Longitudinal continuity experiences can repair disconnects in the core clerkships for medical students
Carl D Stevens1, LuAnn Wilkerson, Sebastian Uijtdehaage
1Dr. Stevens is health sciences clinical professor and director of curriculum development, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Los Angeles, California, and director of quality and process improvement, Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California. Dr. Wilkerson is senior associate dean for medical education, David Geffen School of Medicine, UCLA, Los Angeles, California. Dr. Uijtdehaage is director of research, Center for Educational Development and Research, David Geffen School of Medicine, UCLA, Los Angeles, California.
Abstract:
The authors describe fundamental changes that have occurred in academic health centers since the 1990 s that have caused an increasingly fragmented experience during core clerkships where medical students risk disconnection from faculty mentors, residents, and patients. Longitudinal "continuity" clinical experiences may constitute a strategy for restoring some of the historic learning conditions. In this issue, Myhre and colleagues and Woloschuk and colleagues compare the performance of students who completed a longitudinal integrated clerkship with the performance of their peers who had completed a traditional rotation-based clerkship year and find that the results are comparable in medical school and after the first year of family medicine residency training. In addition, the authors of this commentary offer observations from their own experience with adding continuity options to traditional core clinical clerkships, with the goal of helping readers understand the range of opportunities and challenges that such initiatives entail.
Related Concept Videos
01:26Longitudinal Studies
02:20Longitudinal Research
01:03Fixation and Sectioning
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
01:31Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
01:17Classification of Illness
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...