In 2013, the Institute of Medicine (IOM), in collaboration with faculty and students from Georgetown University (GU), launched the first annual District of Columbia (DC) Regional Public Health Case Challenge. The idea for this case challenge was born when representatives from the IOM and GU met at Emory University's Global Health Case Competition in March 2013, and the DC Case Challenge is both inspired by and modeled on the Emory competition. The DC Case Challenge aims to promote interdisciplinary, problem-based learning in public health and to foster engagement with local universities and the local community. The case challenge engages graduate and undergraduate students from multiple schools, disciplines, and universities to come together to promote awareness of and develop innovative solutions for 21st century public health issues, grounded in a challenge faced by the local community. Each year the organizers and a student case-writing team develop a case based on a topic that is not only relevant in the DC area, but also has broader domestic and global resonance. Universities located in the Washington, DC, area are invited to pull together teams of three to six students enrolled in undergraduate or graduate degree programs. In an effort to promote public health dialogue among a variety of disciplines, each team is required to have at least three different schools, programs, or majors of study represented. Starting 2 weeks before the case challenge event, these teams are asked to employ critical analysis, thoughtful action, and interdisciplinary collaboration to innovate a solution to the problem presented in the case. On the day of the case challenge, teams present their proposed solution to a panel of judges composed of representatives from local DC organizations as well as other subject matter experts from disciplines relevant to the case. In addition to the panel of judges, content experts are recruited to volunteer their service as reviewers to assist the student case-writing team.
Background: Case Competitions (CCs), an educational approach borrowed from business schools, feature interprofessional teams of students working collaboratively to "solve" a simulated challenge. They present their recommendations to expert judges and win prizes. There is a proliferation across the US of CCs focused on health themes. No literature exists to document this trend. We set out to explore and map this activity across North America, and to review the judging rubrics. Methods: We identified health-oriented CCs in the US by searching the medical and grey literature using key words: "case competition" and Health; "Case challenge" and Health. CCs were categorized based on location, organization, content area, process, prizes, and year of initiation. Scoring sheets were analyzed for areas of assessment. Results: The number of health-related CCs is increasing. There are currently >30 CCs in the US, with dozens of universities competing. The majority were initiated in the past 5 years. Judging rubrics focused on several domains: understanding and analysis of problem; content and justification for solution; presentation, responsiveness to questions; process characteristics (e.g. teamwork). Conclusion: CCs represent unique opportunities for interprofessional learning. There are no studies to assess CCs effectiveness as an educational activity. Educators should explicitly define CCs goals and objectives, adapt assessment tools and evaluate associated outcomes.
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