Patient-Centered Primary Care Curriculum

Office of Rural and Underserved Programs

Continuity in Primary Care Mini LIC (Longitudinal Integrated Clerkship)

This clerkship is an introduction into real medical practice allowing students to develop continuity with a preceptor, a practice, and with a panel of patients over one academic year.  Students enrolled in the LIC perform a required one month third year family medicine clerkship in a LIC office site in July.  After this students begin normal clerkship block rotations.  For the remainder of the year they spend one half day per week in their LIC office site.  Students are excused one half day from their regular clerkship rotation in addition to their normal half day of self-education time allotted. 

During their LIC experience students develop their own “mini-practice.”  They gradually acquire 50-75 patients they follow both in the inpatient and outpatient arenas over the age, gender, diagnosis spectrum of family medicine.  Students have their own schedule in the office and also have at least one home visit patient.  During the year students have the opportunity to identify a quality improvement activity in the practice site, develop an improvement strategy, and implement the changes.  Students also spend their required two-week family medicine clerkship at the same LIC site.  

Scott Anzalone MD, director of longitudinal integrated clerkships (LIC), working with the Office of Clinical Education and clinical campus APA’s, is expanding the Continuity in Primary Care miniLIC (previously “Rural LIC”) from five students each of the last two years to 20 students in 2019- 2010. 

For more information contact Scott Anzalone, MD FAAFP,  Director Longitudinal Integrated Clerkships, Lecturer/Clinical Associate Professor Family Medicine at  anzalons@ohio.edu

Click the button below to hear students talk about thier LIC experience.

Lic Video

Ohio map showing student placement

Open Book Project - A Narrative Medicine Program for Social Justice and Inclusion

Open book logo We all have stories. Stories about our lives, our families, our illness, our profession. In medicine, stories offer a way to understand patients by offering a window into "the person that the disease has."

The Open Book Project is a year-long pilot course dedicated to improving participants’ narrative medicine skills while exploring issues of social justice and inclusion. Narrative medicine is a burgeoning field that provides techniques and strategies for professionals to harness the power of stories in clinical encounter. It is important for student doctors to develop humanistic skills, such as empathy and perspective taking. Through the process of close reading, radical listening and expressing our own stories, narrative medicine facilitates relationship building and a deeper understanding of physicians and patients alike. 

Students who choose to participate in The Open Book Project will join a small group of fellow students and two facilitators twice a month to examine a piece of narrative work (think: paintings, lyrics, poems, short stories, etc.) and engage in the practices of narrative medicine including close reading, radical listening, and reflective writing. The sessions will run 90 minutes in length over the lunch hour and will require little preparation. Just come ready to be an active participant and “respectful and humble witness.”

The objectives of The Open Book Project are to:

  1. Learn what narrative medicine is and how to think narratively. 
  2. Develop and practice skills of narrative medicine including close reading, radical listening, reflective writing.
  3. Explore different ideologies and worldviews using a narrative approach.
  4. Apply a narrative lens/framework to complex issues of social justice, inequities, and disparities.
  5. Reflect on applying narrative approaches to interpersonal and clinical relationships. 

Click here to read a recently published article written by the Open Book Project team.

  OBP article