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Related Experiment Videos

Duke's 3rd year: a 35-year retrospective.

D Blazer1, W Bradford, C Reilly

  • 1Central Teaching Laboratory, Duke University School of Medicine, Durham, North Carolina, USA. blaze001@mc.duke.edu

Teaching and Learning in Medicine
|July 31, 2001
PubMed
Summary
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Duke University School of Medicine's unique 3rd-year curriculum, offering elective research, is highly valued by students for research appreciation. However, integration challenges and limited clinical opportunities were noted.

Area of Science:

  • Medical Education Research
  • Curriculum Development in Medical Schools

Background:

  • Duke University School of Medicine restructured its curriculum 35 years ago.
  • The 3rd year was dedicated to elective research or independent basic science study.

Purpose of the Study:

  • To review and evaluate the effectiveness of Duke University School of Medicine's 3rd-year curriculum.
  • To assess student and faculty perceptions of the elective research year.

Main Methods:

  • Student surveys were conducted in 1996 and 1998.
  • Evaluation of the elective research experience and independent study opportunities.

Main Results:

  • 67% (1996) and 73% (1998) of students found the 3rd year helpful for understanding biomedical and clinical research.

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  • Students highly valued preceptor support and the variety of available opportunities.
  • Common critiques included limited clinical exposure, curriculum integration difficulties, and overemphasis on external factors like scholarships.

    • Conclusions:

    • Both faculty and students perceive the 3rd-year experience as uniquely positive.
    • The Duke model has not been widely replicated by other medical institutions.