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Medical Students Can Learn Surgery Effectively in a Rural Longitudinal Integrated Clerkship.

Douglas Stupart1, Jessica Beattie2, Mary Lawson3

  • 1Department of Surgery, Deakin University, Geelong, Australia.

Journal of Surgical Education
|May 27, 2020
PubMed
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Medical students in longitudinal integrated clerkships (LIC) and block rotations (BR) had similar surgical training exposure and academic outcomes. Both teaching models ensured students encountered common surgical conditions, preparing them for assessments.

Area of Science:

  • Medical Education
  • Surgical Training
  • Comparative Studies

Background:

  • Surgery education at Deakin University School of Medicine is compulsory in the third year.
  • Training is delivered via rural longitudinal integrated clerkships (LIC) or traditional hospital block rotations (BR).

Purpose of the Study:

  • To compare surgical common condition exposure between LIC and BR programs.
  • To evaluate academic outcomes for students in LIC versus BR programs.

Main Methods:

  • Part I: Survey of 38 third-year students (20 LIC, 18 BR) on surgical patient encounters (2016-2018).
  • Part II: Analysis of 942 third-year Surgery MCQ and OSCE results (2011-2017) for LIC and BR students.

Main Results:

Keywords:
Longitudinal integrated clerkshipRural clinical educationSurgical education

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  • Both LIC and BR students encountered all common surgical conditions.
  • BR students saw patients primarily as inpatients; LIC students encountered patients across multiple sites.
  • No significant difference in MCQ (p=0.21) or OSCE (p=0.16) performance between groups.

    • Conclusions:

    • Longitudinal integrated clerkships (LIC) provide comparable surgical training and academic outcomes to traditional block rotations (BR).
    • Both educational models facilitate exposure to a similar range of common surgical conditions.