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A typology of longitudinal integrated clerkships

Medical education, 2016-09, Vol.50 (9), p.922-932 [Peer Reviewed Journal]

2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education ;2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education. ;ISSN: 0308-0110 ;EISSN: 1365-2923 ;DOI: 10.1111/medu.13084 ;PMID: 27562892

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  • Title:
    A typology of longitudinal integrated clerkships
  • Author: Worley, Paul ; Couper, Ian ; Strasser, Roger ; Graves, Lisa ; Cummings, Beth-Ann ; Woodman, Richard ; Stagg, Pamela ; Hirsh, David
  • Subjects: Australia ; Clinical Clerkship - organization & administration ; Clinical Clerkship - standards ; Clinical Clerkship - statistics & numerical data ; Clinical Competence ; Continuity of Patient Care - organization & administration ; Continuity of Patient Care - trends ; Curriculum ; Delphi Technique ; Education, Medical, Undergraduate - organization & administration ; Humans ; Internationality ; Learning ; North America ; South Africa ; Students, Medical
  • Is Part Of: Medical education, 2016-09, Vol.50 (9), p.922-932
  • Description: Context Longitudinal integrated clerkships (LICs) represent a model of the structural redesign of clinical education that is growing in the USA, Canada, Australia and South Africa. By contrast with time‐limited traditional block rotations, medical students in LICs provide comprehensive care of patients and populations in continuing learning relationships over time and across disciplines and venues. The evidence base for LICs reveals transformational professional and workforce outcomes derived from a number of small institution‐specific studies. Objectives This study is the first from an international collaborative formed to study the processes and outcomes of LICs across multiple institutions in different countries. It aims to establish a baseline reference typology to inform further research in this field. Methods Data on all LIC and LIC‐like programmes known to the members of the international Consortium of Longitudinal Integrated Clerkships were collected using a survey tool developed through a Delphi process and subsequently analysed. Data were collected from 54 programmes, 44 medical schools, seven countries and over 15 000 student‐years of LIC‐like curricula. Results Wide variation in programme length, student numbers, health care settings and principal supervision was found. Three distinct typological programme clusters were identified and named according to programme length and discipline coverage: Comprehensive LICs; Blended LICs, and LIC‐like Amalgamative Clerkships. Two major approaches emerged in terms of the sizes of communities and types of clinical supervision. These referred to programmes based in smaller communities with mainly family physicians or general practitioners as clinical supervisors, and those in more urban settings in which subspecialists were more prevalent. Conclusions Three distinct LIC clusters are classified. These provide a foundational reference point for future studies on the processes and outcomes of LICs. The study also exemplifies a collaborative approach to medical education research that focuses on typology rather than on individual programme or context. Discuss ideas arising from the article at www.mededuc.com discuss.
  • Publisher: England: Blackwell Publishing Ltd
  • Language: English
  • Identifier: ISSN: 0308-0110
    EISSN: 1365-2923
    DOI: 10.1111/medu.13084
    PMID: 27562892
  • Source: MEDLINE
    Alma/SFX Local Collection
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