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Enhanced Ambulatory Experience for the Clerkship

Curriculum Innovation at the University of Michigan

Dr. Gay is Clinical Assistant Professor and Director of Medical Student Education, Dr. Himle is Clinical Assistant Professor, and Dr. Riba is Clinical Associate Professor and Associate Chair for Education and Academic Affairs at the University of Michigan, Department of Psychiatry, Ann Arbor. Address correspondence to Dr. Gay, University of Michigan, Department of Psychiatry, Med Inn C418, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0840. E-mail: tlgay{at}umich.edu

ABSTRACT

An innovative ambulatory experience was added to the third-year psychiatry clerkship at the University of Michigan in July 1998. The new program was developed to increase ambulatory time to one day per week and to enhance the educational experience. Students actively participated in evaluation of new patients, conducted group interviews of simulated patients, and observed patients' return visits at the outpatient clinic. Results suggest that more exposure to the ambulatory setting increases medical students' satisfaction with the psychiatry clerkship. Increased experience in the ambulatory setting is critical for medical student education. The present study demonstrates that substantial commitment of departmental resources and time are required to accomplish this goal.

Key Words: Ambulatory Experience • Psychiatry Clerkship

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