Résumés
Résumé
Contexte : Les activités d’apprentissage par le service dans la communauté (ASC) sont intégrées au sein des facultés de médecine depuis plusieurs années. Toutefois, peu de données existent permettant de comprendre les retombées de ce type d’activités sur les personnes étudiantes et les milieux communautaires. Cette recherche visait à explorer les perceptions des retombées d’une activité de formation ASC offerte aux personnes étudiantes en médecine.
Méthodes : Une étude qualitative descriptive interprétative a été menée. Elle incluait des entrevues semi-dirigées pré et post stage, menée auprès des personnes étudiantes ayant participé aux activités d’ASC (pré n=21, post n=7), de même que des groupes de discussion focalisée auprès d’intervenants ou responsables d’organismes communautaires (n=17).
Résultats : Les expériences vécues au sein de milieux socioéconomiques et culturels pluriels ont contribué à améliorer la compréhension par les personnes étudiantes du concept de vulnérabilité sociale et du vécu des personnes vivant en contexte de vulnérabilité. L’ASC a également généré une meilleure perception de la compréhension de l’importance des organismes communautaires dans l’aide à ces personnes en situation de vulnérabilité.
Conclusion : Dans le cadre de l’ASC, une meilleure compréhension des facteurs contribuant au développement de compétences touchant la pratique en contexte de vulnérabilité s’avère nécessaire pour permettre une expérience significative et souvent transformative chez les futurs médecins.
Abstract
Background: Community service-learning activities (CSL) have been integrated into medical schools for several years. However, little data exists to understand the impact of this type of activity on students and communities. The purpose of this research was to explore the effect of a mandatory community-based training activity offered to medical students.
Methods: A descriptive qualitative study was conducted with students and their host community organizations. Semi-structured interviews were conducted with 1st and 2nd year medical students who participated in CSL activities (pre n = 21, post n = 7). These interviews were conducted before and after the CSL activities. In addition, focused focus groups with leaders of community organizations (n = 17) involved in student training completed the study.
Results: Experiences in a variety of socio-economic and cultural settings contributed to students' understanding of the concept of social vulnerability. CSL also generated a better understanding of the importance of community organizations in helping these vulnerable individuals.
Conclusion: In the context of CSL, a better understanding of the individual and community organization factors that contribute to the development of competencies related to practice in a context of vulnerability is necessary to allow for a significant and often transformative experience for future physicians.
Parties annexes
Bibliographie
- Smith L, Martin H, Hardison L, Bird J, others. Seifer SD and Connors K., Eds. Community campus partnerships for health. faculty toolkit for service-learning in higher education. Scotts Valley, CA: National Service-Learning Clearinghouse, 2007. 2007; Disponible à: https://pdfs.semanticscholar.org/44c1/f151ad466b3fe8609394cc77d6dc0a7c2126.pdf
- George-Paschal L, Hawkins A, Graybeal L. Investigating the overlapping experiences and impacts of service-learning: juxtaposing perspectives of students, faculty, and community partners. Mich J Comm Serv Learn. 2019;25(2):43-61. https://doi.org/10.3998/mjcsloa.3239521.0025.203
- Hasbún B, Miño C, Cárdenas C, Cisternas O, Fara C, Garcia F. Service-learning as a means to promote development of social responsibility competency in a department of economics and business (English translation). Intern J Res Serv-Learn Comm Engag. 2016 Dec 22;4(1). https://doi.org/10.37333/001c.29618
- Mihan A, Muldoon L, Leider H et al. (2022). Social accountability in undergraduate medical education: a narrative review. Educfor Health. 2022;35(1), 3-8. https://doi.org/10.4103/efh.efh_305_21
- Truong J, Sandhu P, Sheng V. et al. Advocacy in community-based service learning: perspectives of community partner organizations. Can Med Educ J. 2023;14(1), 90-94. https://doi.org/10.36834/cmej.74887
- Dankner R, Gabbay U, Leibovici L, Sadeh M, Sadetzki S. Implementation of a competency-based medical education approach in public health and epidemiology training of medical students. Isr J Health Policy Res. 2018 Feb 20;7(1):13. https://doi.org/10.1186/s13584-017-0194-8
- Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ, US: Prentice-Hall, Inc; 1986. xiii, 617 p. (Social foundations of thought and action: A social cognitive theory).
- Van Melle E, Gruppen L, Holmboe ES, et al. Using contribution analysis to evaluate competency-based medical education programs: it's all about rigor in thinking. Acad Med. 2017 Jun;92(6):752-8. https://doi.org/10.1097/ACM.0000000000001479
- Graham ID, Logan J, Harrison MB, et al. Lost in knowledge translation : time for a map ? J Cont Educ Health Profess. 2006;26(1), 13-24. https://doi.org/10.1002/chp.47
- Goldstein AO, Bearman RS. Community engagement in US and Canadian medical schools. Advance Med Educ Pract. 2011;43-49. https://doi.org/10.2147/AMEP.S16823
- Westerhaus M, Finnegan A, Haidar M, Kleinman A, Mukherjee J, Farmer P. The necessity of social medicine in medical education. Acad Med. 2015 May;90(5):565-8. https://doi.org/10.1097/ACM.0000000000000571
- Faulkner LR, McCurdy RL. Teaching medical students social responsibility: the right thing to do. Acad Med. 2000 Apr;75(4):346-50. https://doi.org/10.1097/00001888-200004000-00010
- Francis CK. Medical ethos and social responsibility in clinical medicine. J Urban Health. 2001 Mar;78(1):29-45. https://doi.org/10.1093/jurban/78.1.29
- Boyatzis R, Kolb D. From learning styles to learning skills: The executive skills profile. J Managerial Psychol. 1995 Aug 1;10:3-17. https://doi.org/10.1108/02683949510085938
- Godkin M, Savageau J. The effect of medical students' international experiences on attitudes toward serving underserved multicultural populations. Fam Med. 2003 Apr;35(4):273-8. PMID: 12729313
- Brown JM, Patel M, Howard J, Cherry G, Shaw NJ. Changing clinical practice: significant events that influence trainees' learning. Educ Prim Care. 2011 Jan;22(1):25-31. https://doi.org/10.1080/14739879.2011.11493958
- MacLeod A. Caring, competence and professional identities in medical education. Adv Health Sci Educ Theory Pract. 2011 Aug;16(3):375-94. https://doi.org/10.1007/s10459-010-9269-9
- Loignon C, Haggerty JL, Fortin M, Bedos CP, Allen D, Barbeau D. Physicians' social competence in the provision of care to persons living in poverty: research protocol. BMC Health Serv Res. 2010 Mar 25;10(1):79. https://doi.org/10.1186/1472-6963-10-79
- Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports. 2003;118(4):293-302. https://doi.org/10.1093/phr/118.4.293
- Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook. SAGE; 1994. 358 p.