Team-Based Learning in a Longitudinal Integrated Clerkship: an Opportunity for Integrated Multidisciplinary Learning and Curricular Focus on the Underserved

Abstract

Team-based learning (TBL) offers opportunities to tailor curricula to match specific aims and modalities of innovative medical education models. This paper describes a TBL curriculum developed for a longitudinal integrated clerkship (LIC) at an urban safety-net hospital. Similar to our LIC students’ clinical training experience, which includes simultaneously meeting core competencies across specialties in an underserved setting, our TBL curriculum is multidisciplinary and integrates topics related to caring for vulnerable patients. TBL within our LIC avoids the limitations of teaching content in specialty specific silos, creating a cohesive didactic and clinical education model which is highly rated by our students.

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References

  1. 1.

    Worley P, Couper I, Strasser R, Graves L, Cummings BA, Woodman R, et al. A typology of longitudinal integrated clerkships. Med Educ. 2016;50(9):922–32. https://doi.org/10.1111/medu.13084.

    Article  Google Scholar 

  2. 2.

    The Consortium of Longitudinal Integrated Clerkships. CLIC Overview. 2018. http://www.clicmeded.com/. Accessed 9 May 2018.

  3. 3.

    Ogur B, Hirsh D. Learning through longitudinal patient care-narratives from the Harvard Medical School-Cambridge integrated clerkship. Acad Med : journal of the Association of American Medical Colleges. 2009;84(7):844–50. https://doi.org/10.1097/ACM.0b013e3181a85793.

    Article  Google Scholar 

  4. 4.

    Walters L, Greenhill J, Richards J, Ward H, Campbell N, Ash J, et al. Outcomes of longitudinal integrated clinical placements for students, clinicians and society. Med Educ. 2012;46(11):1028–41. https://doi.org/10.1111/j.1365-2923.2012.04331.x.

    Article  Google Scholar 

  5. 5.

    Hudson JN, Poncelet AN, Weston KM, Bushnell JA. E AF. Longitudinal integrated clerkships(). Med Teach. 2017;39(1):7–13. https://doi.org/10.1080/0142159x.2017.1245855.

    Article  Google Scholar 

  6. 6.

    Konkin DJ, Suddards C. Students' experiences of role, relationships and learning in two clerkship models. Med Educ. 2017;51(5):490–7. https://doi.org/10.1111/medu.13268.

    Article  Google Scholar 

  7. 7.

    Gabow P, Eisert S, Wright R. Denver health: a model for the integration of a public hospital and community health centers. Ann Intern Med. 2003;138(2):143–9.

    Article  Google Scholar 

  8. 8.

    Reimschisel T, Herring AL, Huang J, Minor TJ. A systematic review of the published literature on team-based learning in health professions education. Medical Teacher. 2017;39(12):1227–37. https://doi.org/10.1080/0142159x.2017.1340636.

    Article  Google Scholar 

  9. 9.

    Thompson BM, Schneider VF, Haidet P, Levine RE, McMahon KK, Perkowski LC, et al. Team-based learning at ten medical schools: two years later. Med Educ. 2007;41(3):250–7. https://doi.org/10.1111/j.1365-2929.2006.02684.x.

    Article  Google Scholar 

  10. 10.

    Ogur B, Hirsh D, Krupat E, Bor D. The Harvard Medical School-Cambridge integrated clerkship: an innovative model of clinical education. Acad Med: journal of the Association of American Medical Colleges. 2007;82(4):397–404. https://doi.org/10.1097/ACM.0b013e31803338f0.

    Article  Google Scholar 

  11. 11.

    Hardy A, Butler B, Crandall M. The evaluation of the acute abdomen. In: Moore LJ, Turner KL, Todd SR, editors. Common problems in acute care surgery. New York: Springer New York; 2013. p. 19–31.

    Google Scholar 

  12. 12.

    Klein DA, Goldenring JM, Adelman WP. HEEADSSS 3.0: The psychosocial interview for adolescent updated for a new century fueled by media. Contemporary Pediatrics. January 2014. https://www.contemporarypediatrics.com/modern-medicine-feature-articles/heeadsss-30-psychosocial-interview-adolescents-updated-new-century-fueled-media. Accessed 4/25/19.

  13. 13.

    Consent by Minors Fact Sheet Prepared by the Denver Health Office of General Counsel May 4, 2006.

  14. 14.

    Krishnan A, Rabinowitz M, Ziminsky A, Scott SM, Chretien KC. Addressing race, culture, and structural inequality in medical education: a guide for revising teaching cases. Acad Med : journal of the Association of American Medical Colleges. 2019;94(4):550–5. https://doi.org/10.1097/acm.0000000000002589.

    Article  Google Scholar 

  15. 15.

    Eisenstein L. To fight burnout. Organize N Engl J Med. 2018;379(6):509–11. https://doi.org/10.1056/NEJMp1803771.

    Article  Google Scholar 

  16. 16.

    Norris TE, Schaad DC, DeWitt D, Ogur B, Hunt DD. Longitudinal integrated clerkships for medical students: an innovation adopted by medical schools in Australia, Canada, South Africa, and the United States. Acad Med : journal of the Association of American Medical Colleges. 2009;84(7):902–7. https://doi.org/10.1097/ACM.0b013e3181a85776.

    Article  Google Scholar 

  17. 17.

    Strasser R, Hirsh D. Longitudinal integrated clerkships: transforming medical education worldwide? Med Educ. 2011;45(5):436–7. https://doi.org/10.1111/j.1365-2923.2011.03939.x.

    Article  Google Scholar 

  18. 18.

    Mazotti L, Adams J, Peyser B, Chretien K, Duffy B, Hirsh DA. Diffusion of innovation and longitudinal integrated clerkships: results of the clerkship directors in internal medicine annual survey. Med Teac. 2018;41(3):347–53. 1–7. https://doi.org/10.1080/0142159x.2018.1472369.

    Article  Google Scholar 

  19. 19.

    Teherani A, O'Brien BC, Masters DE, Poncelet AN, Robertson PA, Hauer KE. Burden, responsibility, and reward: preceptor experiences with the continuity of teaching in a longitudinal integrated clerkship. Acad Med : journal of the Association of American Medical Colleges. 2009;84(10 Suppl):S50–3. https://doi.org/10.1097/ACM.0b013e3181b38b01.

    Article  Google Scholar 

  20. 20.

    Snow SC, Gong J, Adams JE. Faculty experience and engagement in a longitudinal integrated clerkship. Med Teach. 2017;39(5):527–34. https://doi.org/10.1080/0142159x.2017.1297528.

    Article  Google Scholar 

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Acknowledgments

Nichole Zehnder, Sarah Axelrath, Michelle Cleeves, Jennifer Stichman, Enhancing Education Grant from the University of Colorado, Rymer Small Grant from the University of Colorado.

Funding

Funding for curriculum development provided by Enhancing Education Grant from the University of Colorado, Rymer Small Grant from the University of Colorado.

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Correspondence to Mim Ari.

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The authors declare that they have no conflict of interest.

Ethical Approval

This project was reviewed by the Quality Improvement Committee of Denver Health (QuIRC), which is authorized by the Colorado Multiple Institutional Review Board at the University of Colorado, Denver (COMIRB), and was determined not to be human subject research. As such, this project did not require IRB review.

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Ari, M., Venci, J.A., Kulasekaran, V. et al. Team-Based Learning in a Longitudinal Integrated Clerkship: an Opportunity for Integrated Multidisciplinary Learning and Curricular Focus on the Underserved. Med.Sci.Educ. 30, 625–629 (2020). https://doi.org/10.1007/s40670-019-00856-5

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Keywords

  • Team-based learning
  • Longitudinal integrated clerkship
  • Undergraduate medical education
  • Curricular innovation