From Passive Gatekeeper to Quarterback: Evolving Perceptions of Primary Care Among Medical Students in Longitudinal Outpatient Clerkships.

Background: Longitudinal clerkships provide students with meaningful clinical care roles that promote learning and professional development. It remains unclear how longitudinal primary care clerkships inform students' perceptions of primary care.

Objective: To explore perceptions of primary care among medical students enrolled in longitudinal primary care clerkships.

Learning through Teaching: Peer Teaching and Mentoring Experiences among Third-Year Medical Students.

Phenomenon: Classroom studies of peer-led teaching and mentoring report benefits for students both as teachers and learners. Such benefits include both improved content mastery and personal and professional development. While benefits of peer-led teaching in the clinical setting have been well characterized among other health professions, less is known within undergraduate medical education.

Continuity With Patients, Preceptors, and Peers Improves Primary Care Training: A Randomized Medical Education Trial.

Purpose: Infusing continuity of care into medical student clerkships may accelerate professional development, preserve patient-centered attitudes, and improve primary care training. However, prospective, randomized studies of longitudinal curricula are lacking.

Method: All entering Northwestern University Feinberg School of Medicine students in 2015 and 2016 were randomized to the Education Centered Medical Home (ECMH), a 4-year, team-based primary care clerkship; or a mentored individual preceptorship (IP) for 2 years followed by a traditional 4-week primary care clerkship.

Continuity in Undergraduate Medical Education: Mission Not Accomplished.

Evidence is mounting that longitudinal medical student clerkships provide better educational experiences than traditional block clerkship "silos." Education studies across institutions demonstrate positive effects of continuity on medical students, including creating patient-centered learning environments, improving fidelity of evaluations and feedback, improving medical student patient-centeredness, enabling more autonomous functioning in the clinical workplace, and increased recruitment and retention of students into primary care careers. Outcome studies show potential for longitudinal students to add value to patient care.

Learning to be a doctor: Medical students' perception of their roles in longitudinal outpatient clerkships.

Objective: To understand how medical students perceive their roles in early longitudinal primary care clerkships.

Methods: Medical students enrolled in one of two longitudinal primary care clerkships - Education-Centered Medical Home (ECMH) or Individual Preceptorship (IP) - participated in semi-structured interviews. Interviews were recorded, transcribed, and analyzed using a grounded theory and constant comparative approach.

Perceptions of Patient-Centered Care among First-Year Medical Students.

Phenomenon: Teaching patient-centered care (PCC) is a key component of undergraduate medical curricula. Prior frameworks of PCC describe multiple domains of patient-centeredness, ranging from interpersonal encounters to systems-level issues. Medical students' perceptions of PCC are thought to erode as they progress through school, but little is known about how students view PCC toward the beginning of training.

Four-Year Educational and Patient Care Outcomes of a Team-Based Primary Care Longitudinal Clerkship.

Background: Longitudinal clerkships show promise in improving undergraduate primary care education. This study examines the Education-Centered Medical Home (ECMH), a longitudinal clerkship embedding teams of students across all four years into primary care clinics to provide patient care and serve as health coaches for high-risk patients.

Method: All students graduating in 2015 were surveyed to assess attitudes, experiences, and preferences regarding primary care education.

Medical students' observations, practices, and attitudes regarding electronic health record documentation.

Background: Medical students are increasingly documenting their patient notes in electronic health records (EHRs). Documentation short-cuts, such as copy-paste and templates, have raised concern among clinician-educators because they may perpetuate redundant, inaccurate, or even plagiarized notes. Little is known about medical students' experiences with copy-paste, templates and other "efficiency tools" in EHRs.

Educating future physicians to track health care quality: feasibility and perceived impact of a health care quality report card for medical students.

Purpose: Quality improvement (QI) requires measurement, but medical schools rarely provide opportunities for students to measure their patient outcomes. The authors tested the feasibility and perceived impact of a quality metric report card as part of an Education-Centered Medical Home longitudinal curriculum.

Method: Student teams were embedded into faculty practices and assigned a panel of patients to follow longitudinally.

The patient centered medical home as curricular model: perceived impact of the "education-centered medical home".

Background: The patient-centered medical home (PCMH) model aims to provide patient-centered care, lower costs, and improve health outcomes. Medical students have not been meaningfully integrated in this model.

Aim: To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educational objectives.

Validity and reliability of a new method for measuring putting stroke kinematics using the TOMI system.

The purpose of this study was to determine the validity and reliability of a new method for measuring three-dimensional (3D) putting stroke kinematics using the TOMI device. A putting robot and a high-speed camera were used to simultaneously collect data for the validity evaluation. The TOMI device, when used in conjunction with standard 3D coordinate data processing techniques, was found to be a valid and reliable method for measuring face angle, stroke path, putter speed, and impact spot at the moment of ball contact.

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

Background: Deficits in information transfer between inpatient and outpatient physicians are common and potentially dangerous.

Objective: To evaluate the effect of a newly-created electronic discharge summary.

Design And Participants: Pre-post evaluation of discharge summaries using a survey of outpatient physicians and a medical records review.