The do’s, don’ts and don’t knows of establishing a sustainable longitudinal integrated clerkship

Maggie Bartlett, Ian Couper, Ann Poncelet, Paul Worley

    Research output: Contribution to journalArticlepeer-review

    5 Citations (Scopus)

    Abstract

    Introduction: The longitudinal integrated clerkship is a model of clinical medical education that is increasingly employed by medical schools around the world. These guidelines are a result of a narrative review of the literature which considered the question of how to maximize the sustainability of a new longitudinal integrated clerkship program. Method: All four authors have practical experience of establishing longitudinal integrated clerkship programs. Each author individually constructed their Do’s, Don’ts and Don’t Knows and the literature that underpinned them. The lists were compiled and revised in discussion and a final set of guidelines was agreed. A statement of the strength of the evidence is included for each guideline. Results: The final set of 18 Do’s, Don’ts and Don’t Knows is presented with an appraisal of the evidence for each one. Conclusion: Implementing a longitudinal integrated clerkship is a complex process requiring the involvement of a wide group of stakeholders in both hospitals and communities. The complexity of the change management processes requires careful and sustained attention, with a particular focus on the outcomes of the programs for students and the communities in which they learn. Effective and consistent leadership and adequate resourcing are important. There is a need to select teaching sites carefully, involve students and faculty in allocation of students to sites and support students and faculty though the implementation phase and beyond. Work is needed to address the Don’t Knows, in particular the question of how cost-effectiveness is best measured.

    Original languageEnglish
    Pages (from-to)5-19
    Number of pages15
    JournalPerspectives on Medical Education
    Volume9
    Issue number1
    DOIs
    Publication statusPublished - Feb 2020

    Bibliographical note

    Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

    Keywords

    • Longitudinal integrated clerkship
    • Medical education
    • medical schools

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