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Integration of Biomedical Sciences in the Family Medicine Clerkship Using Case-Based Learning

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Abstract

Integration of biomedical and clinical sciences has been a focus of curricular change in undergraduate medical education since the second half of the twentieth century. While clinical sciences have been successfully embedded throughout the preclinical curriculum of many schools, integration of biomedical science into clinical clerkships remains a challenge. Here, we describe our approach to create case-based learning modules that integrate infectious disease and pharmacology content into the third-year family medicine clerkship rotation to improve transfer of biomedical science knowledge to the clinical setting, and to enhance student recall and use of biomedical science knowledge within a clinical context. To assess student perceptions and experience of the learning event, students completed a voluntary questionnaire, the results of which revealed that the majority of students felt that the exercise focused on high-yield concepts in infectious disease, pharmacology, and family medicine. Students also indicated that integration of additional biomedical science disciplines into the family medicine rotation would be valuable, as would extending the approach into the other third-year clerkships.

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Acknowledgements

The authors wish to thank Richard Brandt and Duncan Vos in the Division of Biostatistics and Epidemiology for their role in questionnaire data collection and analysis, and Jayme Salinas and Amber Tuner in the Department of Educational Affairs for their administrative role in this study. The authors also thank Drs. Barbara Bregman and Daniel Pratt for critical review of this manuscript. This study was developed by BLD as part of the Harvard Macy Program for Educators in Health Professions Education and presented as a seminar at the 2017 Society of Teachers of Family Medicine Annual Conference by Drs. VanDerKolk and Dickinson.

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Correspondence to Bonny L. Dickinson.

Electronic supplementary material

ESM 1

Case-based learning modules complete with answers and instructional notes. (DOCX 78 kb)

ESM 2

Questionnaire. (DOCX 133 kb)

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Dickinson, B.L., VanDerKolk, K., Bauler, T. et al. Integration of Biomedical Sciences in the Family Medicine Clerkship Using Case-Based Learning. Med.Sci.Educ. 27, 815–820 (2017). https://doi.org/10.1007/s40670-017-0484-3

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