COMMUNIQUé - College of Medicine - University of Saskatchewan

Over 50% of medical students spend time
volunteering at SWITCH.
Making the Links is a multi-site
longitudinal service-learning experience.
Selected medical students participating
in the program spend the summer after
their first year in either the Northern
Métis community of Ile a-la-Crosse or on a
reserve nearby Buffalo River Dene Nation.
Students then work at SWITCH during the
school year, and spend six weeks of the
following summer in rural Mozambique.
Between these three experiences students
participate in all aspects of the CARE
model, and develop an understanding
of the commonalities and differences in
three diverse low-resource settings:
rural, remote Aboriginal communities,
an inner-city urban population and rural
Sub-Saharan Africa.
Student Energy in Action for Regina
Community Health (SEARCH) offers
a SWITCH-like interdisciplinary clinic
approach in Saskatchewan’s capitol city.
All three projects have arisen as a direct
result of student initiatives. Students have
long clamored for more service-learning
experiences, for meaningful interaction and
education regarding health issues of the
underserved. Above all, through in-depth
service-learning activity, students gain
experiential understanding of the crucial
importance of the social determinants
of health. These experiences provide the
powerful opportunity for mutual change…
in the learner, his or her teachers and
the community themselves, bringing to
life the fundamental elements of social
accountability.
The plethora of initiatives demonstrates
the diversity of areas, interests and multidisciplinary
collaboration that social
accountability encompasses. The recent
expansion of these groups reflects a culture
of “civic professionalism” among medical
students, where their scope of medicine
has broadened beyond the individual
obligation to the patient to the collective
obligation to local and global communities.
Students informally interviewed about the
proliferation of student activity suggest
that changes in admissions processes and
grading that emphasize life experience
and communication skills have changed
the makeup of the student body. They
also referred to a sense that advocating for
social accountability is not only acceptable
at the College but expected. The level
of energy, enthusiasm and passion in
undertaking these initiatives embodies the
need to “remind ourselves that medical
education is fun - and we should avoid
taking ourselves overly seriously if we want
to effect practical change.” n
“
Reflecting on my
educational experience at
the College of Medicine,
Making the Links was by
far the most influential,
challenging and
rewarding experience
of medical school. The
importance of serving the
underserved, community
engagement and
development, and servicelearning,
reinforced by
the Mtl program, guided
me into a rural family
medicine residency
and on to a practice in
Northern Saskatchewan
with a continued interest
in Global Health. It is
important to me to stay
interested, engaged and
excited in this career
and I am so grateful to
have observed successful
teachers, with such strong
community ties, who
exemplify the rewards
of social accountability
in practice.
”
– former Making the Links
participant Dr. Breanna
Davis, MD, CCFP, July, 2010
University of Saskatchewan • College of Medicine C O M M U N I Q U É 5