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The Community Health Outreach and Family Study Programme

The Community Health Outreach and Family Study Programme. Dr.Joan Rawlins Senior Lecturer/Outreach Coordinator Public Health and Primary Care Unit Dept of Paraclinical Sciences FMS, UWI. St Augustine. Rationale.

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The Community Health Outreach and Family Study Programme

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  1. The Community Health Outreach and Family Study Programme Dr.Joan Rawlins Senior Lecturer/Outreach Coordinator Public Health and Primary Care Unit Dept of Paraclinical Sciences FMS, UWI. St Augustine

  2. Rationale • Evidence from recent research in medical education indicates that students should be trained early in their education programmes in aspects of; • critical thinking • reflection and • empathy, by allowing them the opportunity of going through an experience and thinking carefully about the outcomes.

  3. Rationale cont’d • This enables them not only to narrate what has happened, but to: • encourage an analysis of the events and • identify how these events have contributed to the outcomes • and how this experience can be applied to solve similar problems in the other situations. • The Community Health Outreach and Family study proposes to achieve this type of analysis

  4. Family Study • The Family Study is an educational experience that has been successfully applied in a number of medical schools, one being The Faculty of Medicine, University of New Castle on Tyne, UK.

  5. The Family Study • Through this process the student should learn about the socio-cultural effects of childbirth in the family and how these interactions can affect the child. • The student will also have the opportunity to study at first hand the various biological and developmental events that occur during pregnancy and early childhood.

  6. Learning Outcomes (Summarized) • By the end of the project, the students should have studied at first hand over a period of time, social, biological and health events related to childbirth in a small group of families in a real-life situation • studied the psychosocial impact on the family on having a baby and the possible effects of these on the baby.

  7. Learning Outcomes Summarized (Cont’d) • experienced group interactions by working with a number of his/hercolleagues; • practised some of the communication skills introduced and discussed during the preclinical courses • been involved in some ethical considerations relevant to the type of data he/she collects during the study

  8. Programme • Students attend 6 hours of Lectures (over a two (2) week period) as they prepare for the Health Centre and ( Family Study) Exercise.

  9. Lectures • Introduction to the Outreach and Family Study • Introduction to Community Health Services • Caribbean Family –Health and Social Concerns • Family Dynamics • HIV and the community • Gender and Health: The public Health Perspective

  10. Health Centre visits • Thereafter students are rotated in groups of four (4) through the Health Centres (Arima, Arouca and Maloney) • Each week 28 students (7 groups) attend the Health Centres for their Family Study Visit • Each group of four students interviews and studies two (2) antenatal clients

  11. Deliverables in semester one • Students complete a questionnaire in relation to the health and family situation of the two (2) mothers interviewed at the (HC) and • They write a reflection page about their experience of that first visit • The reflection page aims at developing critical thinking attitude by analyzing, discussing and reflecting on this experience in this Programme

  12. Semester 2 Students again attend 3 hours of lectures at the beginning of the semester. The lectures include issues of: • Domestic Violence • Introduction to The Cancer Registry • Breast Feeeding • Sexual and Reproductive Health • The Rape Crisis Society • Introduction to the older person in the family

  13. Health Centre Visit • Thereafter the students are rotated again in groups of • (4 ) through the Health Centres. • During this visit they interview the antenatal mother (one mother this time) and examine the baby. • A schedule pertaining to Early Child Development is completed. • N.B. (A power point presentation of work sheet A is available and is shown and discussed with the students before they go to the community)

  14. Reflection page • Students again complete a reflection page based on their expectations and the outcome of their meeting with the mother and new baby.

  15. Assessment of Students’ Performance • The reflection pages are graded. • Previously the Family study was included and represented a significant part of the grading.

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