Service-learning links academic instruction to real-world practice. This innovative teaching method allows students to acquire hands-on experience in their profession while also providing a service to the community.
To initiate a service-learning program for oral health integration, faculty must build partnerships with community health care sites where students can perform service as part of a course assignment, volunteer opportunity, course elective, or otherwise. A variety of practice settings can be targeted for service-learning experiences. These include patient-centered medical homes, community health centers, pharmacies, schools, nursing homes, and other settings where care might be provided.
In this chapter you will learn to create tailored educational experiences that ask students to apply information acquired in an interprofessional classroom to oral health practice that is integrated into primary care.
Elements of a successful service-learning program include:
The information in this chapter has been adapted from materials provided by Northeastern University’s Center of Community Service. Another excellent resource is Principles of Good Practice for Service-Learning Pedagogy, created by Jeffrey Howard for the Michigan Journal of Community Service in 2001.
Work culture can differ greatly between your institution and community organizations because staff members operate according to policies and philosophies that often may be unfamiliar to outsiders.
For example, staff at your community partner and faculty at your institution may keep different work hours, which will affect their ability to reach one another. Partners may also have different expectations regarding how and when to communicate.
For these reasons, it’s important to discuss work culture at the beginning of the relationship. Here are some questions you might ask to familiarize yourself with the work culture of your community partner.
When interacting with staff at your community partner, remember these individuals take on service-learning supervisory roles and other partnership responsibilities in addition to their already full workloads—almost always without extra compensation. Like your faculty members, these staff members may be committed to service-learning but face challenges in balancing their involvement with other responsibilities.
To ensure a positive experience for all parties, it is essential you and your partners communicate regularly regarding expectations and progress before and during the semester.
To facilitate open communication, consider taking these actions.
Create a service-learning assignment document. This document should outline the service role or project in detail, so all parties understand work hours, responsibilities, evaluation methods, and supervisory structure.
Review learning goals with partners. Meet with community partners to review students’ learning goals and partners’ needs before the semester starts. Be sure assignments satisfy both parties.
Discuss evaluation methods. Review methods in detail with your partners to ensure they will collect appropriate data and report it in time for final grades.
Invite partners to your classroom. In this face-to-face meeting, partners can introduce themselves and share information about work culture and expectations at the start of the semester.
Review changes together. Agree that changes to service roles or projects will be reviewed and agreed upon by all parties to minimize disruption and ensure that both learning goals and partner needs will still be met.
Agree to maintain open communication. Conduct regular check-ins (optimally at predetermined times or intervals) throughout the semester. Ongoing communication can help avoid the escalation of a glitch or foible into an urgent problem.
Assign a teaching assistant. If possible, assign a teaching assistant to manage day-to-day communications. Be sure to introduce him or her to the community partner’s staff.
Partnership challenges are an inevitable part of any collaboration, but they don’t have to derail a project. Proper preparation, open communication, and a willingness to compromise are key factors in successful partnerships.
To minimize conflict, take the following measures.
Discuss expectations with students. Review expectations and conduct with your students and encourage them to treat service professionally.
Resolve differences proactively. Make every effort to help the student and the community partner resolve differences in a productive way. Removing a student from an assignment should occur only as a last resort.
Listen to both sides. If a student has a complaint about his or her assignment, take it seriously, but also remember to consider the perspective of your partner. Despite the best preparation, student expectations can often clash with the service reality.
Revisit expectations. Help students work through unpleasant surprises by reviewing expectations for the assignment. If necessary, also review expectations with the community partner.
Make necessary adjustments. Consult with both the partner and the student when adjustments are necessary.
Collaborate. Remember, the most effective solutions will be those arrived at through collaboration and mutual respect.
To clarify expectations and processes for your students, and to emphasize the integration of service into your course, be sure to write service-learning into each component of the course syllabus. Instructions for doing so and excerpts from a sample syllabus follow. This toolkit also provides a full Sample Course Syllabus to use as a model.
If you have a teaching assistant, list his or her contact information and office hours along with your information on the syllabus.
Mention service-learning and describe its role in the course. This description should also be used by the registrar’s office so that students understand service-learning will be part of the course before they enroll.
Sample language: Students enrolled in this course will engage in a service-learning project that will involve hands-on service in a local community health clinic. The purpose of this assignment is to link coursework on the importance of oral health integration to team-based, patient-centered health care.
Articulate how service-learning will advance the students’ learning while also meeting the needs of the community. Benefits of service-learning will vary according to the specific profession. Goals should clearly incorporate both learning and community outcomes.
Sample language: The goals of this course are: (1) to understand the best practices for delivering comprehensive, team-based, patient-centered care; (2) to build clinical skills for the implementation of appropriate patient-centered preventive oral health interventions; (3) to build clinical skills for the implementation of strategies that are responsive to the needs of the service-learning partner organizations.
If service-learning is not a course goal, but rather a course method, you may simply state service-learning as a separate objective.
Sample language: Through case studies, service-learning experiences, reading, discussions, and other class assignments, this course will help you meet the following objectives: 1) to understand how to identify factors that impact oral health and overall health (HRSA, 2014); 2) to apply interprofessional practice principles that lead to safe, timely, efficient, effective, and equitable planning and delivery of patient and population-centered oral health care (HRSA, 2014); 3) to implement appropriate patient-centered preventive oral health interventions and strategies (HRSA, 2014).
Whether service-learning is an objective or a method, provide a clear description of how it will function as a teaching tool in your course. This explanation is just as important as providing students with a list of course textbooks.
Sample language: This course encourages active learning through a service-learning experience. Your participation in the service-learning assignment is a critical component of this course. You will be expected to attend all service-learning sessions and contribute to all service-learning experiences. You will be asked to participate in class discussions and complete reflective assignments to help you connect your service to the course content.
Clearly outline what is expected for service-learning attendance, including daily or weekly hours and transportation. In addition to other time commitments, you will need to make a statement regarding other service-learning expectations.
For a recurring service commitment.
Sample language: You will earn 10 points for your participation in each service-learning commitment and no points for lack of attendance. If you plan to miss a service-learning commitment, you must notify your site supervisor ahead of time. Two missed sessions will result in a grade of “0” for the service-learning portion of your course grade (15%). This may put you at risk for an overall failing grade.
For a project-based service commitment.
Sample language: This course will utilize service-learning as a form of experiential education. Students will work in groups of three throughout the semester to collaborate on a research project for a community health center. Some homework assignments will relate directly to this project in order to help you build your knowledge and skills over time. This project is worth 15% of your grade.
Hours out of class.
Sample language: As with any class, plan to spend approximately three hours working outside of class for every hour you spend in class (i.e., nine hours of homework per week). For this course, those nine hours will encompass a minimum of two hours of service per week plus time spent blogging, reading, studying for tests, and preparing for your presentation.
Do not assume that students understand how academic honesty policies apply to service-learning. Lying about participation in service should be treated as a form of academic dishonesty. Remind students that community partners will provide end-of-semester evaluations that include notes on student attendance and that you will be in regular communication with these partners throughout the semester.
Communication is key to the success of service-learning. If students need to miss service for a legitimate reason, they are expected to notify the community partner and the appropriate faculty member beforehand. Students should understand that when a problem or issue arises at the service site, it is their responsibility to notify the appropriate faculty member immediately so that the problem can be addressed in a timely way.
Clarify what is expected of students and how they will be evaluated. Provide a grading rubric that sets clear guidelines and demonstrates the integral role service will play in student learning and evaluation. Remember that students are accustomed to being graded on more traditional assignments, so they will benefit from detailed explanations about the service-learning grading process. Be sure to spell out specific expectations and link them to grades.
Sample rubric:
Course Grading: (100 points = 100%)
Assignments | Points | Due dates |
---|---|---|
Attendance/Participation/Discussion | 10 | ongoing |
Service-Learning Reflections | 30 | 9/30, 10/28, & 11/29 |
Problem Identification Outlines | 10 | 9/23 |
Agency Review | 15 | 10/14 |
Best Practices Guide | 20 | 12/6 |
Service-Learning Presentation | 15 | 12/6 |
An additional statement about class participation may be required. Make it clear how service-learning will play a role in the participation grade.
Example:
Class Participation | 15% |
Your class participation is based upon your performance in the following areas: class discussion, classroom activities such as role playing, classroom sharing of service-learning experiences, and completion of other home-learning assignments.
Make sure your course schedule includes service-learning paperwork deadlines, service start and end dates, service project deadlines (if applicable), and dates of major reflection exercises and assignments. When applicable, be sure to include check-ins and intermediate deadlines throughout the semester so that students do not fall behind on their projects.
Establishing this structure on your syllabus will allow you and your class to spend the semester focusing on the substance of service-learning rather than getting caught up in clarifying deadlines. In addition, this structure will help ensure high-quality student projects that you will be proud to present to your partners.
Below is an example of how course syllabi should include specific service-learning activities and deadlines.
Example:
Week Six
Tues. 10/12 | Midsemester exam |
Fri. 10/14 | Service-learning experience: ABC Health Clinic |
Week Seven
Fri. 10/21 | Service-learning discussion forum assignment due |
Connect service and classroom learning. To maximize the benefit of service-learning, treat the connection between your classroom and the community as a two-way street. Your course should include assignments that draw on students’ service-learning experiences. Assignments should also prompt students to use course concepts to interpret service experiences.
Integrate assignments. Avoid assigning students separate “service-learning assignments” and “regular assignments.” Instead, think about ways you can encourage students to draw upon their service experiences while completing more traditional course assignments.
Use learning management tools. Posting on your preferred learning management platform or blogging about service are both powerful ways to get students started.
Encourage reflection. To instill the practice of reflection in your students, create assignments that engage students at each level of the What? So What? Now What? cycle.
Follow through. Assignments that incorporate service-learning should require students to use examples of situations they have experienced or observed during service. Students who have been consistently discussing, blogging, or otherwise reflecting on their service experiences will find it much easier to think of relevant examples when the time comes to write an essay, give a presentation, or complete an evaluation.
Use existing assignments. Add one or more questions to existing essay prompts, written tests, or oral presentation assignments.
Use service-learning as a reference source. Require students to use their service-learning experience as a source in a research paper alongside more traditional external research sources. In this context, experiences, observations, or other information from the community partner would become evidence in the paper.
Promote professional fluency. Ask students to use the terminology or language learned in class when discussing their service. This technique will help students become fluent communicators in their profession.
Each set of questions asks students to consider their experience from a different perspective.
As in any course, evaluation focuses on the ability of students to meet course learning objectives. Consequently, students should be graded for their learning, not their service.
When evaluating students, consider the following strategies.
Integrate your grading. Grades shouldn’t be separated into “service” or “learning” grades. When service is fully incorporated into the coursework, it should be difficult to parse out the grade value associated with each.
Avoid vague guidelines. Full integration of service-learning into academic coursework can create grey areas. Despite this, your grading rubric should be precise. In fact, because service-learning departs from the kinds of traditional assignments students expect, you should supply clear and precise grading criteria, especially for assignments that ask students to draw upon their service experiences.
Hold students accountable. If students do not participate fully in service-learning assignments, learning will be compromised. Consequently, the grading rubric should create accountability for the performance of service-learning responsibilities.
Be flexible. You may or may not choose to grade students for group meetings, communication with the partner organization, and other aspects of project-based service-learning assignments. Regardless of your choice, student progress will be demonstrated in the quality of the final project.
Reflect on your criteria. Evaluations should measure the student’s ability to deepen his or her grasp of course content through service. Ask yourself how students in your class will demonstrate and earn credit for the connections they’ve made between service and course content.
Set standards in advance. The more structured, specific, and concrete the grading rubric, the better.
Provide examples. Samples of past student work will help students understand what merits a high grade.
Major assignments. Whenever possible, papers, presentations, and test questions should provide students the opportunity to connect their service experiences to the course content. This requirement should be written into the criteria for each assignment.
Supporting reflection assignments. Blogs, reflection papers, and class discussions should rely on guided questions that compel students to think critically about their service and its connections to course content.
Additional feedback. Since faculty members cannot monitor all aspects of the service-learning experience, data from a survey of your community partners, such as this sample Service-Learning Community Partner Evaluation, can be helpful. Feedback from service-learning teaching assistants can also provide valuable insight into student performance. Student self-evaluation or peer evaluation may also be used. Feedback may address the following questions.
Compliance with the service-learning process. Points can be awarded or taken away based on logistical requirements.
These requirements are important to the smooth functioning of the service-learning experience and should be treated like all other course assignments.
Before the first day of class.
On the first day of class.
Use “pre-flection” to encourage students to think about community contexts, best practices of service, and student or community partner expectations and assumptions. This instructional strategy asks students to reflect on an upcoming assignment before it has begun. Pre-flection helps students prepare to serve effectively and with sensitivity to the community, so they may learn as much as possible from their service-learning experience.
Pre-flection activities may run from 40 to 90 minutes and should take place during class time. They may include:
Pre-flection is best implemented before or soon after students begin serving, typically during the first four weeks of the semester. Determining appropriate pre-flection activities will depend on course level, profession, type of service to be performed, and community or population to be served.
The use of assessment tools that accurately collect quantitative and qualitative information about your program will enable you to:
Assess multiple dimensions of your service-learning initiative. Evaluating student learning and shifts in attitude, community partner performance, and the integration of service and classroom learning, will help you determine the value of your service-learning effort.
Track outcomes. Keeping track of student-reported learning outcomes will alert you to changes in the quality of their service-learning experiences.
Adapt materials. New iterations of your service-learning initiative based on evaluative feedback will help you better meet student and community needs in future course offerings.
Report outcomes. The data you collect can be put to use in reports requested by your institution, applications for future funding, or as part of a research study.
Reflect on performance. Model the kind of reflective behavior you encourage in your students by regularly requesting feedback on course objectives and assignments.
Assessment Tool | Implementation Timeline | Uses of Data |
---|---|---|
Service-Learning Pre-Service Intake Form | Students participate in weeks 1–2 of the semester. |
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Community Partner Midsemester Check-In | All service-learning community partners participate midway through the semester. |
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Service-Learning Student Evaluation | All service-learning students participate at the end of the semester. |
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Service-Learning Community Partner Evaluation | All service-learning community partners participate at the end of the semester. |
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Service-Learning Faculty Member Evaluation | All service-learning faculty participate at the end of the semester. |
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Student responses to open-ended evaluation questions often include feedback that will help you improve your course. Inspiring testimonials that describe positive and sometimes transformative experiences with service-learning will also validate your efforts. Less positive feedback can also be extremely useful. However, take care when interpreting student feedback. The root causes behind some student reactions are not always immediately evident.
Following are typical student responses to evaluation questionnaires and the kinds of questions you might want to consider posing as a result.
The assignment was pointless. Or, the assignment didn’t make sense.
How can you more clearly explain an assignment’s rationale? Service-learning will be a new experience for many of your students, so you will need to be explicit about the reasoning behind your teaching methods and assignments.
Service took up too much time.
Sometimes service demands more of the student’s time than you, your students, or your partners expect. Do service roles or placements need to be adjusted in order to keep the time commitment reasonable? Alternatively, do you need to adjust the balance of other assignments in your course to allow for students to fulfill their service commitment?
My service didn’t relate to the course content.
It is very important to address this issue. If students perceive service as an irrelevant add-on to the course rather than an integral part of the learning experience, they will see service-learning as nothing but a burden on their time. Even when the connections between service assignments and the course material seem obvious to you, students will need well-guided, structured, and frequent opportunities for reflection in order to reach their aha! moments.
When students express feeling a lack of connection between service and academic work:
Remember that data can only tell you so much. When interpreting data, keep the following points in mind.
Data limitations. These data will be self-reported, and the evaluations will reflect the biases and motivations of the respondents.
Response rate. The percentage of your students who submit evaluations could have a significant bearing on survey outcomes. Look closely at the response rate. A high rate may indicate that evaluation responses reflect the experience of the class as a whole, but it is harder to draw conclusions from a more limited survey response. When response rates are low, this may indicate a lack of engagement, which merits attention.
Some dissatisfaction is to be expected. You can never make everyone happy. As important as it is to pay attention to negative feedback, do not let a small number of complaints overshadow positive responses. Some students may resist service-learning for reasons having nothing to do with the course design or the experience offered by the community partners.
Feedback from your partners is an invaluable part of a successful service-learning program. Their evaluations can provide insight into both student performance and community needs while also helping you shape future assignments. The satisfaction of the partners is also integral to continuing the relationship, so feedback should be taken seriously.
Consider the following suggestions when creating and interpreting partners’ evaluations.
Select a mix of metrics. Look for measures that can capture the quality of student service as well as the extent to which service met the identified needs of the community.
Maintain perspective. Remember that if an organization is partnering with multiple faculty during the same semester, responses may apply to the service-learning partnership overall, rather than to your specific course.
Establish a timeline. Ask for individual student or project evaluations in time to consider them for final grades. Partners should have agreed to this timeline during the communication and expectations phase of planning.
Compare partner and student perspectives. Are partner and student perspectives on service outcomes consistent, or do one party’s responses prompt you to reexamine the responses of the other? Discrepancies can help you judge the effectiveness of your communication plan and determine if it requires modification.
As informative as student and partner evaluations can be, the overall evaluation of service-learning in your course will not be complete without your input.
To prepare for a self-assessment:
Then ask yourself what changes your students exhibited over the course of the semester. How did they develop:
When you have evaluated the progress of your students, ask yourself: