University Of Missouri-Columbia, Columbia, MO, USA
Rural Remote Health. 2023 Jan;23(1):8110. doi: 10.22605/RRH8110. Epub 2023 Jan 10.
Created in 1995, The University of Missouri School of Medicine's Rural Track Pipeline Program was designed to address physician shortages in rural Missouri through medical student participation in a series of clinical and non-clinical programs over the course of their medical training to influence graduates to choose rural practice.
To increase the likelihood of students choosing rural practice, a 46-week longitudinal integrated clerkship (LIC) was implemented at one of nine existing rural training sites. Over the course of the academic year, quantitative and qualitative data was collected to evaluate effectiveness of the curriculum and for quality improvement purposes.
Data collection is in progress and includes student evaluation of the clerkship, faculty evaluations of students, student evaluations of faculty, student aggregate clerkship performance, and qualitative data from student and faculty debrief sessions.
Based on data collected, changes are being made to the curriculum for the following academic year to enhance the student experience. The LIC will also be offered at an additional rural training site beginning in June of 2022, and then expanded to a third site in June of 2023. As each LIC is unique, our hope is our experience and lessons learned will help others in developing a LIC or improving an existing LIC.
密苏里大学医学院的农村轨道计划于 1995 年成立，旨在通过医学生在医疗培训过程中参与一系列临床和非临床项目，来解决密苏里州农村地区的医生短缺问题，以影响毕业生选择农村行医。
为了增加学生选择农村行医的可能性，在现有的九个农村培训点之一实施了为期 46 周的纵向综合实习（LIC）。在整个学年中，收集了定量和定性数据，以评估课程的有效性和进行质量改进。
数据收集正在进行中，包括学生对实习的评估、教师对学生的评估、学生对教师的评估、学生综合实习表现，以及学生和教师汇报会上的定性数据。
根据收集到的数据，正在对下一个学年的课程进行修改，以提高学生的体验。LIC 还将于 2022 年 6 月在另一个农村培训点开设，并于 2023 年 6 月扩展到第三个点。由于每个 LIC 都是独特的，我们希望我们的经验和教训将有助于其他人开发 LIC 或改进现有的 LIC。
