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  • 标题:The do’s, don’ts and don’t knows of establishing a sustainable longitudinal integrated clerkship
  • 本地全文:下载
  • 作者:Maggie Bartlett ; Ian Couper ; Ann Poncelet
  • 期刊名称:Perspectives on Medical Education
  • 印刷版ISSN:2212-2761
  • 电子版ISSN:2212-277X
  • 出版年度:2020
  • 卷号:9
  • 期号:1
  • 页码:5-19
  • DOI:10.1007/s40037-019-00558-z
  • 出版社:Springer Verlag
  • 摘要:Introduction The longitudinal integrated clerkship is a model of clinical medical education that is increasingly employed by medical schools around the world. These guidelines are a result of a narrative review of the literature which considered the question of how to maximize the sustainability of a new longitudinal integrated clerkship program. Method All four authors have practical experience of establishing longitudinal integrated clerkship programs. Each author individually constructed their Do’s, Don’ts and Don’t Knows and the literature that underpinned them. The lists were compiled and revised in discussion and a final set of guidelines was agreed. A statement of the strength of the evidence is included for each guideline. Results The final set of 18 Do’s, Don’ts and Don’t Knows is presented with an appraisal of the evidence for each one. Conclusion Implementing a longitudinal integrated clerkship is a complex process requiring the involvement of a wide group of stakeholders in both hospitals and communities. The complexity of the change management processes requires careful and sustained attention, with a particular focus on the outcomes of the programs for students and the communities in which they learn. Effective and consistent leadership and adequate resourcing are important. There is a need to select teaching sites carefully, involve students and faculty in allocation of students to sites and support students and faculty though the implementation phase and beyond. Work is needed to address the Don’t Knows, in particular the question of how cost-effectiveness is best measured.
  • 关键词:Longitudinal integrated clerkship; Medical education
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