title: A new model of paired clinical teaching of international and Danish medical students.
abstract: BACKGROUND
  Since 2006, one hospital has offered two clinical courses in obstetrics/gynaecology and paediatrics to international (I) students. However, as I-student enrolment increased, the hospital faced cut-backs. As from 2010, I-team course evaluations therefore dropped to unacceptable levels and more I- than Danish (DK) students failed exams. Therefore, in 2012 we started a three-year internationalisation project (I-project) at two hospitals. The primary intervention was to pair training for I- and DK-students at clinical contact, and to offer an exclusive daily lecturer for I-teams.
  
  
  METHODS
  We compared the course evaluations and exam grades of I-teams and DK-teams for two years prior to (107 from I-teams - 211 participants from DK-teams) and during the I-project (245 participants from I-teams - 575 from DK-teams).
  
  
  RESULTS
  During the I-project, the I-teams' course evaluations increased to acceptable values and to levels comparable to the evaluation scores of DK-teams. Furthermore, I-students now considered that their communication with the patients was acceptable. Before the I-project, I-students had lower exam grades (median = 10 (range: 0-12)) than DK-students (10 (4-12)) (p = 0.03), but during the I-project, exam grades increased to the levels achieved by DK-students (10 (2-12) - 10 (0-12) (p = 0.22), and no more I- than DK-students failed exams (p = 0.51).
  
  
  CONCLUSIONS
  Pairing students for clinical training and allocating an exclusive lecturer for I-teams produced improved courses for internationalisation. Allocating an exclusive lecturer was associated with a cost of about 615 EUR per student per course when the team consisted of ten students.
  
  
  BACKGROUND
  The Capital Region of Denmark and the University of Copenhagen.
  
  
  BACKGROUND
  not relevant.
authors.affiliation: dina.cortes@regionh.dk.
authors.forename: Dina
authors.initials: D
authors.lastname: Cortes
authors.forename: Anja
authors.initials: A
authors.lastname: Pinborg
authors.forename: Grete
authors.initials: G
authors.lastname: Teilman
authors.forename: Ellen Christine Leth
authors.initials: EC
authors.lastname: Løkkegaard
authors.forename: Jesper
authors.initials: J
authors.lastname: Andersen
authors.forename: Hanne Brix
authors.initials: HB
authors.lastname: Westergaard
authors.forename: Suzanne
authors.initials: S
authors.lastname: Andersen
authors.forename: Joyce
authors.initials: J
authors.lastname: Kling
authors.forename: Finn Stener
authors.initials: FS
authors.lastname: Jørgensen
authors.forename: Inger Merete
authors.initials: IM
authors.lastname: Jørgensen
authors.forename: Jørgen Hedemark
authors.initials: JH
authors.lastname: Poulsen
authors.forename: Gylli
authors.initials: G
authors.lastname: Mola
authors.forename: Thomas
authors.initials: T
authors.lastname: Bergholt
authors.forename: Ole
authors.initials: O
authors.lastname: Pryds
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Nilas
mesh_terms: D000328:Adult; D003718:Denmark; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D008297:Male; D009774:Obstetrics / Q000193:education*; D010372:Pediatrics / Q000193:education*; D012189:Retrospective Studies; D013337:Students, Medical; D055815:Young Adult