New approaches to medical training in Scotland: Longitudinal Integrated Clerkship

“To me this was logical. Ninety per cent of healthcare takes place in the community so that’s where 90% of the learning is and where 99.9% of the patients are.”

In this recently published article Lewis Mundell describes his experience of being part of the first cohort of medical students in Scotland to undertake a year long Longitudinal Integrated Clerkship.

In the article Lewis writes –

Being part of the first cohort of medical students in the United Kingdom (UK) to pioneer a yearlong Longitudinal Integrated Clerkship (LIC) was certainly a ‘leap of faith’ on our part. I am pleased to report great success.

LICs, worldwide, are not a new concept in medical education and have many variants. However, LICs are only now beginning to gain momentum and popularity in the UK. Although some UK LICs (or variations) started before 2016, no UK medical school had committed to a yearlong LIC until Dundee University’s aptly named DLIC (Dundee LIC). […] After completing the DLIC, General Practice is now the career choice for me. It’s the specialism of un-complicating the complicated but sadly as a medical student you get very little exposure to these experts. This needs to change and LICs are definitely the solution.

The project was undertaken in partnership with the University of Dundee, NHS Dumfries and Galloway and NHS Highland, sending seven fourth year students to various locations within these Scottish Health Boards.

Other medical students in Dundee mainly spend their time in hospital on ten four-week placements in different medical settings, the majority being in busy hospital wards. DLIC, under the supervision and guidance of both a regional and local GP tutor, focuses on learning in the community based in a single GP practice.

Lewis Mundell, University of Dundee


Read full article (PDF)

Lewis Mundell (2018): Being an agent of change: a student’s view of the UK’s first yearlong Longitudinal Integrated Clerkship (LIC), Education for Primary Care, DOI: 10.1080/14739879.2018.1423643