Longitudinal Integrated Clerkship at St. Joseph’s Hospital

Longitudinal Integrated Clerkship at St. Joseph’s Hospital

Aspiring physician Lindsay Richels is a committed participant of the Saskatchewan Longitudinal Integrated Clerkship. Currently residing in Estevan, Lindsay has been awarded the opportunity to advance her medical skills and further her knowledge in various disciplines. Working at St. Joseph’s Hospital has allowed her to develop a sophisticated understanding of various practices and she claims that it has been a fulfilling educational experience. She takes the time to provide a comprehensive overview of the benefits of the longitudinal clerkship. 

About the Clerkship

The clinical clerkship allows individuals to apply knowledge and skills acquired in the first two years of medical school in a clinical setting. SLIC students work closely with one primary preceptor gaining continuity relationships with patients and faculty over a period of forty-two weeks. Students develop personalized learning plans and work in an integrated setting to fulfil course objectives.

The primary purpose of the clerkship is to assist in guiding clinical experiences and students are expected to seek opportunities to fulfill course objectives throughout their clerkship. For example, the community project requires students to identify a community need based off a personal experience with a patient. Participants of the clerkship are then required to describe a potential community-based intervention plan and outline how they could potentially address existing health disparities/social determinants within the community.

According to Lindsay Richels, some course objectives include:

  • Distinguishing between normal and abnormal human development
  • Developing care strategies for patients at risk
  • Discussing the pathophysiology, epidemiology, clinical presentation, and prognosis of common acute and chronic diseases
  • Establishing a diagnosis and final presumptive diagnosis through clinical reasoning and revise re-evaluate a diagnosis/ management plan when necessary
  • Developing an appropriate patient-centred management plan by utilizing pharmacologic and/ or non/pharmacologic strategies and multi-disciplinary care.
  • Demonstrating continuity of care by following patients through time and in different clinical settings

The Advantages of the Program and Looking Ahead

TheSaskatchewan Longitudinal Integrated Clerkship provides an opportunity for students to learn in a specific medical environment for an extended period of time. As a result, students are able to develop a relationship with both staff and patients while providing a higher level of care.

Lindsay Richels claims that the LIC differs from traditional rotational-based clerkships. In rotation-based clerkships, physicians must rotate through six weeks of surgery, medicine, and psychiatry; however, the integrated program allows students to see a wide range of patients on a daily basis. Similarly, students are provided extensive support and are under the direct supervision of both faculty and residents.

She claims that she has greatly enjoyed her time in Estevan and is the first person to come to that location through the program.

Ultimately, Lindsay Richels is proud to be a participant of the clerkship stating it will function as an unparalleled learning experience for both herself and other aspiring physicians in the future.


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