An Integrated Rural and Urban Underserved Pathway in Medical School

Casapulla, Sharon; Longenecker, Randall

doi:10.1080/10401334.2022.2028262

Teaching and Learning in Medicine

2022

DOI: 10.1080/10401334.2022.2028262

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An Integrated Rural and Urban Underserved Pathway in Medical School

Sharon Casapulla

Randall Longenecker

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Cited by 2 publications

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“…Curricular innovations show promise for increasing student engagement with urban underserved populations as manifested by their stated interest in working with these populations in the future. [4][5][6][7][8] Our literature review uncovered few studies reporting longterm outcomes of educational innovations designed to address workforce outcomes for urban underserved populations, [9][10][11] none of which examined the impact of longitudinal integrated clerkships (LICs) to serve this need.…”

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confidence: 99%

Preliminary Workforce Outcomes of an Urban Longitudinal Integrated Clerkship

Adams,

Ard,

Cunningham

et al. 2023

Acad Med

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Purpose The authors examined whether students participating in an urban longitudinal integrated clerkship (LIC) with a curriculum focused on care for underserved populations have a sustained commitment to urban underserved care through residency training and into practice. Method This mixed-methods study collected data from medical student application essays to the Denver Health LIC (DH-LIC), end-of-course surveys, residency match outcomes, and postgraduation surveys annually for academic years 2014 to 2022. The authors analyzed students’ responses to the surveys on interest in working with underserved patients, understanding the rewards and challenges of working in safety net institutions, working in the community to improve health, and working at DH. The authors qualitatively coded the 70 application essays of all selected students using summative content analysis. Results Seventy DH-LIC students were compared with 1,450 medical students between 2014 and 2022. Qualitative analysis of LIC application essays revealed 3 themes: interest in working with underserved populations, work experience with underserved populations, and personal experience with medical vulnerability. Fifty-seven DH-LIC participants (81.4%) expressed high levels of career interest in working with underserved populations, 45 (64.3%) had high levels of work experience with underserved populations, and 18 (25.7%) expressed high levels of personal experience. Graduates of the DH-LIC program demonstrated a high degree of continuing interest in practicing in urban underserved settings throughout medical school and postgraduate training. Ten graduates (71.4%) in practice work in urban underserved settings. Participants reported a high or very high level of interest and commitment to working with underserved populations (96.7%-100%), understanding the safety net health care system (91.7%-98.6%), and working in communities (95.0%-100%) at all time points studied. Discussion Early data indicate high rates of graduates working in urban underserved settings. These preliminary outcomes suggest the LIC may support the development of a committed workforce for urban underserved communities.

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confidence: 99%

Preliminary Workforce Outcomes of an Urban Longitudinal Integrated Clerkship

Adams,

Ard,

Cunningham

et al. 2023

Acad Med

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Emerging Trends in the Prevalence of Military Medicine Interest Groups and Specialty Tracks at U.S. Medical Schools

Keating III,

Unrath,

Steffes

et al. 2024

Military Medicine

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Introduction A challenge confronting health care is the national physician shortage, notably impacting the DoD’s recruitment of military physicians. To address this, the Health Professions Scholarship Program is annually awarded to medical students to facilitate their transition into the U.S. Armed Forces. There is a glaring absence of military medical education in civilian schools to accommodate the unique interests of these students. While medical schools have adapted with interest groups and specialty tracks, the current presence of military medicine interest groups (MMIGs) and military medicine specialty tracks (MMSTs) remains under-explored. This study aimed to (1) update the prevalence of MMIGs in U.S. medical institutions, (2) identify the presence of MMSTs, and (3) compare military medicine involvement between allopathic and osteopathic programs. Methods The study was approved for exempt status from the Kansas City University Institutional Review Board (study number 20,211,568-1). In a cross-sectional analysis, surveys were sent to 208 U.S. medical schools, with responses from student services or available public data from 200 institutions included in the final analysis. A secondary survey was sent to respondents who provided MMIG or MMST contacts. Results Results indicated that 62% (n = 124/200) of schools currently have an established MMIG, a modest growth from 56% (n = 70/125) in 2015 (p = .14). MMST prevalence, however, is minimal at 2.5% (5/200). Osteopathic institutions demonstrated a significantly greater engagement in military medicine education (88.7%) compared to allopathic schools (52.4%) (p < .001). Conclusion This research underscores the need for comprehensive military medical training in medical schools to meet the interests and career aspirations of their students. Future studies should also evaluate the efficacy of MMIGs and MMSTs in preparing students for military medical roles.

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An Integrated Rural and Urban Underserved Pathway in Medical School

Cited by 2 publications

References 21 publications

Preliminary Workforce Outcomes of an Urban Longitudinal Integrated Clerkship

Preliminary Workforce Outcomes of an Urban Longitudinal Integrated Clerkship

Emerging Trends in the Prevalence of Military Medicine Interest Groups and Specialty Tracks at U.S. Medical Schools

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