University of Texas Health Science Center at Houston, Houston, TX, USA.
University of Texas Medical Branch, Galveston, TX, USA.
J Gen Intern Med. 2018 Oct;33(10):1817-1821. doi: 10.1007/s11606-018-4600-x. Epub 2018 Aug 3.
Medical students in the USA have negative perceptions of primary care careers, which are exacerbated by the hidden curriculum and medical school culture. Longitudinal integrated clerkships (LICs) have shown promise in ameliorating this situation by promoting student/preceptor continuity relationships and helping students maintain empathy.
The aim of this study is to describe the Student Continuity of Practice Experience (SCOPE) program and demonstrate program outcomes using evaluation data from residency match results, course evaluations, and student grades.
University of Texas Medical Branch, an academic health center in Galveston, Texas.
Undergraduate medical students.
Learners participate in a longitudinal curriculum designed to enhance their skills as primary care physicians. They regularly attend continuity clinic, establishing a panel of patients by their third year. Students receive frequent feedback from a faculty mentor on assignments and clinical performance.
SCOPE students have high primary care residency match rates and experience patient continuity rates comparable to an intern. Their interest in primary care increases between years one and three, a departure from typical medical student trends.
SCOPE appears to promote and maintain primary care career interest in participants and has transferability to other institutions.
美国医学生对初级保健职业持负面看法，这种看法因隐性课程和医学院文化而加剧。纵向综合实习（LIC）通过促进学生/导师的连续性关系，并帮助学生保持同理心，显示出改善这种情况的希望。
本研究旨在描述学生连续性实践体验（SCOPE）计划，并使用从住院医师匹配结果、课程评估和学生成绩中获得的评估数据来展示该计划的成果。
德克萨斯大学医学分部，位于德克萨斯州加尔维斯顿的一个学术医疗中心。
本科医学生。
学习者参加旨在提高他们作为初级保健医生技能的纵向课程。他们定期参加连续性诊所，在第三年建立自己的患者小组。学生从他们的导师那里获得关于作业和临床表现的频繁反馈。
SCOPE 学生的初级保健住院医师匹配率很高，他们的患者连续性率与实习生相当。他们对初级保健的兴趣在第一学年到第三学年之间增加，这与典型的医学生趋势不同。
SCOPE 似乎促进并维持了参与者对初级保健职业的兴趣，并且可以在其他机构中推广。
