Agenda Introduction and Background Focused Group Discussion - PowerPoint PPT Presentation

International Clinical Rotations: Brainstorming a Process for a Successful Experience David Brissette, MMSc., PA-C and Rosana Gonzalez-Colaso, PharmD, MPH Yale Physician Associate Program Physician Assistant Education Association Forum Portland, Oregon November 7, 2009 1

Agenda • Introduction and Background • Focused Group Discussion • Summary 2

Disclosures None 3

International Clinical Rotations • Selective Opportunity Rewards vs Challenges • Elective curriculum Individual student learning needs • Same evaluation regardless of location Faculty site visit 4

PAEA Statistics • PAEA International Rotation Survey 2008 Response Rate: 73.8% (99/134) • PA Programs with Active Sites: 46% • Percentage of Students per PA class: 10% http://www.paeaonline.org/index.php?ht=d/sp/i/75202/pid/75202/ Accessed on 10/1/09 5

Geographic Distribution 6 *2008 International Rotation Survey Response Rate: 73.8% (99/134)

International Rotations Demand Percentage of Yale PA Class on International Rotations by Year 37% 40 Percentage o 35 28% Students 30 25 17% 20 13% 10% 15 10% 10 5 0 PAEA 2005 2006 2007 2008 2009 Survey* Average All PA Programs Yale PA Program Year *2008 PAEA International Rotations survey 7 Response Rate 73.8%

A Pathway to Develop New Sites • Identify students’ and program’s interests • Develop international relationships • Follow a process to validate the rotation sites 8

Identify Interests • Continents, countries • Location settings • Economics • Health care delivery • Language • Scope of practice • Type of experience • Cost- utility 9

Develop Relationships Abroad • PA Program • Foreign Institution • Student 10

Develop Relationships Abroad • PA Program Alumni Foreign trainees Visiting professors • Foreign Institution Non-Government Organizations Hospitals, Universities, and/or Government • Student Global Health Education Consortium Centre for International Health and Development Web Searching 11

Contract for Success PA Student Foreign Institution PA Program 12

Our Process Before the Rotation • Shared goals and expectations • Student application process • Preventive measures 13

Our Process During the Rotation • Communication between parties • Weekly student’s reflections • Site visit 14

Our Process After the Rotation • Debriefing • Dissemination • Post travel evaluations 15

Focused Discussion Instructions • Using the case studies in the handout, please discuss with your group what elements of our process -or yours- could help navigate potential challenges while students are abroad • Feel free to use the checklist to summarize your discussion • A slide show with pictures and students reflections will be displayed in the meantime 16

Summary • What are your findings? • What else could be added to the previously described process? • Would you like to share a story of your own program? 17

References PAEA IAC Website. http://paeaonline.org/index.php?ht=d/sp/i/75202/pid/75202. Accessed on 10/1/09 Global health Education Consortium. http://globalhealthedu.org/pages/default.aspx. Accessed on 10/1/09 Legler, C, et al. Global Clinical Experiences for Physician Assistant Students. Journal of Physician Assistant Education. 2007;18(3):86-93 Pedersen, PA, et al. A Report on the Findings of the Ad Hoc Committee on International Physician Assistant Education October 2003. A Report on the Findings of the Ad Hoc Committee on International Physician Assistant Education. October 2003. Journal of Physician Assistant Education.2003; 14 (4): 222-232. Calhoun, BC, et al An International Public Health Course For Health Science Students. Journal of Physician Assistant Education. 2008; 19(1):53-57 18