Review
Education, Scientific Disciplines
Alastair Dodsworth, Katie Munro, Hugh Alberti, David A. Hirsh, Paul Paes, Jan Illing
Summary: Patient-student relationships are crucial in Longitudinal Integrated Clerkships (LICs). While outcomes for students and preceptors in LICs are beneficial, patient outcomes remain unclear. This literature review examines the current evidence base for patient outcomes in LICs and highlights the benefits of trusting patient-student relationships and the role of students as agents of change for patients.
Article
Education & Educational Research
Yaw-Wen Chang, David A. Hirsh, Wen-Hui Fang, Honghe Li, Wen-Chii Tzeng, Senyeong Kao
Summary: Taiwanese patients' perspectives on LIC students highlight the importance of care facilitation, companionship, and empathy, with LIC students serving as bridges between physicians and patients to provide personalized care and attention in clinical settings.
BMC MEDICAL EDUCATION
(2021)
Article
Education, Scientific Disciplines
Amy M. Sullivan, Edward Krupat, Jules L. Dienstag, Jakob I. McSparron, Stephen R. Pelletier, Sara B. Fazio, Thomas J. Fleenor, John L. Dalrymple, Edward M. Hundert, Richard M. Schwartzstein
Summary: The Harvard Medical School Pathways curriculum is a major reform effort aimed at enhancing reasoning and clinical skills, improving the learning environment, and changing students' approach to learning. Evaluation of the program showed that it outperformed or was equal to the previous curriculum in terms of learning environment and perceived quality of education, without compromising medical knowledge or clinical skills.
Article
Surgery
Jesse K. Kelley, Niki Matusko, Jonathan Finks, Karla Robinson, Rishindra M. Reddy
Summary: The study found that students' surgical shelf exam scores decreased under a transition curriculum in a medical school, but clinical exposure during rotations can improve scores in related subjects.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Alexandra M. Giantini Larsen, Susan Pories, Sareh Parangi, Faith C. Robertson
Summary: The study revealed that despite gender equality in medical schools, women are still undervalued in the field of surgery and are more likely to face discouragement based on gender, age, and family aspirations. Additionally, concerns about balancing work hours and personal life, especially marriage and childbearing, significantly deter more women than men from pursuing a career in surgery.
Article
Education, Scientific Disciplines
Stephanie Lin-Beckford, Nora Y. Osman, Edward Krupat, David A. Hirsh
Summary: This study compared goal orientations of traditional block clerkship (TBC) and longitudinal integrated clerkship (LIC) students and found that LIC students were more inclined towards personal mastery orientation, while TBC students were more inclined towards performance orientation. These differences may provide insights for educational design and future research to promote students’ mastery orientation.
Article
Physiology
Renee J. LeClair, Jennifer L. Cleveland, Kristin Eden, Andrew P. Binks
Summary: Physiology and pathophysiology are important disciplines in health professional education, but clinicians integrate this knowledge with interdisciplinary concepts to develop expert-level thinking. Our goal was to create a pre-clerkship curriculum that breaks down disciplinary boundaries and enhances learners' clinical performance. The curriculum incorporated elements such as learner characteristics, faculty resources, and pedagogical changes to promote deep learning behaviors and the transfer of knowledge to clinical practice. The final model used case-based learning and independent study, supported by small-group sessions and specifications grading for assessment.
FRONTIERS IN PHYSIOLOGY
(2023)
Article
Education, Scientific Disciplines
Megan E. L. Brown, Catherine Ard, Jennifer Adams, Andrew O'Regan, Gabrielle M. Finn
Summary: This study is a longitudinal qualitative study conducted from 2019 to 2020, involving 33 students from 4 medical schools in the United Kingdom, Ireland, and the United States. The authors explored the construction of participating students' professional identity during LICs. Data collection involved three stages: individual, semi-structured interviews at entry (n = 33) and exit of the LIC (n = 29), and audio diaries throughout. The data were analyzed inductively using a reflexive thematic approach.
Article
Surgery
Joseph M. Ladowski, Herbert Chen, Britney Corey, Robert Cannon
Summary: The presence of fourth-year acting interns did not significantly influence the clerkship experience or comfort in the operating room of third-year medical students. Further studies are needed to determine any potential effects of acting interns on third-year clerkship students.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Education, Scientific Disciplines
Tali Ziv, Maria Wamsley, Cindy J. Lai, Elizabeth P. Griffiths, Alexandra Maxey, Irina (Era) Kryzhanovskaya, Arianne Teherani
Summary: Medical students and clinical supervisors participated in focus groups and were influenced by new advocacy assessment. The study demonstrates how students perceive their advocacy role, the importance and challenges of advocacy assessment.
Article
Education & Educational Research
Anthony J. J. Maltagliati, Joshua H. H. Paree, Kadian L. L. McIntosh, Kevin F. F. Moynahan, Todd W. W. Vanderah
Summary: Most LCME-accredited medical schools have a pre-clerkship curriculum that is organized by organ system, which may result in forgetting a significant amount of information. This study implemented a Spiral Curriculum that periodically revisits previous material and surveyed three graduating classes on its effectiveness. The results showed that students were receptive to the curriculum and believed it helped them retain information.
MEDICAL EDUCATION ONLINE
(2023)
Article
Education & Educational Research
Benjamin D. D. Gallagher, Michael L. L. Green, Jaideep S. S. Talwalkar
Summary: With the elimination of the Step 2 Clinical Skills test, US medical schools need to develop validated assessments of clinical reasoning. While summative exams for graduating students have been studied, formative exams for pre-clerkship students have not.
BMC MEDICAL EDUCATION
(2023)
Article
Medicine, General & Internal
Liam G. Glynn, Andrew O. Regan, Monica Casey, Peter Hayes, Michael O'Callaghan, Patrick O'Dwyer, Aidan Culhane, John Cuddihy, Billy O. Connell, Gary Stack, Gerry O'Flynn, Patrick O'Donnell, Raymond O'Connor, Helena McKeague, Deirdre Mc Grath
Summary: The study aimed to explore the career destinations of medical school graduates with an 18-week longitudinal integrated clerkship in general practice. Findings revealed that 43% of alumni were engaged in general practice 6 to 8 years after graduation.
IRISH JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Medicine, General & Internal
Sarah Ashley Lim, Amir Khorrami, Richard J. Wassersug
Summary: The application and citation of patient-centered care vary significantly among different medical specialties, with pediatrics showing the highest level of citation while neurosurgery and dermatology have relatively low levels of citation. The attention given to patient-centered care in each specialty is strongly correlated with the number of female physicians in that field.
POSTGRADUATE MEDICINE
(2022)
Article
Medicine, General & Internal
Shasha Han, Libing Ma
Summary: Health care delivery in China is transforming from reactive and doctor-centered to preventive and patient-centered. Data-driven integrated care pathways are proposed as a potential solution to standardize patient-centered care delivery, and support from three capabilities is identified.
FRONTIERS IN MEDICINE
(2022)