In the University of South Dakota's medical school clerkship program, students may choose one of three ambulatory-care settings. In one, the curriculum is problem based and student centered to enhance student interest in primary care. The new program has been successful and well received and is being further developed. (MSE)

Drawing from survey data (n=138 medical schools in the United States and Canada), a study analyzed medical schools' systems for evaluating student progress in clinical experiences. The 4-stage model used by most schools, common and unique characteristics, and 17 symptoms of system errors, signaling a need for system review, are outlined.…

A popular required family medicine clerkship at Jefferson Medical College (Pennsylvania) suggests that ambulatory care can be taught as a core component of the clinical curriculum. Success requires strong institutional support, structured curriculum, adequate patients, dedicated faculty, sufficient training sites, an appropriate evaluation…

A study of 217 Stanford University (California) Medical School graduates found clerkship experience lengths from 12 to 23 months; the median was 18 months. A highly significant correlation was found between longer clinical training and higher scores on Step 2 of the United States Medical Licensing Examination. Results suggest that decreasing…

A study investigated the usefulness of a new ambulatory medicine clerkship design by randomly assigning students to it or to an existing traditional general medicine rotation, then comparing student performance on the licensing examination, a laboratory interpretation test, written work, and a problem-solving exam. Performances were the same…