Clinical education, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Medical education and clinical clerkships, University of Colorado School of Medicine, Aurora, CO, USA.
Educ Prim Care. 2024 Sep;35(5):130-136. doi: 10.1080/14739879.2024.2329887. Epub 2024 Apr 2.
Longitudinal Integrated Clerkships (LICs) prioritise longitudinal relationships with faculty, patients, and place. Research shows that LICs benefit students and faculty, but most medical schools have limited LIC programmes. This is likely due to perceptions that LICs are more costly and complex than traditional block rotations (TBRs). The perceived cost versus evidence-based value related to clerkship education has not been examined in detail. Until recently, no 'All-LIC' medical school exemplars existed in the US, limiting the value of this model as well as the ability to examine relative cost and complexity. In this paper, we draw on our experience launching three 'All-LIC' medical schools in the United States - schools in which the entire clerkship class participates in a comprehensive clerkship-year LIC. We propose that the known benefits of LICs coupled with cost-mitigation strategies related to running an 'All LIC' model for core clinical clerkships, rather than block and LIC models simultaneously, results in a higher value for medical schools.
纵向综合临床培训（LIC）优先与教师、患者和场所建立纵向关系。研究表明，LIC 对学生和教师都有好处，但大多数医学院的 LIC 项目有限。这可能是因为人们认为 LIC 比传统的块状轮转（TBR）成本更高、更复杂。关于实习教育的成本与基于证据的价值之间的关系尚未进行详细研究。直到最近，美国还没有“全 LIC”医学学校的典范，这限制了这种模式的价值，也限制了对相对成本和复杂性进行检查的能力。在本文中，我们借鉴了在美国开设三所“全 LIC”医学院的经验——在这些学校中，整个实习班级都参加全面的实习年 LIC。我们提出，将 LIC 的已知益处与运行“全 LIC”核心临床实习模式相关的成本缓解策略结合起来，而不是同时运行块状和 LIC 模式，将为医学院带来更高的价值。
