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1 . 2017

Challenges in transformation of the "traditional block rotation" medical student clinical education into a longitudinal integrated clerkship model

Abstract

Background. Longitudinal integrated clerk­ships (LIC) in the first major clinical year in medical student training have been demon­strated to be at least equivalent to and in some areas superior to the "traditional block rota­tion" (TBR). Flinders University School of Medicine is starting a pilot changing the tradi­tional teaching at the major Academic Medical Centre from TBR to LIC (50% of students in other locations in the medical school already have a partial or full LIC programme).

Methods. This paper summarizes the expect­ed challenges presented at the "Rendezvous" Conference in October 2012: (a) creating urgency, (b) training to be a clinician rather than imparting knowledge, (c) resistance to change.

Results. We discuss the unexpected challenges that have evolved since then: (a) difficulty fi­nalizing the precise schedule, (b) underesti­mating time requirements, (c) managing the change process inclusively.

Discussion. Transformation of a "block rota­tion" to "LIC" medical student education in a tertiary academic teaching hospital has many challenges, many of which can be an­ticipated, but some are unexpected.

Keywords:• academic medical centre • longitudinal integrated clerkships • medical education • Rendezvous Conference 2012

Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2017; (1): 41–9.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Balkizov Zalim Zamirovich
Secretary General of the Russian Society of Medical Education Specialists, Director of the Institute of Training of Medical Education Specialists of the Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russian Federation, Professor of the Department of Vocational Education and Educational Technologies of the N.I. Pirogov RNIMU of the MOH of Russia, CEO of GEOTAR-Med, Advisor President of the National Medical Chamber, Moscow, Russian Federation

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