Students Teaching at Juvenile Detention: Who Benefits More? Sonal Desai MS3, Parth Shah MS3, Fred Rottnek MD, MAHCM, Kelly Everard, PhD

The presenters have no relevant financial disclosures.

Describe elective: Corrections Medicine at Junvenile Detention Describe critical reflection process Determine benefit of detention elective Explain the accessibility and ease of implementation of this elective Session Outline

Why This Elective? Medical students challenged with understanding and communicating with unfamiliar populations Must be effective communicators and culturally competent to build relationships with patients These skills are vital to effective, holistic care Do students have adequate exposure in curriculum to reach this goal?

Educational Concept & Curricular Design Eight week elective at a juvenile detention center Two hour sessions each week, one hour teaching and one hour engaging with youth Session topics developed and implemented by students at teens’ request: Tobacco, Drugs, Nutrition & Exercise, College and Careers, Mental Health, Oral Hygeine, STDs, Tattoo Hygiene, and Science of Life Risk reduction model Critical reflections

Course Objectives Students will feel comfortable working with course directors in developing and delivering educational lessons to adolescents in juvenile detention Students will demonstrate active participation with youth in detention as well as community partners involved in implementation of the program Students will shadow at the juvenile detention center to gain insight into Correctional Health Care Students will have an increased understanding of community needs and resources relating to correctional facilities.

Posters

Method Twenty-four medical students participated and completed reflections What? / So What? / Now what? format Examined using thematic analysis to answer “What was the benefit of the elective?” Reflections read by authors and themes determined Reflections then coded by three raters identifying themes Inter-rater agreement themes was assessed Fleiss’ Kappa

Results Fleiss’ Kappa of 0.68 among 3 coders Two major themes emerged Medical students benefited Learned from the youth, including preconceptions that were challenged Introduced to a new population Recognized what they would do differently in the future Effective in reaching a hard to reach population Youth learned material Relationship building was key

What medical students learned, including preconceptions addressed “I got myself out of my comfort zone and learned to become confident in a completely new environment.” What medical students learned, including preconceptions addressed

Introducing students to a new population “Volunteering at the Juvenile Detention Center has been an extremely rewarding experience. Having no experience with anything of this sort in the past, it has definitely made me realize the diverse populace of patients a health care professional has to serve in his/her career.” Introducing students to a new population

What students will do differently in the future “In the future I hope to use these lessons in my practice as a physician. It is important to understand the generalities of a population and be able to work within those generalities, but it also important to remember that everyone has their individual story and, while there may be similarity, it is important to treat each patient individually.” What students will do differently in the future

“The boys were always well engaged in our presentations, and I realized that they loved having medical students teach and spend time with them. They were curious and wanted to know about so many topics beyond the scope of our presentations.” What the youth learned

The importance of relationship building “I felt like I had built a strong relationship with some of the kids because they began asking us questions that they were not comfortable asking their supervisors. They enjoyed our company and began opening up which allowed us to be able to teach more effectively. They began listening to what we had to say and even contributed to the discussion.” The importance of relationship building

Conclusion Critical reflection shows that both medical students and youth in detention benefitted from and enjoyed this elective Medical students were able to learn the importance of effective communication as well as cultural competency Prepares preclinical students for future Elective is easy to implement

Elective objective: Effective yet accessible risk reduction program for high risk youth

How? Few medical student-run programs currently exist for youth at detention centers Entirely student-run; faculty advisor oversees program Minimal funding needed Juvenile detention centers are widespread and abundant Obvious benefit to both community and medical students

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