The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Evidence for Longitudinal Ambulatory Care Rotations: A Review of the Literature
Abstract
PURPOSE: Block ambulatory rotations and longitudinal ambulatory care experiences are now common in U.S. medical schools, but little is known about their efficacy. Through a structured review of the medical literature from 1966 through March 2000, the authors summarize the characteristics of, the evidence for, and the evaluation of longitudinal ambulatory care rotations. METHOD: The authors searched Medline using the terms "outpatients," "continuity of patient care," "ambulatory care," "mentors," "preceptorship," "graduate medical education," "curriculum," and "clinical clerkship" cross-matched to "medical students" and "internship and residency" for literature published from 1966 through March 2000. They narrowed the list to only articles containing empirical outcome data focusing on medical students' experiences in longitudinal ambulatory care rotations. Each study was scored to assess its strengths and weaknesses. RESULTS: Seven articles met the search criteria. The articles identified the benefits of longitudinal ambulatory care experiences, including developing effective patient interactions and understanding chronic diseases. There were little or no differences in the students' overall knowledge acquisition when those with longitudinal experiences were compared with those in block rotations. DISCUSSION: Although longitudinal ambulatory care experiences are now common in medical schools, evidence supporting their widespread implementation is sparse. Few studies employ rigorous methods to evaluate educational outcomes. Research to identify benefits and costs, improve the quality and consistency of the students' experiences, and develop other innovative ways of teaching and learning ambulatory care is needed.
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Graduate medical education programs struggle to operationalize these activities and frequently lack sufficient infrastructure to support longitudinal relationships between trainees and faculty.
“However, graduate medical education (GME) programs struggle to operationalize these activities, and frequently lack sufficient infrastructure to support longitudinal relationships between trainees and faculty [13,22,23].”
New education models required to achieve CBME are not well described.
“Although investigations into new education models are required to achieve CBME, these models are not well described [22,25–27].”
Citations
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Flagged first, then by citations
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Cited by
Sorted by citations
“Continuity” as an Organizing Principle for Clinical Education Reform
Hirsh, D. A., Ogur, B., Thibault, G. E., & Cox, M. (2007) · New England Journal of Medicine · doi:10.1056/nejmsb061660 · Cited by 540
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Illness in Context and Families as Teachers: A Year-Long Project for Medical Students
Gaver, A., Borkan, J. M., & Weingarten, M. A. (2005) · Academic Medicine · doi:10.1097/00001888-200505000-00007 · Cited by 33
Metadata
- Authors
- Ogrinc, G., Mutha, S., & Irby, D. M.
- Affiliations
- White River Junction VA Medical Center (US)
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-07
- Volume
- 77
- Issue
- 7
- Pages
- 688-693
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W1977117927
- Cited by
- 53
- References
- 15
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 7 · 2012: 7
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HRSA 97-0449(P)-BHPR)
- Topics
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Health and Medical Education
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Keywords
- block rotation, medical education, continuity of care, preceptorship, mentoring, knowledge acquisition, medical students, graduate medical education
- MeSH terms
- Ambulatory Care, Clinical Clerkship, Continuity of Patient Care, Education, Medical, Graduate, Family Practice, Humans, Internal Medicine, Internship and Residency, Health Knowledge, Attitudes, Practice, Longitudinal Studies, Mentors, Pediatrics, Physician-Patient Relations, Preceptorship, Students, Medical, United States, Cohort Studies, Multicenter Studies as Topic, Randomized Controlled Trials as Topic, MEDLINE, Problem-Based Learning, Evidence-Based Medicine
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