Benefits of off-campus education for students in the health sciences: a text-mining analysis

BackgroundIn Japan, few community-based approaches have been adopted in health-care professional education, and the appropriate content for such approaches has not been clarified. In establishing community-based education for health-care professionals, clarification of its learning effects is required. A community-based educational program was started in 2009 in the health sciences course at Gunma University, and one of the main elements in this program is conducting classes outside school. The purpose of this study was to investigate using text-analysis methods how the off-campus program affects students.MethodsIn all, 116 self-assessment worksheets submitted by students after participating in the off-campus classes were decomposed into words. The extracted words were carefully selected from the perspective of contained meaning or content. With the selected terms, the relations to each word were analyzed by means of cluster analysis.ResultsCluster analysis was used to select and divide 32 extracted words into four clusters: cluster 1—“actually/direct,” “learn/watch/hear,” “how,” “experience/participation,” “local residents,” “atmosphere in community-based clinical care settings,” “favorable,” “communication/conversation,” and “study”; cluster 2—“work of staff member” and “role”; cluster 3—“interaction/communication,” “understanding,” “feel,” “significant/important/necessity,” and “think”; and cluster 4—“community,” “confusing,” “enjoyable,” “proactive,” “knowledge,” “academic knowledge,” and “class.”ConclusionsThe students who participated in the program achieved different types of learning through the off-campus classes. They also had a positive impression of the community-based experience and interaction with the local residents, which is considered a favorable outcome. Off-campus programs could be a useful educational approach for students in health sciences.

[1]  A. Howe,et al.  Does community‐based experience alter career preference? New evidence from a prospective longitudinal cohort study of undergraduate medical students , 2001, Medical education.

[2]  Diane C. Calleson,et al.  Community-Engaged Scholarship: Is Faculty Work in Communities a True Academic Enterprise? , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[3]  B. Habbick,et al.  Orienting medical education to community need: a review , 1996, Medical education.

[4]  Dodi Meyer,et al.  How a Community-Based Organization and an Academic Health Center Are Creating an Effective Partnership for Training and Service , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[5]  E. Kumpusalo,et al.  Evaluation of undergraduate medical education in Finnish community‐oriented and traditional medical faculties: a 10‐year follow‐up , 2000, Medical education.

[6]  B. Barzansky,et al.  Medical school and student characteristics that influence choosing a generalist career. , 1994, JAMA.

[7]  S. Petersen,et al.  Development and evaluation of a community based, multiagency course for medical students: descriptive survey , 1998, BMJ.

[8]  T. O’Toole,et al.  Teaching Professionalism Within a Community Context: Perspectives from a National Demonstration Project , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[9]  E. Murray,et al.  Students’ perceptions of the relative advantages and disadvantages of community‐based and hospital‐based teaching: a qualitative study , 2000, Medical education.

[10]  Aijun An,et al.  Medical text analytics tools for search and classification. , 2009, Studies in health technology and informatics.

[11]  E. Gunel,et al.  Evaluation of a required statewide interdisciplinary Rural Health Education Program: student attitudes, career intents and perceived quality. , 2005, Rural and remote health.

[12]  R. Davidson,et al.  A Historical Overview of Interdisciplinary Family Health: A Community-Based Interprofessional Health Professions Course , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[13]  M. Lipsky,et al.  Students' evaluations of teaching and learning experiences at community- and residency-based practices. , 1999, Family medicine.

[14]  William R. Hersh,et al.  A survey of current work in biomedical text mining , 2005, Briefings Bioinform..

[15]  D. Prideaux,et al.  Cohort study of examination performance of undergraduate medical students learning in community settings , 2004, BMJ : British Medical Journal.