Staircase model for community involvement in community-oriented/based medical education: Steps to achieve CO/CBME

Abstract

Problem: For institutions to successfully implement a community-oriented/based education strategy, it is necessary to have full support from the community. Without such support, there may not be sufficient foundation to train students within the community, or to orient curricula to address community health needs and priority problems. Building mutual trust between communities and academia takes time and effort. Some educators think it is easy to "enter" the community and send students for training. Approach: It is essential to approach this education strategy with compassion and empathy. Careful planning and adequate time allocation are crucial to engage communities at different levels. Communities are often apprehensive, but they can be highly responsive when treated with respect and their requests given consideration. To ensure a successful engagement with local communities, it is imperative to consider their perspective and tailor the engagement process to suit their unique needs and expectations. Failure to do so may result in negative consequences, which could jeopardize the success of the initiative. Outcomes: This article outlines a staircase model for medical schools to effectively engage their local community and progress towards achieving community partnership followed by weaning. The model is innovative and aligns with the social accountability principles set forth by the World Health Organization. Building a strong community–university partnership requires careful planning and implementation of various components. Next Steps: By considering all factors, we can build a sustainable, collaborative partnership that benefits both the community and the university with tremendous relief from the burden on the local government.