In CU’s “longitudinal integrated clerkship” model, students work under experienced doctors in multiple specialties at the same time.
University of Colorado medical student Haider Sarwar leads a visit alongside Dr. Emily Lines at the A.F. Williams Family Medicine Clinic in Denver on Monday, July 22, 2024. is the first in the country to shift entirely to a new way of training doctors, with the hope of producing graduates who more naturally see patients as the center of the health care system.
But they also have some freedom to invite patients to join their panel based on their interests, she said. Following the patients brought some surprises, Sarwar said. He hadn’t expected that one of his obstetric patients, who was visiting for a first-trimester appointment in July, would be someone he’d seen before when she needed a minor surgery. In another case, he came across a patient who needed a follow-up procedure to fix a broken arm again while working in the psychiatric clinic, and learned the patient’s calm reaction to needing another surgery came after anger-management treatment.
Dr. Emily Lines, an assistant professor of family medicine and medical director of the Williams clinic, said she worked as a preceptor, or on-the-job teacher and mentor, for students before and after the change to a longitudinal model. The model fits family medicine particularly well, because students are unlikely to see effects within a month or two if they counsel patients on lifestyle changes, she said.
. The group didn’t have more recent data available on the total number of schools with a longitudinal option, but said CU is the first to send all students through that model for their clinical year.A view of the University of Colorado School of Medicine on the Anschutz Medical Campus in Aurora on Tuesday, Aug. 25, 2020.Having students follow patients instead of physicians gives them a fundamentally different view of the system, said Dr.
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