1. The
struggling
rural
LIC
learner:
remedia4on
challenges
Kathleen
D.
Brooks,
MD,
MBA,
MPA
University
of
Minnesota
Medical
School
MUSTER
CLIC
conference
2014

2. Faculty
Presenter
Disclosure
Slide
• Faculty:
Kathleen
Brooks
• Rela4onship
with
Commercial
Interests:
None

3. hOp://www.flickr.com/photos/jimbrekke
hOp://www.flickr.com/photos/jpellgen/

4. Minnesota
Winter
2014

5. RPAP
• 9-­‐month
longitudinal
integrated
clerkship
for
third
year
medical
students
• Students
complete
core
clinical
clerkship
requirements
• Distributed
model
across
Minnesota
• Approximately
40
students/year

6. Background
• Academic-­‐rural
community
collabora4on
• Program
accepts
students
interested
in
exploring
rural
primary
care
• Community
agrees
to
teaching
responsibility

7. Complexi4es
• School:
Selec4on
criteria
for
students
into
this
program?
• Community:
Understanding
of
implicit
commitment
to
honestly
evaluate
student
and
to
poten4ally
par4cipate
in
remedia4on

8. Framing
the
Remedia4on
Issue
• Currently,
student
remedia4on
is
very
individualized
– For
the
student
– For
the
faculty
– Un4l
it
is
a
BHD!

9. Se]ng
the
Stage
• Preceptors’
mul4ple
roles:
mentor,
role
model,
evaluator,
gatekeeper

10. Discussion
–
Challenges
of
Town-­‐Gown
Collabora4on
• What
is/should
be
the
role
of
community
preceptors
in
assessment
and
remedia4on?
• How
to
manage
working
with
all
involved
par4es
to
decide
whether
a
student
stays
in
the
community
or
returns
to
campus?
• Should
such
poten4al
remedia4on
challenges
help
inform
selec4on
criteria
for
rural
LICs
–
stated
another
way
–
should
all
interested
students
par/cipate
in
rural
LICs?