Table 1
Technical assistance areas.
| Communication skills | • Teaching communication skills • Writing learning objectives for communication skills • Assessment strategies to assess communication skills |
| History taking skills | • Teaching history taking • Writing learning objectives for history taking • Assessment strategies to assess history taking |
| Clinical skills | • Teaching discrete clinical skills • Writing learning objectives for clinical skills • Assessment strategies to assess clinical skills |
| Professionalism | • Introduction to professionalism • Teaching professionalism • Assessment strategies to assess professionalism |
| Affiliation with community/PHC sites | • Examples of models to expand clinical sites • Criteria and systems for expanding clinical sites • Distinguish roles and responsibilities of core and non-core faculty |
| Faculty development | • Integrating communication, clinical, and professionalism skills • Integrating basic sciences with clinical teaching • Developing teaching skills in community-based/PHC preceptors • Patient-based bedside teaching • Teaching clinical reasoning • Microteaching skills • Resident as teacher • Direct observation and feedback |
Table 2
Suggested checklist for selecting community-based sites.
| CRITERIA | YES | NO | NOTES |
|---|---|---|---|
| Human resources | |||
| At least one physician on-site full time | |||
| At least one physician who is licensed with at minimum two years of work experience and a medical teaching certificate | |||
| At least one nurse who is licensed and has a minimum two years of work experience | |||
| Policies and protocols | |||
| There exist policies and protocols for: | |||
| A. Infection control | |||
| B. Needle stick injury | |||
| C. Triage and transfer of sick patients to hospital-level care | |||
| D. Reporting patient/clinic safety concerns | |||
| Operations and infrastructure | |||
| Sites are registered to accept government social health insurance. | |||
| Sites have an active system of patient medical records (either paper based or electronic). | |||
| The clinic can provide a dedicated space for student teaching. | |||
| There is adequate AV equipment to support student teaching: projector, computer, whiteboard/blackboard, projection screen. | |||
| The site has Wi-Fi. | |||
| The clinic has organised an accessible system for frequently referenced medical texts and clinical support and protocols. | |||
| The distance from the UMP and availability of public transport allow for easy routes to get from the UMP to the site. | |||
Students practicing the pulmonary examination on a patient a primary healthcare setting.