Educational Outcomes of the Harvard Medical School–Cambridge Integrated Clerkship
Academic MedicinePublished 24 March 2012
David A. Hirsh, Elizabeth Gaufberg, Barbara Ogur, Pieter A. Cohen, Edward Krupat, Malcolm Cox
Citations214
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SJR score1.45
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TL;DR
CIC students are at least as well as and in several ways better prepared than their peers, and longitudinal integrated clerkships offer students important intellectual, professional, and personal benefits.
Abstract
CIC students are at least as well as and in several ways better prepared than their peers. CIC students also demonstrate richer perspectives on the course of illness, more insight into social determinants of illness and recovery, and increased commitment to patients. These data suggest that longitudinal integrated clerkships offer students important intellectual, professional, and personal benefits.
Keywords
Medicine
ManSituated Learning: Legitimate Peripheral Participation.
39,763 Citations1994Maurice Bloch, Jean Lave +1 more
Medical Entomology and ZoologySocial Foundations of Thought and Action : A Social Cognitive Theory
19,075 Citations1986Albert Bandura
How people learn: Brain, mind, experience, and school.
12,897 Citations1999John D. Bransford, Ann L. Brown +1 more
Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions
6,949 Citations1987Donald A. Schön
The problems that face professionals (physicians, lawyers, architects) are rarely straightforward and clear; they are complex and lack "right answers."
The Modern Practice of Adult Education: From Pedagogy to Andragogy
3,935 Citations1970Malcolm S. Knowles
JAMANarrative Medicine
2,111 Citations2001Rita Charon
By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care.
Academic MedicineBeyond curriculum reform
1,816 Citations1998Frederic W. Hafferty
The author challenges the traditional notion that changes to medical education are most appropriately made at the level of the curriculum, or the formal educational programs and instruction provided to students, and proposes that the medical school is best thought of as a “learning environment” and that reform initiatives must be undertaken with an eye to what students learn.
Academic MedicineThe hidden curriculum, ethics teaching, and the structure of medical education
1,693 Citations1994Frederic W. Hafferty, Rita A. Franks
The authors challenge a prevailing belief within the culture of medicine that while it may be possible to teach information about ethics, course material or even an entire curriculum can in no way decisively influence a student's personality or ensure ethical conduct.
Archives of Internal MedicineMedical Education in the United States and Canada.
1,639 Citations1911Abraham Flexner
Medical Entomology and ZoologySurpassing Ourselves: An Inquiry into the Nature and Implications of Expertise
1,367 Citations1993Carl Bereiter, Marlene Scardamalia
Medical EducationExperience‐based learning: a model linking the processes and outcomes of medical students' workplace learning
609 Citations2006Tim Dornan, Henny P. A. Boshuizen +2 more
This work aims to develop a model linking the processes and outcomes of workplace learning and to demonstrate how this model can be applied to education in the rapidly changing environment.
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488 Citations1994C Feudtner, Dimitri Christakis +1 more
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Journal of General Internal MedicineThe Role of the Student-Teacher Relationship in the Formation of Physicians. The Hidden Curriculum as Process
359 Citations2006Paul Haidet, Howard F. Stein
This essay suggests that relationships are a critical mediating factor in the hidden curriculum, and explores evidence from the educational literature with respect to the student-teacher relationship, and the relevance that these studies hold for medical education.
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There is a mismatch between the broad range of learning theories offered in the wider education literature and a relatively narrow range of theories privileged in the medical education literature.
Medical EducationMedical student attitudes toward the doctor–patient relationship
313 Citations2002Paul Haidet, Joyce E. Dains +5 more
This paper presents a meta-modelling study that shows clear trends in howgeon educators have emphasized the importance of teaching patient‐centred care in the context of clinical practice.
Academic MedicineThe Harvard Medical School-Cambridge Integrated Clerkship: An Innovative Model of Clinical Education
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The Harvard Medical School-Cambridge Integrated Clerkship (HMS-CIC) is a redesign of the principal clinical year to foster students' learning from close and continuous contact with cohorts of patients in the disciplines of internal medicine, neurology, obstetrics-gynecology, pediatrics, and psychiatry.
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215 Citations1996Edward M. Hundert, Frederic W. Hafferty +1 more
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The International Journal of Psychiatry in MedicinePatient-Centeredness and its Correlates among First Year Medical Students
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PubMedThe similarity and frequency of proposals to reform US medical education. Constant concerns.
129 Citations1995Nicholas A. Christakis
Academic MedicineCharacterizing the Patient-Centeredness of Hidden Curricula in Medical Schools: Development and Validation of a New Measure
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The authors’ exploratory research offers suggestions for medical education reform and frames additional opportunities for further discussion on how focusing only on educational elements leads to the exclusion of opportunities to systemically facilitate the relationships among them.
JAMAThe Similarity and Frequency of Proposals to Reform US Medical Education
90 Citations1995Nicholas A. Christakis
The similarity of the reports' objectives and reforms results not only from a similar body of problems, but also from the reaffirmation of similar values.
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The subordination of teaching to research and patient care overshadows all other obstacles to establishing a student-oriented curriculum and the situation is far from hopeless, explains Dr. Kennet...
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New England Journal of MedicineEducational Continuity in Clinical Clerkships
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Continuity in medical-student clerkships is becoming a thing of the past, with little continuity between students and teachers, between patients and patients, and between specialty-based compon...
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