34.13 Public health education in Ege University medical faculty: Developing a community-oriented model

Tuesday, April 28, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Zeliha Asli Öcek Ege University, Medical Faculty, Turkey
Meltem Ciceklioglu Ege University, Medical Faculty, Turkey
Safak Taner Gürsoy Ege University, Medical Faculty, Turkey
Feride Aksu Ege University, Medical Faculty, Turkey
Meral Türk Soyer Ege University, Medical Faculty, Turkey
Hür Hassoy Ege University, Medical Faculty, Turkey
Isil Ergin Ege University, Medical Faculty, Turkey
Abdullah Sayiner Ege University, Medical Faculty, Turkey
Gülsen Kandiloglu Ege University, Medical Faculty, Turkey
Aim  Ege University Medical Faculty (EUMF) introduced a community-oriented curriculum in 2001. The of this study is to evaluate the new public health education program in EUMF  curriculum.

Method: The study adopted triangulated methods. Quantitatively, a comparison of the students who were exposed to a community-oriented curriculum (Year 4 in 2007) was made with the students who were exposed to the traditional curriculum (Year 4 in 2005) in terms of their assessment of their achievement of our learning objectives. A total of 255 students in 2005 (80.7%) and 243 students in 2007 (81.5%) were surveyed using a questionnaire. Qualitatively, five focus group- and five individual interviews were performed with the 2007 cohort.
Results: Except the one related to teamwork (p>0.05) all learning objectives yielded significantly higher scores in the 2007 cohort than in the 2005 cohort (p<0.05). The qualitative analysis supported the achievement of objectives in the 2007 cohort. The students appreciated the relevance of public health education with clinical subjects and interactive methods, but criticized didactic lectures and written assignments.

Conclusions: A community-oriented approach is more effective in achieving a holistic approach to health problems. Improving community-based activities and assessment methods would be more successful in integrating population health into medical training.

Note: This study was accepted for publication in Medical Teacher.


Learning Objectives: Learning objectives are in three areas: 1. To view patients in their entirety by understanding the effects of multiple variables on health and disease, to recognise the importance of identifying the health care needs of the community; to be discuss the principles of community diagnosis and critical analysis; 2. To recognise the importance of community-oriented health care system in which the primary care physician plays an integral role, to be aware of the barriers which prevent the access to health care, to recognize the importance of a team approach; 3. To define the primacy, and responsibility for prevention of illness and health promotion.

Sub-Theme: Reforming public health education