Learning Medicine Through the Patient Lens: University of Colorado's LIC Program

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Learning Medicine Through the Patient Lens: University of Colorado's LIC Program
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In an LIC program, students rotate through a variety of specialties daily, instead of traditional block rotations. This could be groundbreaking for patient care.

Medical school hasn't changed much over the last few decades. However, the longitudinal integrated clerkship program at the University of Colorado , Boulder, Colorado , has changed the way medical students experience their clinical rotation year, which may have wide-ranging implications not only for its students but for the healthcare system as a whole.

"With the clinical block model, you're fully immersed in one thing, and then you leave it and forget it," said Jennifer Adams, MD, professor of medicine and the assistant dean of medical education, clinical clerkships at the University of Colorado School of Medicine, Aurora, Colorado. Adams created the LIC program at the University of Colorado."With the LIC, you form a panel of physicians you follow longitudinally throughout the year.

."Now we have 16 different sites…the idea is that by partnering with our institutions, there's really a win/win. The institutions have a lot more buy-in, and we figure out a proposal that works for them and the next generation of physicians we're training." In addition, we significantly accelerate student skill development."We produce much better doctors at the end of the year than we ever did with the block model," she says. Research shows that the LIC students score higher on factors like patient-centeredness and empathy — and that persists for many years into their practices. The LIC requires more faculty than the traditional block model — the school scaled its faculty fourfold and now has 2000 faculty members.

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