Agenda Introduction and Background Focused Group Discussion - - PowerPoint PPT Presentation

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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

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Agenda

• Introduction and Background
• Focused Group Discussion
• Summary

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Disclosures

None

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International Clinical Rotations

• Selective Opportunity

Rewards vs Challenges

• Elective curriculum

Individual student learning needs

• Same evaluation regardless of location

Faculty site visit

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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

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Geographic Distribution

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

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International Rotations Demand

Percentage of Yale PA Class

• n International Rotations by Year

10% 37% 13% 28% 17% 10%

5 10 15 20 25 30 35 40 PAEA Survey* 2005 2006 2007 2008 2009 Year

Percentage o Students

Average All PA Programs Yale PA Program

*2008 PAEA International Rotations survey Response Rate 73.8%

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A Pathway to Develop New Sites

• Identify students’ and program’s interests
• Develop international relationships
• Follow a process to validate the rotation sites

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Identify Interests

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

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Develop Relationships Abroad

• PA Program
• Foreign Institution
• Student

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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

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Contract for Success

PA Student PA Program Foreign Institution

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Our Process Before the Rotation

• Shared goals and expectations
• Student application process
• Preventive measures

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Our Process During the Rotation

• Communication between parties
• Weekly student’s reflections
• Site visit

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Our Process After the Rotation

• Debriefing
• Dissemination
• Post travel evaluations

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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

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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?

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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