A typology of longitudinal integrated clerkships

Worley, Paul, Couper, Ian, Strasser, Roger, Graves, Lisa, Cummings, Beth-Ann, Woodman, Richard, Stagg, Pamela, Hirsh, David, and Consortium of Longitudinal Integrated Clerkships (CLIC) (2016) A typology of longitudinal integrated clerkships. Medical Education, 50 (9). pp. 922-932.

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DOI: 10.1111/medu.13084

View at Publisher Website: http://doi.org/10.1111/medu.13084

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Abstract

Context: Longitudinal integrated clerkships (LICs) represent a model of the structural redesign of clinical education that is growing in the USA, Canada, Australia and South Africa. By contrast with time-limited traditional block rotations, medical students in LICs provide comprehensive care of patients and populations in continuing learning relationships over time and across disciplines and venues. The evidence base for LICs reveals transformational professional and workforce outcomes derived from a number of small institution-specific studies.

Objectives: This study is the first from an international collaborative formed to study the processes and outcomes of LICs across multiple institutions in different countries. It aims to establish a baseline reference typology to inform further research in this field.

Methods: Data on all LIC and LIC-like programmes known to the members of the international Consortium of Longitudinal Integrated Clerkships were collected using a survey tool developed through a Delphi process and subsequently analysed. Data were collected from 54 programmes, 44 medical schools, seven countries and over 15 000 student-years of LIC-like curricula.

Results: Wide variation in programme length, student numbers, health care settings and principal supervision was found. Three distinct typological programme clusters were identified and named according to programme length and discipline coverage: Comprehensive LICs; Blended LICs, and LIC-like Amalgamative Clerkships. Two major approaches emerged in terms of the sizes of communities and types of clinical supervision. These referred to programmes based in smaller communities with mainly family physicians or general practitioners as clinical supervisors, and those in more urban settings in which subspecialists were more prevalent.

Conclusions: Three distinct LIC clusters are classified. These provide a foundational reference point for future studies on the processes and outcomes of LICs. The study also exemplifies a collaborative approach to medical education research that focuses on typology rather than on individual programme or context.


Item ID:	48957
Item Type:	Article (Research - C1)
ISSN:	1365-2923
Additional Information:	Consortium of Longitudinal Integrated Clerkships (CLIC) Collaborators: 55 authors including JCU-affiliated author Ruth Stewart. Kenny V Banh, Amanda Barnard, Maggie H Bartlett, Kathleen D Brooks, Gilles Brousseau, David G Campbell, Narelle Campbell, Hoffie Conradie, Byron J Crouse, Dawn E DeWitt, Michael Douglas, Rejean Duplain, Jay S Erickson, Deb J Fearon, David Garne, Jennene A Greenhill, Lori A Hansen, Alex Harding, William F Heddle, Wes Jackson, May-Lill Johansen, Deborah P Jones, Scott Kitchener, Scott E Knutson, Jill Konkin, Sarah Mahoney, Helen Malcolm, Lindsay A Mazotti, Bridget O'Brien, Daryl S Pedler, Bruce T Peyser, William H Pieratt, Denese E Playford, Ann N Poncelet, Leonard Reeves, Augusta University, USA; Torsten Risor, Lambert WT Schuwirth, Barbara L Sheline, Branko Sijnja, Ruth A Stewart, Sarah Strasser, Robert L Trowbridge, Richard van Wylick, Lucie K Walters, Henry F Weil, Sarah K Wood, Lea Yerby
Date Deposited:	15 Jun 2017 02:29
FoR Codes:	39 EDUCATION > 3901 Curriculum and pedagogy > 390115 Work integrated learning (incl. internships) @ 50% 42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 50%
SEO Codes:	92 HEALTH > 9299 Other Health > 929999 Health not elsewhere classified @ 50% 93 EDUCATION AND TRAINING > 9399 Other Education and Training > 939908 Workforce Transition and Employment @ 50%
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