scholarly journals Expectations of rural community-based medical education: a case study from Thailand

2018 ◽  
Author(s):  
Praphun Somporn ◽  
Lucie Walters ◽  
Julie Ash
Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 223
Author(s):  
Ryuichi Ohta ◽  
Yoshinori Ryu ◽  
Chiaki Sano

Rural community-based medical education (CBME) enriches undergraduate and postgraduate students’ learning but has been impacted by the coronavirus disease 2019 (COVID-19) pandemic. We identified the challenges faced by stakeholders as well as the relevant solutions to provide recommendations for sustainable CBME in community hospitals during the COVID-19 pandemic. A total of 31 pages of field and reflection notes were collated through direct observation and used for analysis. Five physicians, eight nurses, one clerk, fourteen medical trainees, and three rural citizens were interviewed between 1 April and 30 September 2020. The interviews were recorded and their contents were transcribed verbatim and analyzed using thematic analysis. Three themes emerged: uncertainty surrounding COVID-19, an overwhelming sense of social fear and pressure within and outside communities, and motivation and determination to continue providing CBME. Rural CBME was impacted by not only the fear of infection but also social fear and pressure within and outside communities. Constant assessment of the risks associated with the pandemic and the implications for CMBE is essential to ensure the sustainability of CBME in rural settings, not only for medical educators and students but also stakeholders who administrate rural CBME.


2020 ◽  
Vol 12 (15) ◽  
pp. 5938
Author(s):  
Seweryn Zielinski ◽  
Yoonjeong Jeong ◽  
Seong-il Kim ◽  
Celene B. Milanés

Rural community tourism initiatives in developed nations share most positive and negative characteristics with community-based tourism (CBT) initiatives in developing nations. They also share many barriers and conditions for tourism development. What makes them different is the context in which they operate. This paper identifies the main conditions that explain these differences through a review of findings from 103 location-specific case studies and other available literature that provides empirical evidence. The paper also explores the usage of the concepts of CBT and rural tourism. The findings are discussed under seven categories: Definitions, socioeconomic and cultural factors, policy and governance, land ownership, community cohesiveness, assimilation of external stakeholders, and type of visitors. It is argued that it is the developing-/developed-nation context, and not objectively established criteria, which largely dictates authors’ narratives with corresponding takes on tourism development and subsequent recommendations. The paper engages in a discussion about case-study research, its weaknesses and tendencies, providing some recommendations on how to increase the contribution of case studies to knowledge, and calls for more research on externally assisted non-Indigenous community-tourism initiatives in developed nations.


Author(s):  
Nozomi Nishikura ◽  
Ryuichi Ohta ◽  
Chiaki Sano

Residents-as-teachers (RaT) is a theoretical framework emphasizing the significance of the similar learning background of teachers and learners. In Japan, community-based medical education (CBME) is a practical approach to teaching family medicine. This study aimed to investigate the impact and challenges of RaT on the learning of medical students and residents in CBME at a rural community hospital in Japan. Over the course of a year, the researchers conducted one-on-one interviews with three residents and ten medical students participating in family medicine training at the hospital. The interviews were recorded and transcribed verbatim. Grounded theory was used in the data analysis to clarify the findings. Three key themes emerged from the research: lack of educational experience with RaT, effectiveness of RaT, and challenges of RaT. Although participants were prejudiced against RaT, they felt its implementation could facilitate the establishment of beneficial relationships between learners and teachers. They were also able to participate in medical teams effectively. The findings suggest that the increased participation of senior doctors in RaT could strengthen its learning effects. RaT in rural CBME should be applied in various contexts, and its effectiveness should be further investigated both qualitatively and quantitatively.


2013 ◽  
Vol 11 (3) ◽  
pp. 293-309 ◽  
Author(s):  
Danijela Spasic ◽  
Sladjana Djuric ◽  
Zelimir Kesetovic

The concept of community policing is based on constant consultations between the police and the local self-government and a complex system of preventative responses. A qualitative approach has been applied in a rural community based on the analysis of administrative documents from 2003 to 2011, direct observation and a survey examining the attitudes of 65 police officers who participated directly in the project implementation. The major findings include the existence of a centralized police model and traditional policing, the resistance of low and middle managers to change and the absence of continuous consultations between the police and local self-government.


SAGE Open ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 215824401668104 ◽  
Author(s):  
Vesna Đukić ◽  
Ivana Volić

This article accords to the theory of community-based tourism, which represents a concept that respects natural and cultural resources of a particular community and encourages participation of its members in the process of tourist product creation. The article operates in the planning phase and aims to give insights into the process of establishing the groundwork for community-based tourism. The key element is documenting and illustrating everything that could be a part of what is known as “traditional wisdom,” namely, the skills and knowledge of traditional life practices. The methods of case study, content analysis, and observation of the village of Omoljica, Serbia, were used. The positive aspect of this locality is reflected in the existing short-term initiatives of organizations and individuals engaging in preserving traditional practices, but without systematic, long-term planning and management of community-based tourism, these individual efforts to revalue traditional life practices would stay unrecognizable and invisible for visitors and stakeholders. Thus, the main goal of this article is to understand the relation between short-term bottom-up initiatives and long-term top-down strategic planning of specific ecotourism destinations, one that would embrace the traditional ways of rural community life. The contribution of this study, in addition to documenting and illustrating “traditional wisdom” of the specific rural community placed in the protected area which encompasses a particular local social system, will be reflected in the creation of a set of guidelines for sustainable, rural, community-based ecotourism as a soft-driver development of protected areas near big cities of the postsocialist countries.


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