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Strategies From 11 U.S. Medical Schools for Integrating Basic Science Into Core Clerkships.

Michelle Daniel1, Gail Morrison2, Karen E Hauer3

  • 1M. Daniel is vice dean for medical education and clinical professor of emergency medicine, University of California, San Diego School of Medicine, San Diego, California, and former assistant dean for curriculum, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: http://orcid.org/0000-0001-8961-7119 .

Academic Medicine : Journal of the Association of American Medical Colleges
|January 4, 2021
PubMed
Summary
This summary is machine-generated.

Medical schools are integrating basic science into clinical clerkships to improve physician understanding for personalized medicine. Strategies include varied interventions and assessments, showing feasibility despite remaining challenges.

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Area of Science:

  • Medical Education
  • Curriculum Development
  • Basic and Clinical Science Integration

Background:

  • Medical school reforms emphasize clinical relevance and early immersion.
  • Shortened preclerkship curricula hinder full integration of basic sciences into clerkships.
  • Barriers include clinical practice demands, time limits, and faculty knowledge gaps, impacting preparation for personalized medicine.

Purpose of the Study:

  • To explore strategies for integrating basic science into clinical clerkships.
  • To provide guidance for medical schools enhancing basic science education during clerkships.
  • To address the challenge of insufficient basic science integration in clinical training.

Main Methods:

  • Faculty and deans from 11 U.S. medical schools shared implemented strategies and lessons learned.
  • Interventions were categorized as program-level, clerkship-level, and bedside-level.
  • Changes to formative and summative assessments were also detailed, including spaced repetition and customized exams.

Main Results:

  • Successful integration requires faculty and student buy-in and central oversight from curricular committees.
  • Some integration efforts necessitate significant resource allocation from schools.
  • All participating schools administered the United States Medical Licensing Examination Step 1 exam post-clerkship with positive outcomes.

Conclusions:

  • Incorporating basic science into clinical clerkships is feasible.
  • Effective strategies involve multi-level interventions and supportive oversight.
  • Challenges persist, requiring continued effort to fully realize integrated basic science education.