International Undergraduate and Postgraduate Electives in General Practice – a Scottish Model. The Auld Alliance?
Ana Raquel FERREIRA
In family medicine training Internationalism Is Good! Students should experience different health care systems and cultures. In Scotland, with partners worldwide, we have designed and implemented an international elective programme for undergraduate and postgraduate students. We have done so without institutional backing or finance. Our programme depends upon the collaboration of a network of enthusiastic general practitioners across Scotland, from practices both urban and remote and rural. We ensure some academic input, and also include health policy makers, experts on health inequalities and we expose our students to Scotland’s rich cultural life from opera to football. Electives must be free-spirited and adaptable. Minimally proscriptive. Maximally designed for the curious. The key word is camaraderie.We agree that cross-border learning is a good thing. We learn to communicate across borders. We build the structures and links. We all learn another language.We come together in a conference room. We interact. We look at models of international teaching, the similarities and the differences.A short but image-rich introduction. Testimony from our students and our tutors. Small group work. A long and warm wash-up. Our tutors and students are multi-faceted and international. (We shall present in English, though noteworthy that two of our participants are Francophone.) A one-hour programme. The introduction and testimonies, 20 minutes. Small group work, 20 minutes. Discussion and wash-up, 20 minutes.We finesse the detail – Who will teach? What locations? We return home and individually recruit SIX COLLEAGUES in our country of origin. As in Six Craws Sitting on a Dyke, a James MacMillan premiere at the Edinburgh International Festival 2025. Participants return home and begin to create local versions of the Scottish model. We create a wider international exchange scheme promoting electives in general practice.Electives in general practice for students are less available than they should be. Such electives are a splendid opportunity to demonstrate the rich diversity and fascination of generalist medicine. The model we present here is an effective way of promoting generalist medicine.
