What is a Longitudinal Integrated Clerkship?
International Consortium of Longitudinal Integrated Clerkships: A clinical curriculum in which students participate in comprehensive care of patients over time, engage in continuity relationships with preceptors and evaluators, and meet core clinical competencies across multiple disciplines simultaneously.
The Denver Health Longitudinal Integrated Clerkship (DH-LIC) provides an alternative to the traditional block rotations offered in Phase III to CU medical students. Students spend their 3rd year at Denver Health working with the same preceptor in each specialty all year providing longitudinal teaching, mentorship and evaluation. Students develop a cohort of patients from all specialties that they follow through primary care, subspecialty clinics, inpatient, and emergency settings throughout their year in the program. In addition to meeting all of the required competencies and learning objectives of the third year blocks, the LIC provides curricular focus on underserved and vulnerable populations, community health, and quality improvement and patient safety.
Students participate in shortened inpatient “immersions” in surgery, medicine, neurology, labor and delivery, gynecology, pediatrics, and psychiatry. The remainder of year dedicated to longitudinal, integrated clinical experiences working one-on-one with faculty preceptors in every specialty. Students are given ample unstructured time for independent learning, follow up with cohort patients, and professional development. Students participate in weekly small group didactic and workshop series focusing on core clinical topics.
What are the goals in developing an LIC at Denver Health?
Through development of an LIC at Denver Health, we strive to foster lifelong learning in basic science, clinical practice, professionalism and humanism in students pursuing careers in a broad range of clinical specialties. We aim to provide students with authentic roles in patient care and on medical teams sharing patient care responsibilities with faculty. Students have ample opportunity to experience the whole illness through transitions in care supporting a broad view of disease, patient experience, and health care systems. The vast majority of clinical teaching is delivered by our excellent group of faculty who can provide meaningful feedback and support growth over the course of the year. The didactic learning is designed to be developmentally progressive and provide a structured time for review of basic science, clinical application, evidence-based medicine, medical simulation, social science, humanism and ethics, systems-based practice, and underserved medicine. Finally, the LIC strives to support the personal and professional well-being of students through minimization of the negative hidden curriculum, a collaborative and stable peer group, and strong mentor and administrative support.
What is unique about Denver Health?
Denver Health is a comprehensive, integrated health care organization providing level one care for all, regardless of ability to pay. Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care at Denver Health. One in three children in Denver is cared for by Denver Health physicians as well. As Colorado's primary safety net institution, Denver Health has provided billions of dollars in uncompensated care. Denver Health is an integrated, efficient, high-quality health care system serving as a model for other safety net institutions across the nation. Denver Health has several unique attributes which support the success of the LIC including mission-driven faculty, a strong ambulatory infrastructure and a fully integrated health care delivery system. http://www.denverhealth.org/
What does an average month look like?
PDF of a sample month in the Denver Health LIC