TY - JOUR
T1 - Creating and evaluating an independent ambulatory internal medicine clerkship
AU - Rosebraugh, Curtis J.
AU - Szauter, Karen
AU - Ainsworth, Michael A.
AU - Solomon, David J.
AU - Speer, Alice J.
AU - Dipette, Donald J.
PY - 1998
Y1 - 1998
N2 - Patient care is shifting from an inpatient setting to an ambulatory setting. Despite this shift, most internal medicine clerkships provide the majority of medical student training in inpatient settings or in university tertiary care clinics, which are not representative of patient care in a community setting. We created a separate ambulatory clerkship that used volunteer community faculty at local and distant sites. The steps involved are described here, including finding time within the clerkship, reaching consensus within the department, defining the curriculum, identifying sites, and developing preceptors. Various parameters were measured to ensure quality in educational design. Comparisons of the 1-year pilot program, the full implementation program, and the inpatient program revealed that use of community sites does not affect cognitive knowledge acquisition but does influence students' satisfaction level.
AB - Patient care is shifting from an inpatient setting to an ambulatory setting. Despite this shift, most internal medicine clerkships provide the majority of medical student training in inpatient settings or in university tertiary care clinics, which are not representative of patient care in a community setting. We created a separate ambulatory clerkship that used volunteer community faculty at local and distant sites. The steps involved are described here, including finding time within the clerkship, reaching consensus within the department, defining the curriculum, identifying sites, and developing preceptors. Various parameters were measured to ensure quality in educational design. Comparisons of the 1-year pilot program, the full implementation program, and the inpatient program revealed that use of community sites does not affect cognitive knowledge acquisition but does influence students' satisfaction level.
KW - Ambulatory care
KW - Internal medicine
KW - Medical education
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U2 - 10.1097/00000441-199801000-00006
DO - 10.1097/00000441-199801000-00006
M3 - Article
C2 - 9427572
AN - SCOPUS:0031984417
SN - 0002-9629
VL - 315
SP - 30
EP - 34
JO - American Journal of the Medical Sciences
JF - American Journal of the Medical Sciences
IS - 1
ER -