Lim, Jun Jie
2025.
Longitudinal Integrated Clerkships: The Good, the Bad, and the Fixable.
The British Student Doctor Journal
8
(1)
10.18573/bsdj.394
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Abstract
Longitudinal Integrated Clerkships (LIC) have gained popularity as an alternative to traditional block rotations in health professions education. LICs are defined by three core characteristics: students participate in the comprehensive care of patients over time, build ongoing learning relationships with these patients’ clinicians, and achieve the majority of their core clinical competencies across multiple disciplines simultaneously through these experiences. This model offers continuity in patient care and long-term mentor-student relationships, enhancing student engagement and clinical competence. Research shows that LIC students often outperform peers in assessments and demonstrate a stronger professional identity. However, the approach faces challenges, including supervision gaps, inequitable learning opportunities, and student disengagement from clinical duties in favour of self-directed learning. Assessments in LIC, such as mini-Clinical Evaluation Exercises (mini-CEX) and Objective Structured Clinical Examinations (OSCE), are effective but not without limitations. Mini-CEX may lack reliability in undergraduate settings, while OSCEs can feel inauthentic due to their fragmented structure. To bridge the gap between the intended and experienced curriculum, this article suggests four improvements: strengthening curriculum mapping, fostering community and continuity in practice, advocating for "assessment for learning," and conducting regular audits to ensure quality. Implementing these changes could ensure that LIC better supports students in achieving core competencies, preparing them for successful foundation years while promoting critical reflection and lifelong learning.
| Item Type: | Article |
|---|---|
| Date Type: | Publication |
| Status: | Published |
| Subjects: | R Medicine > R Medicine (General) |
| Publisher: | Cardiff University Press |
| ISSN: | 2514-3174 |
| Date of First Compliant Deposit: | 11 June 2025 |
| Date of Acceptance: | 17 December 2024 |
| Last Modified: | 11 Jun 2025 14:10 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/179009 |
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