How do I incorporate systems learning into a LIC? 

The 21st Century Physician must be effective in transforming the systems in which they deliver care.  Systems-based practice has become a priority in medical school curricula with the goal of training physicians who are effective agents of change at a systems level.  The longitudinal integrated clerkship (LIC) student, in addition to patient and preceptor continuity, has continuity with a health care system, and is in a perfect position to learn and apply systems-based practice skills by doing meaningful systems projects as part of their longitudinal clerkship.   This can include formal sessions, online resources, performance-improvement projects, project mentors and seminal presentations to key stakeholders such as faculty, teams and hospital executives.


Hudson JN, Poncelet AN, Weston KM, Bushnell JA, Farmer E A. 2017. Longitudinal integrated clerkships. Med Teach. 39(1):7-13.

Riegels N, Suri A, Weil H.  2016. Systems-Based Practice Within the LIC. In: Poncelet AN, Hirsh D, editors. Longitudinal Integrated Clerkships: Principles, Outcomes, Practical Tools and Future Directions. North Syracuse, NY: Gegensatz Press; p.115-122.

Riegels NS, Asher E, Cartwright JR, Chow JL, Lee ED, Nordstrom M, Schneider AN, Schwarz MD, Zarin-Pass M, Mazotti LA. 2018. Listening Beyond Auscultating: A Quality Initiative to Improve Communication Scores in the Hospital Consumer Assessment of Health Care Practitioners and Systems Survey.  Perm J. 1;22.