The School Health Education Program (SHEP): medical students as health educators.
BACKGROUND
The School Health Education Program (SHEP) is a collaboration of the John A. Burns School of Medicine and the State of Hawai'i Department of Education that was founded to improve the health of Hawai'i's youth. This program allows premedical and medical students (collectively referred to as "medical students" from here on) to serve as health educators for high school students in six priority areas of health education.


OBJECTIVE
To confirm the efficacy of this community health partnership program and to determine the factors resulting in its success.


METHODS
A total of 1714 students from seven of Hawai'i's public high schools were surveyed for improvement in their content knowledge and decision-making confidence after participating in SHEP presentations. A sub-group of 235 high school students were asked about their comfort level and trust in their interactions with medical students as compared to their health teachers.


RESULTS
The knowledge content and confidence in decision making increased significantly after participation in SHEP activities (p<.0001). High school students were found to be more comfortable and more trusting in learning about health topics from medical students as compared to health teachers (p<.0001). Reasons given included the medical students' content knowledge as well as their presentation methods and positive attitude.


CONCLUSIONS
The unique dual role of medical students as future physicians and as students allowed them to retain their credibility as health educators while developing a strong rapport with the high school students. Through SHEP, medical students can gain valuable experience through researching and teaching health topics while high school students receive additional health knowledge through this teaching.
Wong
Victoria S S
VS
Department of Neurology, UC Davis Medical Center, Sacramento, CA 95818, USA. vwongmd@gmail.com
Naguwa
Gwen S
GS
D003625:Data Collection; D003657:Decision Making; D006254:Hawaii; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016730:Program Development; D015397:Program Evaluation; D012574:Schools; D012577:Schools, Medical / Q000458:organization & administration; D013337:Students, Medical; D013340:Students, Premedical; D013663:Teaching
Med Health R I. 2005 Feb;88(2):48-50
15816245
Med Educ. 1996 Mar;30(2):134-41
8736249
J UOEH. 2002 Sep 1;24(3):257-69
12235956
J Adolesc Health. 1995 Apr;16(4):309-15
7612637
J La State Med Soc. 1994 Jun;146(6):275-8
8057051
IPPF Med Bull. 1989 Jun;23(3):1-4
12282186
Hawaii Med J. 2004 Mar;63(3):89-90
15124744
J Community Health. 1996 Feb;21(1):23-35
8903581
Prev Chronic Dis. 2006 Apr;3(2):A63
16539804
Lancet. 1994 Oct 1;344(8927):899-900
7934339
J Med Educ. 1988 Jul;63(7):522-30
3385750
J Sch Health. 1992 Jan;62(1):32-4
1548862
Br J Obstet Gynaecol. 1999 Sep;106(9):887-91
10492097
Contraception. 2004 Aug;70(2):135-9
15288218
Acad Med. 1999 May;74(5):601-2
10676226
Educ Health (Abingdon). 2003 Nov;16(3):339-47
14741882
Hawaii Med J. 2004 Sep;63(9):268-70, 277
15540525