2. Context-What is LICD?
• A 48 week clinical teaching model in
which a 3rd year clerk participates in a
continuously-supervised patient-centered,
community-based, general
medical practice engaging with multiple
medical disciplines in the care of patients
during which all Dal clerkship Objectives
are to be met
3. Context
• 2012-13: 3 students at 1 site(Miramichi)
• 2103-14: 4 students at 1 site(Miramichi)
• 2014-15: 6 students at 2 sites(M & URV)
• 2015-16: 12 students at 3 sites(M, URV,
Moncton
6. Challenges
• Geography-distributed sites
• History- recent development of distributed
campuses, 2 languages, relationships
with at least 3 universities.
• NB traditionally more community based,
less academic-very heterogeneous mix
even within NB
7. Opportunities
• Small communities with strong sense of
individuality and civic/professional pride
• LIC brings better opportunity to fulfill
expanding capacity requirements
• Helping Dalhousie U. fulfill its mission to
be socially accountable to the Maritime
Provinces.
• Raising the standard of education and
health care in smaller communities
8. Sequence for Expansion
• Timelines only start once communities
have self-identified and completed a
proposal.
• Grassroots participation and development
essential-needs for champions in sites to
ensure sustainability and success.
• Might take one year for a community to
become ready, might take 10-importance
of their readiness can’t be understated.
9. Sequence
• Resources essential to guide/nurture
proposal development and preparation.
• Once proposal has been developed, 2
parallel developmental streams occur:
1) Central Administrative
2) Local/Community
10. Sequence
• Central- LICD program proposals must be
approved by the curriculum committee
and the Med lll/lV (Clerkship) Committee.
• Should occur at least 1 year prior to
starting the program
11. Sequence
• Local-on the ground preparation for LICD:
-ensure admin support
-fac dev-special attention to longitudinal
nature of LIC, special features of this
curricular delivery, assessment.
-consider local features/strengths.
-consider local challenges
12. Other Considerations
• All sites in 1 province thus far-expansion
to other provinces?
• Can 1 site serve different universities?
Role for parallel LIC’s/shared objectives
• All sites are in small communities-exploring
expansion into an urban model
13. Summary
• In our current Dalhousie reality, we need
at least 2 years to prepare a site for a
community based LIC program
• Creation of a more robust central LICD
administration could accelerate this
process
• Long range plans include addition of more
sites, involving a second undergrad
program (MUN), including urban models
