title: Comparison of third-year student performance in a twelve-month longitudinal ambulatory program with performance in traditional clerkship curriculum.
abstract: BACKGROUND
  The Yankton Ambulatory Program is the oldest 12-month, integrated, longitudinal, ambulatory third-year curricular model in medical schools in the United States and Canada. Students in this program do not complete any clerkships in traditional block schedules.
  
  
  OBJECTIVE
  Compare performance of students from the Yankton Ambulatory Program with students from traditional clerkships at the same institution.
  
  
  METHODS
  Mean scores on three shelf examinations (Internal Medicine, OB/GYN and Surgery) all taken three times during the year (October, March and June) were compared between Yankton Ambulatory Program students and students from traditional clerkships.
  
  
  RESULTS
  No significant statistical differences were found between Yankton Ambulatory Program students and students from traditional clerkships. There are indications that students in the Yankton Ambulatory Program show a steady increase in fund of knowledge throughout the year with better information retention.
  
  
  CONCLUSIONS
  Performance on national shelf board examinations among students in longitudinal programs is equal to performance of students in traditional programs. There also appears to be better retention of knowledge among students in longitudinal programs.
authors.affiliation: Sanford School of Medicine, The University of South Dakota, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Hansen
authors.forename: Edward
authors.initials: E
authors.lastname: Simanton
mesh_terms: D000553:Ambulatory Care; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D013502:General Surgery / Q000193:education; D006176:Gynecology / Q000193:education; D006801:Humans; D007388:Internal Medicine / Q000193:education; D009774:Obstetrics / Q000193:education; D015397:Program Evaluation; D013023:South Dakota; D013337:Students, Medical