120 likes | 558 Views
Orawan Tawaytipong Mahidol University. Context Based Learning (CBL) in Thailand: a participation to the LINQED Network. Yongyuth Pongsupap National Health Security Office. 19 May 2012, Quito, Ecuador. Primary Care development in the context of DHS (LHS):
E N D
OrawanTawaytipong Mahidol University Context Based Learning (CBL) in Thailand:a participation to the LINQED Network YongyuthPongsupap National Health Security Office 19 May 2012, Quito, Ecuador
Primary Care development in the context of DHS (LHS): a specific context and limited resources Five axes Context Based Learning: CBL Competencies outcomes Individual-Team-System Identified learning activities Curriculum
Context Based Learning: CBL For example: Curriculum for family doctor Competencies outcomes Individual-Team-System Identified learning activities Curriculum
1. เยี่ยมบ้าน 2. ให้บริการที่บ้าน 1. Dr-Pt-Fm-Comm. Relationships 3. ให้บริการที่ สถานบริการในชุมชน (HC) 2. Bio-Psycho-Social-Existential ‘Whole’ 4. ประชุมชาวบ้าน 3. Continuity of Care: Episodic Continuity, Personal Continuity, Continuity of all care 5. ร่วม จนท. HC ตามเยี่ยม ผป. admit รพช 4. Integrated Care (promote health): Curative, Preventive, Rehabilitative and Health Promotion 6. นิเทศเพื่อเพิ่มสมรรถนะ จนท. HC Family Identified learning activities (Integration of Routine & Learning): Curriculum: FLU, CLU, DLU 7. ให้คำปรึกษาทางไกลกับ จนท HC 5. Coordination/Advocate Community 8. อภิปรายกรณีศึกษา 6. Capacity building of HC staff District 9. ให้บริการที่ รพช. 7.Community Diagnosis: Quantitative &Qualitative 10. รับผิดชอบโครงการระดับอำเภอ 8. Community Involvement & Inter-sectoral Collaboration 11. ประสานและตามเยี่ยม ผป. ที่ได้รับการ Admit ที่ รพท/รพศ/รร.แพทย์ รวมภาคเอกชน 9. Integrated District Health Care System 12. ข้อมูลต่อเนื่องรายบุคคลและครอบครัว Individual – Team – and System Competencies 13. ข้อมูลเชิงปริมาณ และคุณภาพของ HC-Comm 14. ข้อมูลเชื่อม HC & Hosp
Competencies & Learning activities VS Preceptors: FM &DHS FM FM FM/DHS DHS FM DHS
Adapted attitude: Build on previous experience of the learner Settle learning method: Self-directed, gear to his/her own pace Assessed by learner, team, peers, and advisor Continue learning activities & routine works: Finalize scientific products Systematic academic supports Inter-vision: exchange experiences among peers in the fields Supervision: participation of advisor Academic conferences: distance learning, academic institutions, … Networking: social media, society, Community of Practice Learning in the System (in the context)
Context Based Learning: formally started in 2007 (5 districts), now a more national policy Health professionals for a new century: transforming education to strengthen health systems in an interdependent world: The Lancet 2010, J Frenk, et al.
Competency Driven Traditional model According to ability (competency) of teacher to teach A very clear curriculum CAPS: 12 domains Competency-based educational model A clearer curriculum Competencies outcomes and a context specific Identified Competencies: Individual-Team-System CAPS: 12 domains
PC development in the context of DHS (LHS) Formal curricula: -> CBL MPH: 4 Universities -> CBL Five axes District health manager Development Family doctor: IST (RCFP) -> CBL Time To Exchange and Learn more from the LINQED Thank you very much