Continuity in medical-student clerkships is becoming a thingof the past. There is little continuity between students andteachers, between students and patients, and between specialty-basedcomponents of the curriculum. Although block rotations in clerkshipshave been used for more than 100 years, in Abraham Flexner'sday, patients, teachers, and students were together in the hospitalfor extended periods on medicine, obstetrics, and surgery services,which provided excellent opportunities to learn in a relativelyrelaxed and longitudinally mentored environment. Not so today.
Faculty members struggle to meet clinical productivity quotaswhile maintaining teaching and research responsibilities. Attendingphysicians are on . . . [Full Text of this Article]
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From the School of Medicine at the University of California, San Francisco.
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