Urban general practice and medical education: Academic outcomes from a unique urban, longitudinal integrated community-based program

Aust Fam Physician. 2016 Oct;45(10):754-757.


Background: In 2009, Flinders University established an urban, community-based, longitudinal integrated program providing medical students extended placements that offered continuities of patient care, clinical supervision and peer group.

Objective: The aim of this research was to analyse academic outcomes of the new placement program.

Methods: The results of all students undertaking Year 3 exams from 2011 to 2014 were collected and analysed. The Years 1 and 2 exam results for students in the new program were also analysed.

Results: Students in the new placement program achieved significantly higher grades than those who undertook the traditional rotations program, with aver-age scores of 69.05, compared with 66.45 (P = 0.03). Analysis of average class ranking for students who undertook the new program showed a statistically significant improvement from 59th in class to 48th in class (P = 0.03).

Discussion: This evaluation shows that an urban, community-based, longitudinal integrated clerkship centred in general practice provides at least academically equivalent outcomes to traditional rotations-based programs.

MeSH terms

  • Adult
  • Australia
  • Cohort Studies
  • Community Medicine / methods*
  • Community Medicine / standards
  • Education, Medical, Undergraduate / methods*
  • Educational Measurement / methods
  • General Practice / education*
  • Humans
  • Mentoring / methods
  • Program Evaluation / methods
  • Students, Medical / psychology*
  • Urban Population