A new model of paired clinical teaching of international and Danish medical students

Dina Cortes, Anja Pinborg, Grete Teilmann, Ellen Christine Leth Løkkegaard, Jesper Andersen, Hanne Brix Westergaard, Suzanne Andersen, Joyce Kling, Finn Stener Jørgensen, Inger Merete Jørgensen, Jørgen Hedemark Poulsen, Gylli Mola, Thomas Bergholt, Ole Pryds, Lisbeth Nilas

1 Citationer (Scopus)

Abstract

Introduction: Since 2006, one hospital has offered two clinical courses in obstetrics/gynaecology and paediatrics 
to international (I) students. However, as I-student enrolment increased, the hospital faced cut-backs. As from 2010, I-team course evaluations therefore dropped to unaccep­t­able levels and more I- than Danish (DK) students failed ­exams. Therefore, in 2012 we started a three-year internationalisation project (I-project) at two hospitals. The pri­mary intervention was to pair training for I- and DK-students at clinical contact, and to offer an exclusive daily lecturer for I-teams.

Methods: We compared the course evaluations and exam grades of I-teams and DK teams for two years prior to (107 from I-teams – 211 participants from DK-teams) and during the I-project (245 participants from I-teams – 575 from DK-teams).

Results: During the I-project, the I-teams’ course evalu­ations increased to acceptable values and to levels compar­able to the evaluation scores of DK-teams. Furthermore, 
I-students now considered that their communication with the patients was acceptable. Before the I-project, I-students had lower exam grades (median = 10 (range: 0-12)) than DK-students (10 (4-12)) (p = 0.03), but during the I-project, exam grades increased to the levels achieved by DK-stud­ents (10 (2-12) – 10 (0-12) (p = 0.22), and no more I- than DK-students failed exams (p = 0.51).

Conclusion: Pairing students for clinical training and allocating an exclusive lecturer for I-teams produced improved courses for internationalisation. Allocating an exclusive lecturer was associated with a cost of about 615 EUR per student per course when the team consisted of ten students. 

Funding: The Capital Region of Denmark and the Univer­sity of Copenhagen.

Trial registration: not relevant.
OriginalsprogEngelsk
ArtikelnummerA5244
TidsskriftDanish Medical Journal
Vol/bind63
Udgave nummer7
Sider (fra-til)1-5
Antal sider5
ISSN1603-9629
StatusUdgivet - jul. 2016

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