Answer to "What are the motivations of students who choose LIC programmes?"

Most undergraduate medical students want a solid, foundational undergraduate medical education to equip them with the competencies and confidence for the next stage of their medical training.  They also want to be competitive in the residency matching process (e.g. in North America) or obtaining a specialty training position after junior doctor foundation years (e.g. in Australia, UK).  Some students have a perception that it may be risky to undertake a longitudinal integrated clerkship (LIC) programme if they are considering a highly competitive subspecialty.  However, LIC graduates have obtained training positions in competitive specialities. 

Some students undertake a LIC programme once they are aware of the learning gains that may arise from continuity with preceptors and patients, greater opportunity for active ‘hands-on’ patient care or they are motivated to learn in a LIC rural setting for future rural practice. LIC’s situated in Academic Medical Centres are also popular with students because it allows them to use part of their open time to pursue further learning opportunities in sub-specialities of interest and build relationships with potential mentors in those fields. 

Whatever student motivations, evidence for the impact of a LIC on career considerations came from study of the vocational career paths of 3 groups of students from an Australian graduate-entry medical school: one group completed a rural LIC; another an urban traditional block clerkship; while the final group undertook a hybrid of the two educational approaches in a remote setting. There was no difference in the specialty choices of graduates of the three programmes. 

References

Poncelet A, Bokser S, Calton B, Hauer KE, Kirsch H, Jones T, Lai CJ, Mazotti L, Shore W, Teherani A, Tong L, Wamsley M, Robertson P. 2011. Development of a longitudinal integrated clerkship at an academic medical center. Med Educ. Online.16.

Worley P, Martin A, Prideaux D, Woodman R, Worley E, Lowe M. 2008. Vocational career paths of graduate entry medical students at Flinders University: a comparison of rural, remote and tertiary tracks. Med J Aust. 188(3):177-178.

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