The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs
Introduction: The University of Washington School of Medicine has six campuses in the five state WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region. The WRITE (WWAMI Rural Integrated Training Experience) program is a 22 to 24 week long rural longitudinal integrated clerkship experience...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Minnesota Libraries Publishing
2019-12-01
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| Series: | Journal of Regional Medical Campuses |
| Subjects: | |
| Online Access: | https://pubs.lib.umn.edu/index.php/jrmc/article/view/2103 |
| _version_ | 1819227009886191616 |
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| author | Misbah Keen Danielle Bienz Toby Keys Douglas Schaad David Evans |
| author_facet | Misbah Keen Danielle Bienz Toby Keys Douglas Schaad David Evans |
| author_sort | Misbah Keen |
| collection | DOAJ |
| description | Introduction:
The University of Washington School of Medicine has six campuses in the five state WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region. The WRITE (WWAMI Rural Integrated Training Experience) program is a 22 to 24 week long rural longitudinal integrated clerkship experience offered to medical students in their clinical phase (third year) of training. This program seeks to meet the rural workforce needs of the WWAMI region by increasing the number of medical students going into primary care. Critics of LIC’s have expressed concern about overall quality control of the more remote educational experience and the lack of specialty specific teaching. The aim of this study was to compare medical school and PGY-1 performance of WRITE and Non-WRITE students while determining how well each cohort is meeting the regional workforce needs.
Methods:
The study group was all UWSOM students who matriculated from 2009 to 2013, advanced to graduation, and subsequently matched to a residency through the National Residency Match Program. WRITE and non-WRITE cohorts were compared for USMLE step 1 and 2 scores, MSPE (Medical Student Performance Evaluation) key word, and self and program director assessments in the first year of residency. The match results of the two cohorts were also compared to determine the proportions entering primary care residencies. Finally, for both cohorts the specialty choice at matriculation was compared with the match results. Descriptive statistics were used to test the comparisons.
Results:
The medical school performance of the WRITE and Non-WRITE cohorts was equivalent in all metrics (USMLE Step 1 and 2, MSPE key word, self and program director assessment of performance in the first year of residency). WRITE students were significantly more likely to match into primary care (67.6% vs 48.3%, p<0.001) overall and, in particular, Family Medicine as their specialty (40% vs 14.3%, p<0.001). WRITE students were also more likely to match into the same specialty that they indicated on the UWSOM matriculation survey. For Family Medicine the loss of fidelity between matriculation and match among WRITE students was 3% (43.4 - 40.4) and among Non-WRITE students, it was 6.3% (20.6 - 14.3).
Conclusions:
Performance outcomes of the WRITE program are equivalent to a traditional block curriculum. However, the WRITE cohort is significantly more likely to go into primary care fields, especially family medicine and is more likely to stay with the declared specialty at matriculation. Medical schools that seek to increase the number of students going into primary care may benefit from adopting a similar model. |
| first_indexed | 2024-12-23T10:34:35Z |
| format | Article |
| id | doaj.art-23ad2357c35d4e22bd83b5e1aae16afc |
| institution | Directory Open Access Journal |
| issn | 2576-5558 |
| language | English |
| last_indexed | 2024-12-23T10:34:35Z |
| publishDate | 2019-12-01 |
| publisher | University of Minnesota Libraries Publishing |
| record_format | Article |
| series | Journal of Regional Medical Campuses |
| spelling | doaj.art-23ad2357c35d4e22bd83b5e1aae16afc2022-12-21T17:50:20ZengUniversity of Minnesota Libraries PublishingJournal of Regional Medical Campuses2576-55582019-12-012510.24926/jrmc.v2i5.2103The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce NeedsMisbah KeenDanielle Bienz0Toby KeysDouglas SchaadDavid EvansUniversity of WashingtonIntroduction: The University of Washington School of Medicine has six campuses in the five state WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region. The WRITE (WWAMI Rural Integrated Training Experience) program is a 22 to 24 week long rural longitudinal integrated clerkship experience offered to medical students in their clinical phase (third year) of training. This program seeks to meet the rural workforce needs of the WWAMI region by increasing the number of medical students going into primary care. Critics of LIC’s have expressed concern about overall quality control of the more remote educational experience and the lack of specialty specific teaching. The aim of this study was to compare medical school and PGY-1 performance of WRITE and Non-WRITE students while determining how well each cohort is meeting the regional workforce needs. Methods: The study group was all UWSOM students who matriculated from 2009 to 2013, advanced to graduation, and subsequently matched to a residency through the National Residency Match Program. WRITE and non-WRITE cohorts were compared for USMLE step 1 and 2 scores, MSPE (Medical Student Performance Evaluation) key word, and self and program director assessments in the first year of residency. The match results of the two cohorts were also compared to determine the proportions entering primary care residencies. Finally, for both cohorts the specialty choice at matriculation was compared with the match results. Descriptive statistics were used to test the comparisons. Results: The medical school performance of the WRITE and Non-WRITE cohorts was equivalent in all metrics (USMLE Step 1 and 2, MSPE key word, self and program director assessment of performance in the first year of residency). WRITE students were significantly more likely to match into primary care (67.6% vs 48.3%, p<0.001) overall and, in particular, Family Medicine as their specialty (40% vs 14.3%, p<0.001). WRITE students were also more likely to match into the same specialty that they indicated on the UWSOM matriculation survey. For Family Medicine the loss of fidelity between matriculation and match among WRITE students was 3% (43.4 - 40.4) and among Non-WRITE students, it was 6.3% (20.6 - 14.3). Conclusions: Performance outcomes of the WRITE program are equivalent to a traditional block curriculum. However, the WRITE cohort is significantly more likely to go into primary care fields, especially family medicine and is more likely to stay with the declared specialty at matriculation. Medical schools that seek to increase the number of students going into primary care may benefit from adopting a similar model.https://pubs.lib.umn.edu/index.php/jrmc/article/view/2103Rural MedicinePrimary CareFamily MedicineLongitudinal Integrated ClerkshipPhysician Workforce |
| spellingShingle | Misbah Keen Danielle Bienz Toby Keys Douglas Schaad David Evans The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs Journal of Regional Medical Campuses Rural Medicine Primary Care Family Medicine Longitudinal Integrated Clerkship Physician Workforce |
| title | The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs |
| title_full | The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs |
| title_fullStr | The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs |
| title_full_unstemmed | The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs |
| title_short | The WRITE Stuff: A Rural Longitudinal Integrated Clerkship Addresses Workforce Needs |
| title_sort | write stuff a rural longitudinal integrated clerkship addresses workforce needs |
| topic | Rural Medicine Primary Care Family Medicine Longitudinal Integrated Clerkship Physician Workforce |
| url | https://pubs.lib.umn.edu/index.php/jrmc/article/view/2103 |
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