Answer to "Are there differences between students' learning gains in Longitudinal Integrated, or Traditional Block, Clerkships?"

Several studies have demonstrated that longitudinal integrated clerkship (LIC) graduates have academic results equivalent to and in some cases better than those of their peers who receive clinical education in block rotations. These have included results in local school assessments such as applied knowledge tests and OSCEs, as well as national board examinations.  One early study showed that LIC students improved their ranking in the class, compared to non-LIC peers, after completing the LIC programme.  As mentioned above in Question 3, additional valued learning gains have been reported for LIC graduates.


Hansen L, Simanton E. 2009. Comparison of third-year student performance in a

twelve-month longitudinal ambulatory program with performance in traditional

clerkship curriculum. S D Med. 62(8):315-317.

Hirsh D, Gaufberg E, Ogur B, Cohen P, Krupat E, Cox M, Pelletier S, Bor D. 2012. Educational outcomes of the Harvard Medical School - Cambridge Integrated Clerkship:

A way forward for medical education. Acad Med. 87(5):643-650.

Mazotti L, O'Brien B, Tong L, Hauer KE. 2011. Perceptions of evaluation in longitudinal versus traditional clerkships. Med Educ. 45(5):464-70.

McLaughlin K, Bates J, Konkin J, Woloschuk W, Suddards CA, Regehr G. 2011.  A comparison of performance evaluations of students on longitudinal integrated clerkships

and rotation-based clerkships. Acad Med. 86(10 Suppl):S25-S29.

Myhre DL, Woloschuk W, Jackson W, McLaughlin K. 2014. Academic performance of

longitudinal integrated clerkship versus rotation-based clerkship students: A

matched-cohort study. Acad Med. 89(2):292-295.

Teherani A, Irby DM, Loeser H. 2013. Outcomes of different clerkship models:

longitudinal integrated, hybrid, and block. Acad Med. 88(1):35-43.

Walters L, Greenhill J, Richards J, Ward H, Campbell N, Ash J, Schuwirth LW. 2012. Outcomes of longitudinal integrated clinical placements for students, clinicians and society. Med Educ. 46:1028-1041.

Worley P, Esterman A, Prideaux D. 2004. Cohort study of examination performance of undergraduate medical students learning in community settings. BMJ 328(7433):207-9.

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