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. 2000 Jul;15(7):484-91.
doi: 10.1046/j.1525-1497.2000.06429.x.

Evaluation of a national curriculum reform effort for the medicine core clerkship

R S Jablonover  1 , D J Blackman, E B Bass, G Morrison, A H Goroll
Affiliations

Evaluation of a national curriculum reform effort for the medicine core clerkship

R S Jablonover et al. J Gen Intern Med. 2000 Jul.

Abstract

Background: In 1995, the Society of General Internal Medicine (SGIM) and the Clerkship Directors in Internal Medicine (CDIM) developed and disseminated a new model curriculum for the medicine core clerkship that was designed to enhance learning of generalist competencies and increase interest in general internal medicine.

Objective: To evaluate the dissemination and use of the resulting SGIM/CDIM Core Medicine Clerkship Curriculum Guide.

Design: Survey of internal medicine clerkship directors at the 125 medical schools in the United States.

Measurements and main results: The questionnaire elicited information about the use and usefulness of the Guide and each of its components, barriers to effective use of the Guide, and outcomes associated with use of the Guide. Responses were received from 95 clerkship directors, representing 88 (70%) of the 125 medical schools. Eighty-seven (92%) of the 95 respondents were familiar with the Guide, and 80 respondents had used it. The 4 components used most frequently were the basic generalist competencies (used by 83% of those familiar with the Guide), learning objectives for these competencies (used by 83%), learning objectives for training problems (used by 70%), and specific training problems (used by 67%); 74% to 85% of those using these components found them moderately or very useful. The most frequently identified barriers to use of the Guide were insufficient faculty time, insufficient number of ambulatory care preceptors and training sites, and need for more faculty development. About 30% or more of those familiar with the Guide reported that use of the Guide was associated with improved ability to meet clerkship accreditation criteria, improved performance of students on the clerkship exam, and increased clerkship time devoted to ambulatory care.

Conclusion: This federally supported initiative that engaged the collaborative efforts of the SGIM and the CDIM was successful in facilitating significant changes in the medicine core clerkship across the United States.

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References

    1. Goroll AH, Morrison G, Bass EB, et al. SGIM/CDIM Core Medicine Clerkship Curriculum Guide. Washington, DC: Health Resources and Services Administration; 1995.
    1. Colwill JM, Perkoff GT, Blake RL, Paden C, Beachler M. Modifying the culture of medical education: the first three years of the RWJ Generalist Physician Initiative. Acad Med. 1997;72:745–53. - PubMed
    1. Babbott D, Levey GS, Weaver SO, Killian CD. Medical student attitudes about internal medicine: a study of U.S. medical school seniors in 1988. Ann Intern Med. 1991;114:16–22. - PubMed
    1. Deutsch SL, Noble J, editors. Community-Based Teaching: A Guide to Developing Education Programs for Medical Students and Residents in the Practitioner's Office. Philadelphia, Pa: American College of Physicians; 1997. eds.
    1. Goroll AH, Morrison G, Bass EB, et al. Reforming the core clerkship in internal medicine: the SGIM/CDIM project. (manuscript provisionally accepted for publication in the Ann Intern Med.). - PubMed

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