Development of a longitudinal integrated clerkship at an academic medical center
نویسندگان
چکیده
In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally progressive curriculum with an emphasis on interdisciplinary teaching; and exposure to undiagnosed illness in acute and chronic care settings. Innovative elements included quarterly student evaluation sessions with all preceptors together, peer-to-peer evaluation, and oversight advising with an assigned faculty member. PISCES launched with eight medical students for the 2007/2008 academic year and expanded to 15 students for 2008/2009. Compared to UCSF's traditional core clerkships, evaluations from PISCES indicated significantly higher student satisfaction with faculty teaching, formal didactics, direct observation of clinical skills, and feedback. Student performance on discipline-specific examinations and United States Medical Licensing Examination step 2 CK was equivalent to and on standardized patient examinations was slightly superior to that of traditional peers. Participants' career interests ranged from primary care to surgical subspecialties. These results demonstrate that a longitudinal integrated clerkship can be implemented successfully at a tertiary care academic medical center.
منابع مشابه
Creating a longitudinal integrated clerkship with mutual benefits for an academic medical center and a community health system.
The longitudinal integrated clerkship is a model of clinical education driven by tenets of social cognitive theory, situated learning, and workplace learning theories, and built on a foundation of continuity between students, patients, clinicians, and a system of care. Principles and goals of this type of clerkship are aligned with primary care principles, including patient-centered care and sy...
متن کاملDevelopment of a Longitudinal Integrated Clerkship at The Warren Alpert Medical School of Brown University.
The Warren Alpert Medical School of Brown University is introducing a longitudinal integrated clerkship for third year students in the Primary Care-Population Medicine Program as an alternative to more traditional clerkship models. In developing the longitudinal integrated clerkship, program faculty incorporated a historical perspective of medical education, modern knowledge about students' dev...
متن کاملLearning through longitudinal patient care-narratives from the Harvard Medical School-Cambridge Integrated Clerkship.
PURPOSE Most medical schools value and seek to create opportunities for students to learn through experiences in the longitudinal care of patients. A number of innovative programs have made longitudinal care the central experiential component of principal clinical year education.The authors sought to identify ways in which learning through the longitudinal care of patients in an innovative long...
متن کاملCollaborating to integrate curriculum in primary care medical education: successes and challenges from three US medical schools.
BACKGROUND AND OBJECTIVES Traditional medical school department-based clerkship structures can lead to redundancy and/or gaps in curriculum, inefficient administrative systems, and academic isolation for clerkship directors. This paper describes the approaches, successes, and challenges three institutions experienced when implementing an interdepartmental collaboration to create an integrated p...
متن کامل