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      COMMUNITY- AND HOSPITAL-BASED TEACHING IN THE MEDICAL CURRICULUM - EXAMPLES FROM CUBA AND THE UK

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            Abstract

            Medical schools in Cuba place a strong emphasis on community-based teaching within the main curriculum. In the United Kingdom, emphasis is placed on hospital-based teaching. Despite these differences, Cuba's healthcare system is successful in providing good healthcare to its citizens and with good outcomes. For example, in 2006, Cuba's infant mortality rate was the same as the UK's, at five per 1,000 live births. In contrast, the UK's expenditure on health per capita is seven times that of Cuba's (UK \(2,434; Cuba \) 329). In this article, we put forward the advantages and disadvantages of community-based and hospital-based clinical teaching within the medical curriculum, gathering experiences from Cuba and the United Kingdom. To conclude, we will discuss the significance that community-based clinical education has played in improving the health status of Cuba.

            Content

            Author and article information

            Journal
            intejcubastud
            10.2307/j50005551
            International Journal of Cuban Studies
            Pluto Journals
            17563461
            1 October 2010
            1 December 2010
            : 2
            : 3/4
            : 343-350
            Article
            10.2307/41945912
            2c723dac-a6fa-410b-ae0d-713d1f220c89
            © INTERNATIONAL INSTITUTE FOR THE STUDY OF CUBA

            All content is freely available without charge to users or their institutions. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission of the publisher or the author. Articles published in the journal are distributed under a http://creativecommons.org/licenses/by/4.0/.

            History
            Categories
            Science, Society, and Health

            Literary studies,Arts,Social & Behavioral Sciences,History,Cultural studies,Economics

            Notes

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            2. WHO Statistical Information System (WHOSIS) data, available at: http://www.who. int/whosis/en/(accessed 09/07/2009).

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            4. NHS, 'About the NHS', http://www.nhs.uk/aboutnhs/Pages/About.aspx (accessed 15/03/2009).

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            11. C. Boelen, The Five-Star Doctor: An Asset to Health Care Reform? (Geneva: WHO, 1993).

            12. S. Green and R. Miles, Burden of Disease in the UK: Scoping Study (Department of Health, 2008); available at: http://www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/DH_085151 (accessed 03/09/2009).

            13. A. Wylie and S. Thompson, 'Establishing Health Promotion in the Modern Medical Curriculum: A Case Study', Med.Teach. 29(8) Oct 2007: 766-71. S.C. Major and P. Booton, 'Involvement of General Practice (Family Medicine) in Undergraduate Medical Education in the United Kingdom', J. Ambul. Care. Manage. 31(3) July-Sept 2008: 269-75.

            14. H.P. O'Connell, 'Spicing up Medical Education', Student BMJ, 22 July 2009;17:b2390.

            15. I. del Rosario Morales Suarez, J. A. Fernandez Sacasa and F. Duran Garcia, 'Cuban Medical Education: Aiming for the Six-Star Doctor', MEDICC Review 10(4) Fall 2008; available at: http://www.medicc.org/mediccreview/index.php ?issue=16cid=3&a=va (accessed 28/02/2009).

            16. M. Frank and G. Reed, 'Doctors for the (Developing) World', MEDICC Review 7(8) Aug-Sept 2005.

            17. M. Burton, 'The Idea of the Polyclinic', 2008; available at: http://www.cubasol-manch. org.uk/The idea of the polyclinic.pdf (accessed 26/12/2009).

            18. NHS Confederation, 'Ideas from Darzi: Polyclinics', 2008.

            19. WHO Statistical Information System (WHOSIS) data, available at: http://www.who. int/whosis/en/(accessed 09/07/2009).

            20. UNDP, 'Human Development Report 2007/2008 -Indicators', 2009; available at: http://hdrstats.undp.org/indicators/(accessed 16/03/2009).

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