oa African Journal of Health Professions Education - The bottom line : tailoring a public health elective to students' needs



Academics face difficulties when trying to include public health in the medical curriculum. The first hurdle is an already overloaded curriculum and the second the marginal interest in the healthy on the part of those who are mainly concerned with the ill. One overlooked potential opportunity for inclusion in the curriculum is the elective and, in particular, the self-constructed elective of third-year medical students at the University of Pretoria.

Not only does public health have to compete with the powerful clinical interests among students, but students are also not in a position to identify opportunities in the community that could offer meaningful learning opportunities for an elective in public health.
An action research study design used an online survey to explore the factors that students take into account when constructing an elective experience. These factors determined the final design of a public health elective which was subsequently advertised to third-year medical students at the University of Pretoria as a possible option.
Disappointingly, no student enrolled for the elective. Subsequent investigation of students' actual choices resulted in a deeper understanding of students' unvoiced needs. It would appear that a successful public health elective needs to be like a mini-skirt - long enough to cover the subject, but short enough to hold interest. Academics considering innovations in public health could benefit from this complexity in design.


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