INTEGRATING RESEARCH, MEDICAL INFORMATICS, EVIDENCE BASED MEDICINE AND POPULATION HEALTH IN THE MEDICAL CURRICULUM: EVIDENCING OUTCOMES IN A NEW GENERATION OF MEDICAL DOCTORS
Myrna Borges, M.D., Academic Dean; Alberto Santiago-Cornier, M.D., Ph.D., Associate Dean for Research; Martha García, M.D.*, MSc, Assistant Professor and Alvaro Pérez, M.D., MSc, Assistant Professor. San Juan Bautista School of Medicine, Caguas, PR, 00725 U.S.A.
Purpose
Contemporary trends in medical education represent many challenges to medical
schools, such as to prepare students to be independent learners and to
demonstrate information literacy. Students also must be introduced to
epidemiology, biostatistics, evidence-based medicine, and basic, clinical and
translational research. To answer these challenges, the San Juan Bautista School
of Medicine instituted several strategies on Research and Information Literacy
in 2000, consolidated as curricular emphasis in 2003. This study describes the
project and its outcomes.
Methods
Through the four years the students design a research project answering a public health research question.
|
Curricular axis components |
|
|
COMPONENT |
TIME |
|
Introduction to Research |
Y1S1 |
|
Integration Seminar* /Community Medicine and Research I** |
Y1S2 |
|
Community Research*/Community Medicine and Research II** |
Y2S1 |
|
Clinical Research |
Y2S2 |
|
Research Clerkship |
Y3 |
|
Research Electives |
Y4 |
|
*Before 2006; **After 2006 |
|
A comprehensive assessment process is in place to measure the outcomes, including faculty and student satisfaction surveys, graduate questionnaire, academic progress analysis and, inventory of student research participation.
Results
Since 2000, some
400 students have participated in the initiatives. The first group exposed to
the complete “axis concept” is the class 2007. Satisfactions with the model and
student research production have grown each year. The graduate questionnaires
2006 and 2007 evidenced notorious change in the awareness of axis contents for
the profession.
Conclusion / Future Directions.
The model has demonstrated to be effective answering to the challenges on this
matter. Continuous assessment has allowed improvement. The goal for currently
enrolled students is one research paper per student before graduation.