Published in:
01-10-2018 | Innovation and Improvement: Innovations in Medical Education
Longitudinal Continuity Learning Experiences and Primary Care Career Interest: Outcomes from an Innovative Medical School Curriculum
Published in: Journal of General Internal Medicine | Issue 10/2018
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Background
Medical students in the USA have negative perceptions of primary care careers, which are exacerbated by the hidden curriculum and medical school culture. Longitudinal integrated clerkships (LICs) have shown promise in ameliorating this situation by promoting student/preceptor continuity relationships and helping students maintain empathy.
Aim
The aim of this study is to describe the Student Continuity of Practice Experience (SCOPE) program and demonstrate program outcomes using evaluation data from residency match results, course evaluations, and student grades.
Setting
University of Texas Medical Branch, an academic health center in Galveston, Texas.
Participants
Undergraduate medical students.
Program Description
Learners participate in a longitudinal curriculum designed to enhance their skills as primary care physicians. They regularly attend continuity clinic, establishing a panel of patients by their third year. Students receive frequent feedback from a faculty mentor on assignments and clinical performance.
Program Evaluation
SCOPE students have high primary care residency match rates and experience patient continuity rates comparable to an intern. Their interest in primary care increases between years one and three, a departure from typical medical student trends.
Discussion
SCOPE appears to promote and maintain primary care career interest in participants and has transferability to other institutions.