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.
How is the DH- LIC structured?
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. Students spend their clerkship year at a large urban safety-net hospital, caring for an almost entirely disadvantaged population faced with challenges such as poverty, low health literacy, language barriers, chronic illness, and high rates of mental illness and addiction. In this setting, the DH-LIC has curricular focus on urban underserved care, quality improvement and patient safety, health care systems, and health equity. Students are selected into the LIC program based on their demonstrated commitment to caring for the vulnerable patient population served by Denver Health and their capacity for self-directed, independent learning.
Students participate in shortened inpatient “immersions” in surgery, medicine, labor and delivery, gynecology, pediatrics, and psychiatry. The remainder of the year is 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 and unique DHLIC curricular content.
What are the goals in developing an LIC at Denver Health?
- Foster a supportive learning environment with strong mentorship, individualized feedback, developmentally progressive learning goals, and provision of authentic and longitudinal roles in patient care.
- Support students' personal and professional development through minization of the negative hidden curriculum, peer group support, positive role-modeling and elimination of student mistreatment.
- Provide an immersive experience caring for vulnerable populations, practicing quality improvement and patient safety, and active community engagement.
- Develop a pipeline of physician leaders strongly committed to the care of and advocacy for urban underserved populations thereby aligning the needs of learners, communities, and health care systems.
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.
For more information, please visit http://www.denverhealth.org/
What does an average month look like?