Background Global Health Education (GHE) focuses on training proactive global citizens to tackle health challenges in an increasingly interconnected and interdependent world. Studies show that health professionals in training have reported that GHE has improved their teamwork, responsiveness to contextual factors that impact health, and understanding of health systems; however, there is little research on the impact of GHE courses in undergraduate settings, especially in low and middle-income countries (LMICs). Methods Our study analyzes a multidisciplinary online global health course at Tecnologico de Monterrey, México. We conducted a cross-sectional study with pre- and post-design. Students who took the multidisciplinary course of Global Health for Leaders in the Fall of 2019 (n = 153) and Spring of 2020 (n = 348) were selected for this study. Using a five-point Likert scale (strongly agree to strongly disagree), the survey assessed seven competencies as well as questions about course expectations, takeaways, and recommendations to improve the course. We performed descriptive statistical analyses comparing the combined pre-tests (from Fall and Spring cohorts) to the combined post-tests. Fisher’s exact test was used to compare the samples. Results Of the 501 pre-course surveys administered, 456 responses were completed in the pre-course and 435 in the post-course (91% overall response rate). Only 8.7% of the respondents in the pre-course survey strongly agreed that they could describe fundamental aspects of global health such as the Millennium Development Goals or Sustainable Development Goals, in contrast to a 56% of the students who strongly agreed in the post-course survey (p < 0.001). Similar differences were captured in understanding the global burden of disease, social determinants of health, the effects of globalization in health, health systems’ goals and functions, and human rights. 38% felt that the course helped them develop a more empathetic perception of the suffering of others experiencing global health-related issues. Conclusion In this study, we have presented our experience in teaching an online global health course for multidisciplinary undergraduates in a LMIC. The competencies reported by our students indicate that the course prepared them to confront complex global health issues.
Purpose The current emphasis within education is on collaboration, data-driven decision-making, and assessment driven accountability. Medical education is now being oriented to guarantee patient-centered care. Having appropriate data from student outcomes is crucial for decision making on both educational and health care institutions. This paper describes the development of a mobile app to assess the clinical competencies of medical students for timely and quality feedback. Design The app development included 4 phases. The conceptual model was designed on collaborative and multidisciplinary focus groups with clinicians, information technology professionals, hospital directors, and change managers. The prototype was an app with functional and friendly features to assess students with Patient-Centered Learning perspectives. Innovative features included student profiles, multiple examiners, customizable instruments, and data reports. The pilot started with faculty training and monitoring by information technology professionals. For a broader implementation, detailed rubrics were applied to assess the clinical competencies on bedside (ambulatory care, surgical procedures and emergency skills) and non-bedside learning moments (case discussions and rounds). Findings Non-bedside learning moments had the highest frequency (55.3 vs 28.8 per cent) of the records. Case discussions represented 40.7 per cent of assessments while rounds accounted for 14.6 per cent. In contrast, regarding the bedside learning moments, the emergency department had the lowest figures (3.5 per cent). It seems that faculty prefers to grade students on academic activities rather than complex student patient encounters. Originality Obtaining multiple results from real-time feedback promoted awareness of patient centeredness on medical students. Both the medical school and the hospital now have accountable information for decision making.
Purpose The aim of the study was to examine the validity evidence for the 19-item form of the MUSIC Model of Academic Motivation Inventory (College Student version) within health science schools in three different countries. The MUSIC Inventory includes five scales that assess the motivational climate by measuring students’ perceptions related to five separate constructs: empowerment, usefulness, success, interest, and caring. Background The 26-item form of the MUSIC Inventory has been validated for use with undergraduate students and with students in professional schools, including students at a veterinary medicine school, a pharmacy school, and a medical school. A 19-item form of the MUSIC Inventory has also been validated for use with undergraduate students, but it has not yet been validated for use with medical school students. The purpose of this study was to provide validity evidence for the use of the 19-item form in heath science schools in three different countries to determine if this version is acceptable for use in different cultures. If validated, this shorter form of the MUSIC Inventory would provide more differentiation between the Interest and Usefulness scales and could reduce respondent fatigue. Methodology Cook et al’s [1] practical guidelines were followed to implement Kane’s [2] validity framework as a means to examine the evidence of validity through scoring inferences, generalization inferences, and extrapolation inferences. Students (n = 667) in health science schools within three countries were surveyed. Results The results produced evidence to support all five hypotheses related to scoring, generalization, and extrapolation inferences. Conclusions Scores from the 19-item form of the MUSIC Inventory are valid for use in health science courses within professional schools in different countries. Therefore, the MUSIC Inventory can be used in these schools to assess students’ perceptions of the motivational climate.
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