Psychiatry in the Harvard Medical School–Cambridge Integrated Clerkship: An Innovative, Year-Long Program

Griswold, Todd; Bullock, Christopher E.; Gaufberg, Elizabeth; Albanese, Mark J.; Bonilla, Pedro; Dvorak, Ramona; Epelbaum, C.; Givon, Lior; Kueppenbender, Karsten; Joseph, Robert; Boyd, J. Wesley; Shtasel, Derri

doi:10.1176/appi.ap.10080126

Cited by 11 publications

(4 citation statements)

References 24 publications

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“…Students reported feeling empowered to be self-directed learners and critical thinkers 88,131,133,168,194 , increased understanding of relevance of knowledge to career 52,76,102,131,150,190 , increased confidence 70,93,107,131,138,141,161 and motivation 76 . Those studies with level 3 outcomes indicated positive changes in improved communication skills 151 , greater uptake of specialty 121 and improved performance in clinical placements 172 . Some negative perceptions and disadvantages were also reported.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of health professional curricula: Implications for developing integration in pharmacy

Kerr

O'Connor

Pawlikowska

et al. 2020

Research in Social and Administrative Pharmacy

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Section: Discussionmentioning

confidence: 99%

A scoping review of health professional curricula: Implications for developing integration in pharmacy

Kerr

O'Connor

Pawlikowska

et al. 2020

Research in Social and Administrative Pharmacy

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“…There were 19 codes under the theme "shortage of educational resources of AMC." Subthemes derived from these codes were as follows: shortage of administrative staff to assist with LIC implementation [23,35,37]; inadequate preceptors to teach students in LICs [18,23,35]; students were unable to meet various types of patients because of their preceptors' subspecialties [23,35]; limited space in hospitals for LIC [22,23,29,38,40,41]; LICs required significant financial resources [23,27,37]; and students' schedules it were complicated to make [18,23,25,35]; and students had to move long distances on a tight schedule [18,23].…”

Section: ) Shortage Of Educational Resources Of Amcmentioning

confidence: 99%

Urban-based Longitudinal Integrated Clerkship: A scoping review

Roh

Yun

Park

2019

Preprint

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Background Reports about longitudinal integrated clerkship (LIC) mostly deal with rural-based LICs. Clinical clerkships usually take place in urban academic medical center (AMC). We need to explore how to implement LIC in urban AMC. Authors reviewed the existing literature focused on urban-based LIC (uLIC) to explore the features and challenges uLIC. 'Method Authors adopted the scoping review framework. Research questions were: (1) What are the characteristics of uLIC studies? (2) How did medical schools implement uLICs? (3) What were the challenges when implementing uLICs? and (4) What gaps exist in uLIC research? Authors reviewed 495 studies from an initial electric database search and selected 27 articles for inclusion, and extracted relevant data and organized the demographic information and details of the uLICs for each of medical school. Authors conducted a thematic analysis on the challenges of uLIC. Results Twenty-five papers were published in the United States. Urban-based LICs were evaluated by participants’ responses (n=13) and students’ learning outcome (n=10). One paper discussed obstacles of uLIC implementation. Fourteen papers were reported by two medical schools (Harvard Medical School, University of California San Francisco College of Medicine). The two medical schools reported student selection methods and six medical schools reported student assessment methods. Challenges related to LICs included preceptors' burden about LIC education, students’ concern about academic achievement, students’ inability to adapt to LICs, shortage of educational resources of AMC, and lack of understanding about LICs. Conclusion Research is needed to understand the long-term outcomes of uLICs and strategies to overcome challenges. Medical schools should prepare student support systems and faculty development programs to facilitate successful implementation of uLICs. Medical schools’ and hospitals’ resources and funding should be taken into careful consideration prior to implementing uLICs.

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“…A serious limitation in the traditional teaching of psychodynamics in medical schools is that psychotherapy proper is a longitudinal experience, while almost all core clerkships in psychiatry provide only a crosssectional experience. However, a number of innovative programs in recent years have redesigned the psychiatry clerkship as a longitudinal experience (Boyd 2008;Griswold et al 2012). These programs, which are set in outpatient clinics, offer several benefits.…”

Section: Formats For Teaching About Psychotherapy and Psychotherapeutic Interventionsmentioning

confidence: 99%

Teaching Psychoanalytic Concepts, Skills, and Attitudes to Medical Students

Mintz

2013

J Am Psychoanal Assoc

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In recent decades the psychoanalytic perspective has been increasingly marginalized in medical school education. This has been driven by political tides, competition with neuroscience education, shifting practice models, and the dominance of an evidence-based perspective. The costs both to medical trainees and to the field of psychoanalysis are considerable. Reasons are presented for why academic psychiatry departments might be motivated to integrate more psychodynamic training into basic medical education and for why organized psychoanalysis might have an interest in developing a greater presence in medical schools. Various formats are discussed in which psychoanalytic theory and technique might effectively be introduced. Finally, broader strategies are proposed for addressing students and their developmental needs such that resistances to learning psychodynamics are reduced.

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Psychiatry in the Harvard Medical School–Cambridge Integrated Clerkship: An Innovative, Year-Long Program

Abstract: Longitudinal integrated clerkship experiences are effective and sustainable; they offer particular strengths and opportunities for psychiatry education, and may influence student choice of specialty.

Cited by 11 publications

References 24 publications

A scoping review of health professional curricula: Implications for developing integration in pharmacy

A scoping review of health professional curricula: Implications for developing integration in pharmacy

Urban-based Longitudinal Integrated Clerkship: A scoping review

Teaching Psychoanalytic Concepts, Skills, and Attitudes to Medical Students

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