Development of a longitudinal integrated clerkship at an academic medical center

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were cont...

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Bibliographic Details
Published in:Medical education online 2011-01, Vol.16 (1), p.5939-10
Main Authors: Poncelet, Ann, Bokser, Seth, Calton, Brook, Hauer, Karen E., Kirsch, Heidi, Jones, Tracey, Lai, Cindy J., Mazotti, Lindsay, Shore, William, Teherani, Arianne, Tong, Lowell, Wamsley, Maria, Robertson, Patricia
Format: Article
Language:English
Subjects:
academic medical center
Academic Medical Centers
Adult
Analysis of Variance
Clinical Clerkship
clinical education
Clinical skills
continuity
Curriculum
education
Education, Medical, Undergraduate - methods
Educational Measurement - methods
Educational Status
Emergency Medicine - education
Faculty, Medical
Female
Focus Groups
Humans
Inpatients
Interdisciplinary approach
Learning
longitudinal integrated clerkship
Longitudinal Studies
Male
medical
Medical students
Patient-Centered Care
Preceptors
Professors
Program Development
Program Evaluation
Qualitative Research
San Francisco
Teaching
Trend
undergraduate
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Summary:In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally progressive curriculum with an emphasis on interdisciplinary teaching; and exposure to undiagnosed illness in acute and chronic care settings. Innovative elements included quarterly student evaluation sessions with all preceptors together, peer-to-peer evaluation, and oversight advising with an assigned faculty member. PISCES launched with eight medical students for the 2007/2008 academic year and expanded to 15 students for 2008/2009. Compared to UCSF's traditional core clerkships, evaluations from PISCES indicated significantly higher student satisfaction with faculty teaching, formal didactics, direct observation of clinical skills, and feedback. Student performance on discipline-specific examinations and United States Medical Licensing Examination step 2 CK was equivalent to and on standardized patient examinations was slightly superior to that of traditional peers. Participants' career interests ranged from primary care to surgical subspecialties. These results demonstrate that a longitudinal integrated clerkship can be implemented successfully at a tertiary care academic medical center.
ISSN:1087-2981
1087-2981
DOI:10.3402/meo.v16i0.5939