COMMUNITY- AND HOSPITAL-BASED TEACHING IN THE MEDICAL CURRICULUM - EXAMPLES FROM CUBA AND THE UK

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International Journal of Cuban Studies

Volume 2, Issue 3/4

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COMMUNITY- AND HOSPITAL-BASED TEACHING IN THE MEDICAL CURRICULUM - EXAMPLES FROM CUBA AND THE UK

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Author(s): John K. F. Wong , Ann Wylie

Publication date (Print): 1 October 2010

Publication date (Print): 1 December 2010

Journal: International Journal of Cuban Studies

Publisher: Pluto Journals

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Abstract

Medical schools in Cuba place a strong emphasis on community-based teaching within the main curriculum. In the United Kingdom, emphasis is placed on hospital-based teaching. Despite these differences, Cuba's healthcare system is successful in providing good healthcare to its citizens and with good outcomes. For example, in 2006, Cuba's infant mortality rate was the same as the UK's, at five per 1,000 live births. In contrast, the UK's expenditure on health per capita is seven times that of Cuba's (UK $2,434; Cuba$ 329). In this article, we put forward the advantages and disadvantages of community-based and hospital-based clinical teaching within the medical curriculum, gathering experiences from Cuba and the United Kingdom. To conclude, we will discuss the significance that community-based clinical education has played in improving the health status of Cuba.

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Author and article information

Journal

Journal ID (jstor): intejcubastud

Journal ID (doi): 10.2307/j50005551

Title: International Journal of Cuban Studies

Publisher: Pluto Journals

ISSN (Print): 17563461

Publication date (Print): 1 October 2010

Publication date (Print): 1 December 2010

Volume: 2

Issue: 3/4

Pages: 343-350

Article

DOI: 10.2307/41945912

SO-VID: 2c723dac-a6fa-410b-ae0d-713d1f220c89

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All content is freely available without charge to users or their institutions. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission of the publisher or the author. Articles published in the journal are distributed under a http://creativecommons.org/licenses/by/4.0/.

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Notes

UN data, available at: http://data.un.org/(accessed 09/07/2009).
WHO Statistical Information System (WHOSIS) data, available at: http://www.who. int/whosis/en/(accessed 09/07/2009).
MEDICC, 'Cuban Health System', http://www.medicc.org/ns/index.php?s=11&p=0 (accessed 15/03/2009).
NHS, 'About the NHS', http://www.nhs.uk/aboutnhs/Pages/About.aspx (accessed 15/03/2009).
C. Fischer, Routine Miracles (New York: Kaplan, 2009), Chapter 28: '"Medicine is an Art"-The Legacy of Sir William Osier'.
Times Higher Education, 'Medical students need live patients', 16 April 2009, available at: http://www.timeshighereducation.co.uk/story.asp?sectioncode=26&storycode=40 6194&c=1 (accessed 26/12/2009).
BBC News, 'Record number of trainee doctors', 9 March 2004, available at: http:// news.bbc.co.uk/1/hi/health/3545991.stm (accessed 26/12/2009).
WHO, Declaration of Alma-Ata 1978, available at: http://www.who.int/hpr/NPH/ docs/declaration_almaata.pdf (accessed 30/09/2010).
Professor the Lord Darzi of Denham KBE, 'High Quality Care For All: NHS Next Stage Review Final Report', 2008, Cm7432.
WHO, Commission on Social Determinants of Health; see http://www.who.int/social_ determinants/en/(accessed 01/03/2009).
C. Boelen, The Five-Star Doctor: An Asset to Health Care Reform? (Geneva: WHO, 1993).
S. Green and R. Miles, Burden of Disease in the UK: Scoping Study (Department of Health, 2008); available at: http://www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/DH_085151 (accessed 03/09/2009).
A. Wylie and S. Thompson, 'Establishing Health Promotion in the Modern Medical Curriculum: A Case Study', Med.Teach. 29(8) Oct 2007: 766-71. S.C. Major and P. Booton, 'Involvement of General Practice (Family Medicine) in Undergraduate Medical Education in the United Kingdom', J. Ambul. Care. Manage. 31(3) July-Sept 2008: 269-75.
H.P. O'Connell, 'Spicing up Medical Education', Student BMJ, 22 July 2009;17:b2390.
I. del Rosario Morales Suarez, J. A. Fernandez Sacasa and F. Duran Garcia, 'Cuban Medical Education: Aiming for the Six-Star Doctor', MEDICC Review 10(4) Fall 2008; available at: http://www.medicc.org/mediccreview/index.php ?issue=16cid=3&a=va (accessed 28/02/2009).
M. Frank and G. Reed, 'Doctors for the (Developing) World', MEDICC Review 7(8) Aug-Sept 2005.
M. Burton, 'The Idea of the Polyclinic', 2008; available at: http://www.cubasol-manch. org.uk/The idea of the polyclinic.pdf (accessed 26/12/2009).
NHS Confederation, 'Ideas from Darzi: Polyclinics', 2008.
WHO Statistical Information System (WHOSIS) data, available at: http://www.who. int/whosis/en/(accessed 09/07/2009).
UNDP, 'Human Development Report 2007/2008 -Indicators', 2009; available at: http://hdrstats.undp.org/indicators/(accessed 16/03/2009).

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[1] UN data, available at: http://data.un.org/(accessed 09/07/2009).

[2] WHO Statistical Information System (WHOSIS) data, available at: http://www.who. int/whosis/en/(accessed 09/07/2009).

[3] MEDICC, 'Cuban Health System', http://www.medicc.org/ns/index.php?s=11&p=0 (accessed 15/03/2009).

[4] NHS, 'About the NHS', http://www.nhs.uk/aboutnhs/Pages/About.aspx (accessed 15/03/2009).

[5] C. Fischer, Routine Miracles (New York: Kaplan, 2009), Chapter 28: '"Medicine is an Art"-The Legacy of Sir William Osier'.

[6] Times Higher Education, 'Medical students need live patients', 16 April 2009, available at: http://www.timeshighereducation.co.uk/story.asp?sectioncode=26&storycode=40 6194&c=1 (accessed 26/12/2009).

[7] BBC News, 'Record number of trainee doctors', 9 March 2004, available at: http:// news.bbc.co.uk/1/hi/health/3545991.stm (accessed 26/12/2009).

[8] WHO, Declaration of Alma-Ata 1978, available at: http://www.who.int/hpr/NPH/ docs/declaration_almaata.pdf (accessed 30/09/2010).

[9] Professor the Lord Darzi of Denham KBE, 'High Quality Care For All: NHS Next Stage Review Final Report', 2008, Cm7432.

[10] WHO, Commission on Social Determinants of Health; see http://www.who.int/social_ determinants/en/(accessed 01/03/2009).

[11] C. Boelen, The Five-Star Doctor: An Asset to Health Care Reform? (Geneva: WHO, 1993).

[12] S. Green and R. Miles, Burden of Disease in the UK: Scoping Study (Department of Health, 2008); available at: http://www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/DH_085151 (accessed 03/09/2009).

[13] A. Wylie and S. Thompson, 'Establishing Health Promotion in the Modern Medical Curriculum: A Case Study', Med.Teach. 29(8) Oct 2007: 766-71. S.C. Major and P. Booton, 'Involvement of General Practice (Family Medicine) in Undergraduate Medical Education in the United Kingdom', J. Ambul. Care. Manage. 31(3) July-Sept 2008: 269-75.

[14] H.P. O'Connell, 'Spicing up Medical Education', Student BMJ, 22 July 2009;17:b2390.

[15] I. del Rosario Morales Suarez, J. A. Fernandez Sacasa and F. Duran Garcia, 'Cuban Medical Education: Aiming for the Six-Star Doctor', MEDICC Review 10(4) Fall 2008; available at: http://www.medicc.org/mediccreview/index.php ?issue=16cid=3&a=va (accessed 28/02/2009).

[16] M. Frank and G. Reed, 'Doctors for the (Developing) World', MEDICC Review 7(8) Aug-Sept 2005.

[17] M. Burton, 'The Idea of the Polyclinic', 2008; available at: http://www.cubasol-manch. org.uk/The idea of the polyclinic.pdf (accessed 26/12/2009).

[18] NHS Confederation, 'Ideas from Darzi: Polyclinics', 2008.

[19] WHO Statistical Information System (WHOSIS) data, available at: http://www.who. int/whosis/en/(accessed 09/07/2009).

[20] UNDP, 'Human Development Report 2007/2008 -Indicators', 2009; available at: http://hdrstats.undp.org/indicators/(accessed 16/03/2009).

International Journal of Cuban Studies

COMMUNITY- AND HOSPITAL-BASED TEACHING IN THE MEDICAL CURRICULUM - EXAMPLES FROM CUBA AND THE UK

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