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KJME : Korean Journal of Medical Education

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Original Research

What influences Indonesian medical educators’ intentions to teach public health? A qualitative study
Nurhira Abdul Kadir, Heike Schütze, Kathryn Mary Weston
Korean J Med Educ 2023;35(4):335-347.
Published online December 1, 2023
DOI: https://doi.org/10.3946/kjme.2023.271
Purpose
Medical educators are central in ensuring future doctors have sufficient public health skills. Attitudes, norms, and perceived control about the significance of teaching a subject determines whether or not it is taught and how well. This qualitative study aims to explore medical educators’ perceptions about what factors influence their intention to teach public health in Indonesian undergraduate medical schools.
Methods
Semi-structured interviews were conducted with eighteen medical educators from different Indonesian medical schools. Interviews were analyzed thematically using the Theory of Planned Behavior domains: attitudes, subjective norms, and perceived behavioral control.
Results
Five subthemes emerged under these domains: attitudes (defining public health); subjective norms (room in the medical curricula; teaching and assessment); and perceived behaviour control (medical educator confidence; institutional support). Most participants had a limited understanding about the scope of public health. This coupled with an already overcrowded medical curriculum made it challenging for them to incorporate public health into the medical curriculum dominated by clinical and biomedical content. Although believing that public health is important, medical educators were reluctant to incorporate public health because they were not confident incorporating or assessing content.
Conclusion
Strong institutional support is to improve public health quality and content in the medical curriculum. Including public health educators in discussions is critical.
  • 3,551 View
  • 82 Download

Medical Education in an Asian Context

Evaluation of the public health clinical rotation in medical school: a qualitative case study design
Pariawan Lutfi Ghazali, Sani Rachman Soleman
Korean J Med Educ 2023;35(1):93-102.
Published online February 28, 2023
DOI: https://doi.org/10.3946/kjme.2023.252
Public health clinical rotation in the Faculty of Medicine, Universitas Islam Indonesia, was conducted in Puskesmas (community health center). This study aims to evaluate the public health clinical rotation in Puskesmas, part of the clinical clerkship of the Faculty of Medicine, Universitas Islam Indonesia. Several concerns have been highlighted regarding the implementation of clinical rotations in public health in Puskesmas. A briefing session before placement in the village must be coherent with a guidebook. The placement of students in the village was based on community health issues determined by the Puskesmas supervisor. Priority in the curriculum was given to converting the alertness village (Desa Siaga) into a Program Indonesia Sehat–Pendekatan Keluarga (Healthy Indonesia Program–Family Education) program throughout implementation. Moreover, scheduling after four major clinical programs was difficult, and the writing of reports served as a guide for establishing the correct format. Therefore, the objective of the evaluation was to assess knowledge, skill, and psychomotor, and the burden of assignment in Puskesmas was difficult to accomplish a primary task in the community.
  • 3,607 View
  • 108 Download
  • 2 Scopus

Short Communication

Impact of medical school responses during the COVID-19 pandemic on student satisfaction: a nationwide survey of US medical students
Isaac E. Kim Jr., Daniel D. Kim, Juliana E. Kim, Elliott Rebello, David Chung, Parker Woolley, Daniel Lee, Brittany A. Borden, Aaron Wang, Douglas Villalta, Agatha Sutherland, Sebastian De Armas, Matthew Liu, Hannah Kim, Grace Sora Ahn, Reed Geisler, Alexander Yang, Bowon Joung, John Slate-Romano, Michal Rajski, Alison E. Kim, Roxanne Vrees, Kristina Monteiro
Korean J Med Educ 2022;34(2):167-174.
Published online May 31, 2022
DOI: https://doi.org/10.3946/kjme.2022.228
Purpose
Medical schools have faced various challenges in preparing their clinical students for the frontlines of a pandemic. This study investigated medical students’ satisfaction with their institutions during the coronavirus disease 2019 (COVID-19) pandemic with the intention of guiding educators in future public health crises.
Methods
In this cross-sectional study surveying students in clinical rotations, the primary outcome was overall satisfaction regarding medical schools’ responses to the pandemic, and the four secondary outcomes were school communication, exposure to COVID-19, availability of personal protective equipment, and access to COVID-19 testing.
Results
The survey was distributed to ten medical schools, of which 430 students responded for a response rate of 13.0%. While most students were satisfied (61.9%, n=266) with their schools’ response, more than one in five (21.9%, n=94) were dissatisfied. Among the four secondary outcomes, communication with students was most predictive of overall satisfaction.
Conclusion
In future crises, schools can best improve student satisfaction by prioritizing timely communication.
  • 4,495 View
  • 103 Download
Evaluation of an extracurricular program for students interested in rural and public health
Do-Hwan Kim, Ah Reum An, Eun Jeong Kim, Jong-Koo Lee, Seung-Hee Lee
Korean J Med Educ 2017;29(2):111-116.
Published online May 29, 2017
DOI: https://doi.org/10.3946/kjme.2017.58
Purpose
The problem regarding the geographic imbalance of the physician workforce has been a long-standing problem in South Korea. Additionally, rural medicine and public health have been marginalized across whole undergraduate curriculums. The aim of this study was to evaluate the effectiveness of an extracurricular program targeting medical students interested in rural and public health. Methods: A 2-day extracurricular program was held twice in 2015 and 2016. A total of 53 students were selected among eighty students who voluntarily applied to participate in the program. The effectiveness of the program was evaluated by pre- and post-program surveys. Results: The overall satisfaction for the program was 5.35 out of 6. The participants showed a significant improvement in perception of the clerkship experience in a rural and public health care setting as well as the importance of rural medicine and public health in South Korea. Conclusion: In conclusion, this study showed the acceptability of a short-term extracurricular program for medical students interested in rural and public health.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of a short-term global health training program on competencies and career intentions in elderly care: a pilot study among public health students in the Philippines
    Daeun Ro, Yuri Lee, Rowell De Guia, Emmanuel C. Macaraeg, Seojung Yoon, Boyoung Jeon, Moonyoung Cha, Hakyung Jung, Sunjoo Kang, Rachel D. Castillo
    Journal of Global Health Science.2025;[Epub]     CrossRef
  • Medical students' rural practice intention: Academic performance matters
    You You, Ana Xie, Jennifer Cleland
    Medical Education.2022; 56(12): 1203.     CrossRef
  • 10,574 View
  • 153 Download
  • Crossref
  • 2 Scopus
Review
Schools of public health are graduate level higher educational institutions training students who will be engaging in educational, research and service activities in the field of public health after completing the educational programs. To meet this institutional goal, the schools of public health should provide diverse academic and professional courses and programs to the students based on their educational objectives. Educational objectives of schools of public health, of course, should well reflect the working definition of public health : public health is the science and art of preventing disease, prolonging life, and promoting physical health and efficiency through organized community efforts. There are 13 schools of public health in Korea an of 1999 including occupational and environmental schools. However, most of them were opened in 1980s and 90s, and therefore, do not have properly described educational and learning objectives. This paper proposes that Korean schools of public health should review their institutional goals and have clearly stated educational objectives. This also proposes development of standardized learning objectives of core subjects such as epidemiology, statistics, environmental health, health education and public health administration. Important units of these core subjects are also provided.

Citations

Citations to this article as recorded by  Crossref logo
  • Character Transformation of Departments in the Fields of Environment and Public Health at Universities in Korea
    Jin Heon Lee, Kyong Whan Moon, Ryoung Me Ahn
    Journal of Environmental Health Sciences.2022; 48(1): 28.     CrossRef
  • 4,657 View
  • 35 Download
  • Crossref