Creating and evaluating an independent ambulatory internal medicine clerkship

Curtis J. Rosebraugh, Karen Szauter, Michael A. Ainsworth, David J. Solomon, Alice J. Speer, Donald J. Dipette

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Patient care is shifting from an inpatient setting to an ambulatory setting. Despite this shift, most internal medicine clerkships provide the majority of medical student training in inpatient settings or in university tertiary care clinics, which are not representative of patient care in a community setting. We created a separate ambulatory clerkship that used volunteer community faculty at local and distant sites. The steps involved are described here, including finding time within the clerkship, reaching consensus within the department, defining the curriculum, identifying sites, and developing preceptors. Various parameters were measured to ensure quality in educational design. Comparisons of the 1-year pilot program, the full implementation program, and the inpatient program revealed that use of community sites does not affect cognitive knowledge acquisition but does influence students' satisfaction level.

Original languageEnglish (US)
Pages (from-to)30-34
Number of pages5
JournalAmerican Journal of the Medical Sciences
Issue number1
StatePublished - 1998


  • Ambulatory care
  • Internal medicine
  • Medical education

ASJC Scopus subject areas

  • General Medicine


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