PMID- 37643576
OWN - NLM
STAT- MEDLINE
DCOM- 20231201
LR  - 20231217
IS  - 1938-808X (Electronic)
IS  - 1040-2446 (Linking)
VI  - 98
IP  - 12
DP  - 2023 Dec 1
TI  - Preliminary Workforce Outcomes of an Urban Longitudinal Integrated Clerkship.
PG  - 1420-1427
LID - 10.1097/ACM.0000000000005447 [doi]
AB  - PURPOSE: The authors examined whether students participating in an urban 
      longitudinal integrated clerkship (LIC) with a curriculum focused on care for 
      underserved populations have a sustained commitment to urban underserved care 
      through residency training and into practice. METHOD: This mixed-methods study 
      collected data from medical student application essays to the Denver Health LIC 
      (DH-LIC), end-of-course surveys, residency match outcomes, and postgraduation 
      surveys annually for academic years 2014 to 2022. The authors analyzed students' 
      responses to the surveys on interest in working with underserved patients, 
      understanding the rewards and challenges of working in safety net institutions, 
      working in the community to improve health, and working at DH. The authors 
      qualitatively coded the 70 application essays of all selected students using 
      summative content analysis. RESULTS: Seventy DH-LIC students were compared with 
      1,450 medical students between 2014 and 2022. Qualitative analysis of LIC 
      application essays revealed 3 themes: interest in working with underserved 
      populations, work experience with underserved populations, and personal 
      experience with medical vulnerability. Fifty-seven DH-LIC participants (81.4%) 
      expressed high levels of career interest in working with underserved populations, 
      45 (64.3%) had high levels of work experience with underserved populations, and 
      18 (25.7%) expressed high levels of personal experience. Graduates of the DH-LIC 
      program demonstrated a high degree of continuing interest in practicing in urban 
      underserved settings throughout medical school and postgraduate training. Ten 
      graduates (71.4%) in practice work in urban underserved settings. Participants 
      reported a high or very high level of interest and commitment to working with 
      underserved populations (96.7%-100%), understanding the safety net health care 
      system (91.7%-98.6%), and working in communities (95.0%-100%) at all time points 
      studied. CONCLUSIONS: Early data indicate high rates of graduates working in 
      urban underserved settings. These preliminary outcomes suggest the LIC may 
      support the development of a committed workforce for urban underserved 
      communities.
CI  - Copyright (c) 2023 the Association of American Medical Colleges.
FAU - Adams, Jennifer E
AU  - Adams JE
AUID- ORCID: 0000-0002-5433-8600
FAU - Ard, Catherine
AU  - Ard C
AUID- ORCID: 0000-0003-0846-3475
FAU - Cunningham, John M
AU  - Cunningham JM
AUID- ORCID: 0000-0002-6335-5998
FAU - Jimenez, Sheilah
AU  - Jimenez S
AUID- ORCID: 0000-0002-5810-1299
FAU - Lockspeiser, Tai
AU  - Lockspeiser T
AUID- ORCID: 0000-0002-1633-4860
FAU - Hirsh, David A
AU  - Hirsh DA
AUID- ORCID: 0000-0002-0304-4047
FAU - Kulasekaran, Vishnu
AU  - Kulasekaran V
AUID- ORCID: 0000-0002-3319-6738
LA  - eng
PT  - Journal Article
DEP - 20230830
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
SB  - IM
MH  - Humans
MH  - *Education, Medical, Undergraduate/methods
MH  - Workforce
MH  - Curriculum
MH  - *Students, Medical
MH  - Medically Underserved Area
MH  - *Clinical Clerkship
EDAT- 2023/08/30 00:41
MHDA- 2023/12/01 06:44
CRDT- 2023/08/29 18:13
PHST- 2023/12/01 06:44 [medline]
PHST- 2023/08/30 00:41 [pubmed]
PHST- 2023/08/29 18:13 [entrez]
AID - 00001888-202312000-00025 [pii]
AID - 10.1097/ACM.0000000000005447 [doi]
PST - ppublish
SO  - Acad Med. 2023 Dec 1;98(12):1420-1427. doi: 10.1097/ACM.0000000000005447. Epub 
      2023 Aug 30.