Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Hemmer, Paul A. MD, MPH
Professor and vice chairman for educational programs, Uniformed Services University of the Health Sciences, Bethesda, Maryland; email@example.com.
Dwyer Brooks and colleagues have noted an important role for a longitudinal clerkship experience that addresses a core mission within their medical school for selected students (30–40 per year, or approximately 20%) who self-identify as being interested in primary care and/or rural medicine. While the vast majority of those students subsequently choose family medicine and/or primary care, some of this is undoubtedly due to the students' self-declared interest but also to the ability of the program to maintain that interest. Whether this type of clerkship could have a similar impact at different medical schools with different missions is unknown but worth discussion.
As the momentum builds for medical education reform, longitudinal integrated clerkships (LICs) as a model for clinical education will be part of the discussion,1 and career choice is but one aspect of LICs to consider. It remains important for the medical education community to recognize that what we know currently about LICs is predominantly based on (often) preliminary studies of select students working with select faculty; whether this approach can work for entire classes of medical students, or would have a broader effect on career choice, is unknown. More importantly, if there is not concomitant reform in the practice environment—a far more difficult process but one that contributes strongly to student career choice2 and drives changes in careers for practitioners3—we are likely to continue to lose ground for primary care careers, no matter what model of medical student clinical education we use.
Paul A. Hemmer, MD, MPH
© 2010 Association of American Medical Colleges
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Academic Medicine.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics