcroft R, Atun RA, Freeman GK, Jamrozik K. Teaching evidence-based medicine to undergraduate medical students: a course integrating ethics, audit, management and clinical epidemiology. Med Teach. 2006;4:313–7.CrossRef Rhodes M, Ashcroft R, Atun RA, Freeman GK, Jamrozik K. Teaching evidence-based medicine to undergraduate medical students: a course integrating ethics, audit, management and clinical epidemiology. Med Teach. 2006;4:313–7.CrossRef
30.
go back to reference Jones PR, Brooks JH, Wylie A. Realising the potential for an Olympic legacy; teaching medical students about sport and exercise medicine and exercise prescribing. Br J Sports Med. 2013;47(17):1090–4.CrossRefPubMed Jones PR, Brooks JH, Wylie A. Realising the potential for an Olympic legacy; teaching medical students about sport and exercise medicine and exercise prescribing. Br J Sports Med. 2013;47(17):1090–4.CrossRefPubMed
31.
go back to reference Conroy MB, Delichatsios HK, Hafler JP, Rigotti NA. Impact of a preventive medicine and nutrition curriculum for medical students. Am J Prev Med. 2004;27:77–80.CrossRefPubMed Conroy MB, Delichatsios HK, Hafler JP, Rigotti NA. Impact of a preventive medicine and nutrition curriculum for medical students. Am J Prev Med. 2004;27:77–80.CrossRefPubMed
32.
go back to reference O'Brien MJ, Garland JM, Murphy KM, Shuman SJ, Whitaker RC, Larson SC. Training medical students in the social determinants of health: the health scholars program at Puentes de Salud. Adv Med Educ Pract. 2014;5:307–14.CrossRefPubMedPubMedCentral O'Brien MJ, Garland JM, Murphy KM, Shuman SJ, Whitaker RC, Larson SC. Training medical students in the social determinants of health: the health scholars program at Puentes de Salud. Adv Med Educ Pract. 2014;5:307–14.CrossRefPubMedPubMedCentral
33.
go back to reference Ruis AR, Golden RN. The schism between medical and public health education: a historical perspective. Acad Med. 2008;83(12):1153–7.CrossRefPubMed Ruis AR, Golden RN. The schism between medical and public health education: a historical perspective. Acad Med. 2008;83(12):1153–7.CrossRefPubMed
34.
go back to reference Stebbins S, Sanders JL, Vukotich CJ Jr, Mahoney JF. Public health area of Concetration: a model for integration into medical school curricula. Am J Prev Med. 2011;41(4 suppl 3):S237–41.CrossRefPubMed Stebbins S, Sanders JL, Vukotich CJ Jr, Mahoney JF. Public health area of Concetration: a model for integration into medical school curricula. Am J Prev Med. 2011;41(4 suppl 3):S237–41.CrossRefPubMed
Metadata
Title
Implementation of a competency-based medical education approach in public health and epidemiology training of medical students
Authors
Rachel Dankner
Uri Gabbay
Leonard Leibovici
Maya Sadeh
Siegal Sadetzki
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Israel Journal of Health Policy Research / Issue 1/2018
Electronic ISSN: 2045-4015
DOI
https://doi.org/10.1186/s13584-017-0194-8

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