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Teaching public health in medical schools: a case study in three universities in Paraná - Brazil

Historically, different concepts of Public Health have influenced the specific teaching of this field of knowledge as well as medical education. The objective of this paper is to study the teaching of Public Health in medical schools, focusing on its structure and implications in curriculum design in three universities in Paraná - Brazil: State University of Londrina (UEL), Federal University of Paraná (UFPR) and the Positivo University (UnicenP). The research questions focused on the content of Public Health selected in their respective curricula, the teaching-learning relationships, program emphasis and the partnerships established with public health services. Qualitative research data collection from the perspective of key informants was carried out based on the analysis of pedagogical projects and on how they were effectively experienced. Eleven managers and 18 teachers were interviewed and 4 focus groups with students were developed in the three universities. Outcomes showed the presence of between 5% to 20% of Public Health themes in the course syllabi, depending on the teaching strategies used. However, they always appeared associated with academic issues strongly linked to health services, which were strengthened by the local development of the Comprehensive Health Care System in the two cities, Curitiba and Londrina in which studies were carried out. Public Health is present and very relevant in the curriculum required for doctors’ qualification regardless of the characteristics of the university studied, the bureaucratic and academic course structures and the different methods for hiring teachers. Besides not being a main articulator axis in two of the medical courses studied, Public Health provides the necessary balance for the technical dimension of medical knowledge, represented by the awareness of the challenges and commitment to the reality. On the contrary, because of the complexity of medical education, the strong presence of Public Health in the other medical course studied not necessarily guarantees the ideal qualification of the medical professional.  
João Campos
over 10 years ago
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The Enemy Within: Factors impacting on alienation and engagment in Pathology registrars

Education in South Africa is characterised by historical inequalities that may lead to poor learning experiences and performance, especially amongst groups that experience isolation and disaffection. The perspective of alienated and engaged experiences of learning, taking into account the student’s social and cultural context may be more valuable to study than only focusing on approaches to learning. Aims of project: To determine the factors that have an impact on a student’s perceptions of engagement and alienation in the postgraduate pathology environment at Stellenbosch University. A cross-sectional case study through semi-structured interviews, investigating 17 postgraduate students in Pathology selected by purposive sampling, were undertaken, exploring aspects of alienation and engagement. Conclusion Factors can change have been identified and support systems that may impact on students’ learning experiences and throughput can be developed. With a view to addressing the intellectual capacity and health care needs in the country, it is crucial that these issues be investigated and adressed.  
Juanita Bezuidenhout
over 10 years ago