Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students

Objective: Caring for refugee patients places special demands on health professionals. To date, medical students in Germany have rarely been systematically prepared for these challenges. This article reports on the development, conceptualisation, implementation, evaluation, and relevance of a multid...

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Main Authors: Ziegler, Sandra, Wahedi, Katharina, Stiller, Mariella, Jahn, Rosa, Straßner, Cornelia, Schwill, Simon, Bozorgmehr, Kayvan
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2021-02-01
Series:GMS Journal for Medical Education
Subjects:
Online Access:http://www.egms.de/static/en/journals/zma/2021-38/zma001435.shtml
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author Ziegler, Sandra
Wahedi, Katharina
Stiller, Mariella
Jahn, Rosa
Straßner, Cornelia
Schwill, Simon
Bozorgmehr, Kayvan
author_facet Ziegler, Sandra
Wahedi, Katharina
Stiller, Mariella
Jahn, Rosa
Straßner, Cornelia
Schwill, Simon
Bozorgmehr, Kayvan
author_sort Ziegler, Sandra
collection DOAJ
description Objective: Caring for refugee patients places special demands on health professionals. To date, medical students in Germany have rarely been systematically prepared for these challenges. This article reports on the development, conceptualisation, implementation, evaluation, and relevance of a multidisciplinary elective for medical students in the clinical study phase.Methodology: The course content was developed based on a needs-assessment among medical students and in cooperation with medical colleagues working in the field of refugee care. The course consisted of a seminar with medical, legal, administrative and socio-cultural learning content as well as a field placement in the medical outpatient clinic of the local reception centre for asylum seekers, which was accompanied by a systematic reflection process. The evaluation concept contained qualitative and quantitative elements. Results: 123 students completed the elective over six semesters (summer 2016 through to winter 2018). It was continuously evaluated and further developed. The students reported learning progress mainly in the following areas: Legal foundations of the asylum procedure and health care entitlements for asylum seekers; multi-perspectivity through multidisciplinarity as well as professional, ethical, interpersonal, and political insights gained through the practical experience.Summary: To prepare students for the complex challenges to be faced in medical care for refugees, a structured, multidisciplinary teaching programme, which combines theory, practice and reflection helps to foster insights into the many facets of this field of activity. The questions students brought to the seminar, the course contents and evaluation results are intended to inspire the design and implementation of similar courses at other universities.
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spelling doaj.art-ced0dd39440c41aaa6480df8fc4abe122022-12-21T23:07:33ZdeuGerman Medical Science GMS Publishing HouseGMS Journal for Medical Education2366-50172021-02-01382Doc3910.3205/zma001435Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical studentsZiegler, Sandra0Wahedi, Katharina1Stiller, Mariella2Jahn, Rosa3Straßner, Cornelia4Schwill, Simon5Bozorgmehr, Kayvan6Heidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyHeidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyHeidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyHeidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyHeidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyHeidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyHeidelberg University Hospital, Section Health Equity Studies & Migration, Department of General Medicine and Health Services Research, Heidelberg, GermanyObjective: Caring for refugee patients places special demands on health professionals. To date, medical students in Germany have rarely been systematically prepared for these challenges. This article reports on the development, conceptualisation, implementation, evaluation, and relevance of a multidisciplinary elective for medical students in the clinical study phase.Methodology: The course content was developed based on a needs-assessment among medical students and in cooperation with medical colleagues working in the field of refugee care. The course consisted of a seminar with medical, legal, administrative and socio-cultural learning content as well as a field placement in the medical outpatient clinic of the local reception centre for asylum seekers, which was accompanied by a systematic reflection process. The evaluation concept contained qualitative and quantitative elements. Results: 123 students completed the elective over six semesters (summer 2016 through to winter 2018). It was continuously evaluated and further developed. The students reported learning progress mainly in the following areas: Legal foundations of the asylum procedure and health care entitlements for asylum seekers; multi-perspectivity through multidisciplinarity as well as professional, ethical, interpersonal, and political insights gained through the practical experience.Summary: To prepare students for the complex challenges to be faced in medical care for refugees, a structured, multidisciplinary teaching programme, which combines theory, practice and reflection helps to foster insights into the many facets of this field of activity. The questions students brought to the seminar, the course contents and evaluation results are intended to inspire the design and implementation of similar courses at other universities.http://www.egms.de/static/en/journals/zma/2021-38/zma001435.shtmlrefugeesmedical studentscultural diversitypeople in situations of vulnerabilityminority healthteachingmedical educationprogram developmentprogram evaluation
spellingShingle Ziegler, Sandra
Wahedi, Katharina
Stiller, Mariella
Jahn, Rosa
Straßner, Cornelia
Schwill, Simon
Bozorgmehr, Kayvan
Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students
GMS Journal for Medical Education
refugees
medical students
cultural diversity
people in situations of vulnerability
minority health
teaching
medical education
program development
program evaluation
title Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students
title_full Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students
title_fullStr Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students
title_full_unstemmed Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students
title_short Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students
title_sort health and medical care for refugees design and evaluation of a multidisciplinary clinical elective for medical students
topic refugees
medical students
cultural diversity
people in situations of vulnerability
minority health
teaching
medical education
program development
program evaluation
url http://www.egms.de/static/en/journals/zma/2021-38/zma001435.shtml
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