TrainingintheSandbox:
BuildingaPediatricLongitudinal
IntegratedClerkship
Katherine(Betsy)Murray,Patricia
Hobday,EmilyBorman-Shoap,Robert
Englander,JohnAndrews
70%Adult30%Child
Child
Adult
4yearsago...
Forstudentswhohaveselectedpediatricsas
theirdisciplineofchoice,
establishatime-variablemodelofmedical
educationwithmeaningfully-assessed
demonstrationofcompetenceanddeliberate
entrustmentofresponsibilityacrosstheUMEGMEcontinuum.
Bi-weeklyschedule
Monday
Tuesday
Pediatrics
OB/Gyn
Wednesday
Thursday
Friday
FamilyMed
Neuro
Monday
Tuesday
Pediatrics
Emergency
Wednesday
Surgery
Thursday
Friday
Psychiatry
Internal
Med
Bi-weeklyschedule
Monday
Tuesday
Pediatrics
OB/Gyn
Wednesday
Thursday
Friday
FamilyMed
Neuro
Monday
Tuesday
Pediatrics
Emergency
Wednesday
Surgery
Thursday
Friday
Psychiatry
Internal
Med
Supplementalinpatientbursts
• 2weekburstofinpatientmedicine
• 4pediatricinpatientovernights
Addedyear2:
• 2weekinpatientsurgeryburst
• ORcontinuityday
LICCurriculumGrid
Fully integrated background
curriculum comprised of the
required elements of the
standard clerkships, mapped out
at a suggested pace.
Over500patientsat9months;two
thirdsarechildrenandyouth
Pediatric
Adult
16%continuity
Followupvisit
Firstvisit
Curricularcompletion
• Bytheendofthe4th month,studentshad
encounteredover80%oftheschool’s
requireddiagnosesandhadcompletedover
60%oftherequiredprocedures.
• Bytheendofthe9th month,theyhad
completedover80%oftherequiredelements.
Knowledgebasedevelopment
• Alldiscipline-specificknowledgebase
assessmentswerecompletedsuccessfullyin
thefirstattempt
• StepIandStepIICK/CSwereallcompleted
successfullyinthefirstattempt
Conclusions/limitations
• ItispossibletoconstructanLICwithaspecific
demographictarget
• Sofar,noevidenceofharm
• Moredatagatheringandanalysisisnecessary
• Didwereallysetourstudentsuptoprovide
excellentpediatriccare?
• Willtheirpatientsandfamiliesbenefit?
Nextsteps
• Comparisonofourstudentstothosewhoare
educatedinthetraditionalmodel
• Comparisonofourstudentstothosewho
traininotherLICs
• Expansionofthemodel
• ExplorationofothertailoredLICdesigns
Anyquestions?
[email protected]
Thankyou
• EducationinPediatricsAcrosstheContinuum
team
• DavidHirschandtheCambridge/Harvard
team
• CarrieChenandtheUCSF/Piscesteam
• KathleenBrooksandtheRPAP/MetroPAP
team