• Bruce L Henschen, Sara Shaunfield, Blair P Golden, Lauren A Gard, Jennifer Bierman, Daniel B Evans, Diane B Wayne, Elizabeth R Ryan, Monica Yang, and Kenzie A Cameron.
• Departments of Medicine and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. b-henschen@northwestern.edu.
• J Gen Intern Med. 2022 Feb 1; 37 (3): 608614608-614.

BackgroundLongitudinal clerkships provide students with meaningful clinical care roles that promote learning and professional development. It remains unclear how longitudinal primary care clerkships inform students' perceptions of primary care.ObjectiveTo explore perceptions of primary care among medical students enrolled in longitudinal primary care clerkships.DesignQualitative, semi-structured interviews with medical students over 4 years.ParticipantsThirty-eight medical students participated at baseline; 35 participated in a 2-year follow-up interview; 24 participated at 4 years. Each student was enrolled in one of two longitudinal primary care clerkships: a team-based Education-Centered Medical Home (ECMH) or a one-on-one individual preceptorship (IP).ApproachDe-identified interview transcripts were analyzed using a process of open and axial coding, followed by elaborative coding for longitudinal analysis. Codes were compiled into a set of themes and compared across time periods and between clerkships.Key ResultsStudents reported that primary care serves as a first point of contact, emphasizing longitudinal care with a wide scope of practice and approaching patient care with a biopsychosocial perspective. Student perceptions of primary care greatly expanded over the course of 4 years: for instance, initial perceptions of primary care physicians evolved from "passive gatekeeper" to a more nuanced "quarterback." Students in ECMH, whose clerkship provided more opportunity for patient continuity, further reflected on the relationships they themselves developed with patients.ConclusionsRegardless of their eventual specialty choice, longitudinal experiences may aid all students in fostering a sense of the broad scope and importance of primary care. However, without numerous opportunities to witness continuity of care, students may perceive primary care as having limited scope and importance. Longitudinal clerkships, emphasizing continuity with patients and preceptors, may foster in students a broad and nuanced perspective of the scope of primary care as a field.© 2021. Society of General Internal Medicine.

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