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Into the future: patient-centredness endures in longitudinal integrated clerkship graduates.

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Title: Into the future: patient-centredness endures in longitudinal integrated clerkship graduates.
Authors: Gaufberg, Elizabeth, Hirsh, David, Krupat, Edward, Ogur, Barbara, Pelletier, Stephen, Reiff, Deborah, Bor, David
Source: Medical Education. Jun2014, Vol. 48 Issue 6, p572-582. 11p. 3 Charts, 1 Graph.
Subjects: Higher education, Analysis of variance, Internship programs, Longitudinal method, Study & teaching of medicine, Questionnaires, Student attitudes, T-test (Statistics), Pre-tests & post-tests, Educational outcomes, Patient-centered care, Descriptive statistics
Abstract: Objectives This study was intended to determine if previously identified educational benefits of the Harvard Medical School ( HMS) Cambridge Integrated Clerkship ( CIC) endure over time. Methods The authors' earlier work compared the 27 graduates in the first three cohorts of students undertaking the CIC with a comparison group of 45 traditionally trained HMS students; CIC graduates emerged from their clerkship year with a higher degree of patient-centredness and felt more prepared to deal with numerous domains of patient care. Between April and July 2011, at 4-6 years post-clerkship, the authors asked these original study cohorts to complete an electronic survey which included measures used in the original study. The authors also reviewed data from the National Residency Match Program to compare career paths in the two groups. Results The response rate was 62% (42/68). The immediate post-clerkship finding that CIC students held more patient-centred attitudes was sustained over time (p < 0.035). Reflecting retrospectively on their clerkship experiences, CIC graduates continued to report that their clerkship year had better prepared them in a wide variety of domains. Graduates of the CIC attained awards and published papers at the same rates as peers, and were more likely to engage in health advocacy work. Both groups chose a wide range of residency programmes. Among those expressing a preference, no CIC graduates said they would choose a traditional clerkship, but 6 (27%) of the traditionally trained graduates said they would choose a longitudinal integrated clerkship. Conclusions This paper indicates that benefits of longitudinal integrated clerkship training are sustained over time across multiple domains. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medical+Education%22&quot;&gt;Medical Education&lt;/searchLink&gt;. Jun2014, Vol. 48 Issue 6, p572-582. 11p. 3 Charts, 1 Graph.
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  Data: Objectives This study was intended to determine if previously identified educational benefits of the Harvard Medical School ( HMS) Cambridge Integrated Clerkship ( CIC) endure over time. Methods The authors&#39; earlier work compared the 27 graduates in the first three cohorts of students undertaking the CIC with a comparison group of 45 traditionally trained HMS students; CIC graduates emerged from their clerkship year with a higher degree of patient-centredness and felt more prepared to deal with numerous domains of patient care. Between April and July 2011, at 4-6 years post-clerkship, the authors asked these original study cohorts to complete an electronic survey which included measures used in the original study. The authors also reviewed data from the National Residency Match Program to compare career paths in the two groups. Results The response rate was 62% (42/68). The immediate post-clerkship finding that CIC students held more patient-centred attitudes was sustained over time (p &lt; 0.035). Reflecting retrospectively on their clerkship experiences, CIC graduates continued to report that their clerkship year had better prepared them in a wide variety of domains. Graduates of the CIC attained awards and published papers at the same rates as peers, and were more likely to engage in health advocacy work. Both groups chose a wide range of residency programmes. Among those expressing a preference, no CIC graduates said they would choose a traditional clerkship, but 6 (27%) of the traditionally trained graduates said they would choose a longitudinal integrated clerkship. Conclusions This paper indicates that benefits of longitudinal integrated clerkship training are sustained over time across multiple domains. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1111/medu.12413
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      – Code: eng
        Text: English
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        PageCount: 11
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    Subjects:
      – SubjectFull: Higher education
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Longitudinal method
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      – SubjectFull: Study & teaching of medicine
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      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: Educational outcomes
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      – SubjectFull: Patient-centered care
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      – SubjectFull: Descriptive statistics
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      – TitleFull: Into the future: patient-centredness endures in longitudinal integrated clerkship graduates.
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              M: 06
              Text: Jun2014
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              Y: 2014
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