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Med Educ Online. 2011 Apr 4;16. doi: 10.3402/meo.v16i0.5939.

Development of a longitudinal integrated clerkship at an academic medical center.

Author information

1
Department of Neurology, University of California, San Francisco, CA 94143-0348, USA. ann.poncelet@ucsf.edu

Abstract

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally progressive curriculum with an emphasis on interdisciplinary teaching; and exposure to undiagnosed illness in acute and chronic care settings. Innovative elements included quarterly student evaluation sessions with all preceptors together, peer-to-peer evaluation, and oversight advising with an assigned faculty member. PISCES launched with eight medical students for the 2007/2008 academic year and expanded to 15 students for 2008/2009. Compared to UCSF's traditional core clerkships, evaluations from PISCES indicated significantly higher student satisfaction with faculty teaching, formal didactics, direct observation of clinical skills, and feedback. Student performance on discipline-specific examinations and United States Medical Licensing Examination step 2 CK was equivalent to and on standardized patient examinations was slightly superior to that of traditional peers. Participants' career interests ranged from primary care to surgical subspecialties. These results demonstrate that a longitudinal integrated clerkship can be implemented successfully at a tertiary care academic medical center.

KEYWORDS:

academic medical center; clinical education; continuity; curriculum; education; longitudinal integrated clerkship; medical; undergraduate

PMID:
21475642
PMCID:
PMC3071870
DOI:
10.3402/meo.v16i0.5939
[Indexed for MEDLINE]
Free PMC Article

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