title: Practice-based learning and improvement in family medicine student clerkships: a CERA study.
abstract: BACKGROUND
  Practice-based learning and improvement (PBLI) has been promoted as a key component of competency-based training in medical student education, but little is known about its implementation.
  
  
  METHODS
  This project is part of a larger CERA omnibus survey of family medicine medical student clerkship directors carried out from July to September 2012. Analyses were conducted to assess clerkship infrastructure, learner assessment and feedback, and clerkship director perceptions of PBLI curricula.
  
  
  RESULTS
  The majority (69.0%, 58/82) of family medicine clerkship directors reported that PBLI is not included in their clerkship. Significant predictors of PBLI in the curriculum include: regularly scheduled centralized teaching (weekly or more versus less than weekly, OR=1.14, 95% CI=1.01--1.29) and clerkship director belief that students should achieve PBLI competency (agree in competency versus disagree in competency, OR=1.19, 95% CI=1.08--1.30). Few (20.5%, 16/78) family medicine clerkship directors reported that the amount of PBLI in their curriculum is likely to increase in the next 12 months. The duration of the clerkship was a significant predictor of reported likelihood of increasing PBLI over the next 12 months (3 weeks versus 8 weeks, OR=1.23, 95% CI=1.00--1.51).
  
  
  CONCLUSIONS
  Despite increased emphasis on quality improvement activities in practice, most family medicine clerkships do not currently offer PBLI curricula. Additionally, less than one in four family medicine clerkships plan on increasing the amount of PBLI curricula in the next 12 months. Continued research in this area is needed to identify successful models for PBLI curricular offerings.
authors.affiliation: Department of Family Medicine, Indiana University.
authors.forename: Deanna R
authors.initials: DR
authors.lastname: Willis
authors.forename: Ian
authors.initials: I
authors.lastname: Bennett
authors.forename: Betsy G
authors.initials: BG
authors.lastname: Jones
authors.forename: Scott E
authors.initials: SE
authors.lastname: Renshaw
authors.forename: Matthew
authors.initials: M
authors.lastname: Holley
authors.forename: Mary E
authors.initials: ME
authors.lastname: Dankoski
mesh_terms: D002982:Clinical Clerkship / Q000458:organization & administration*; D002983:Clinical Competence; D005194:Family Practice / Q000193:education*; D005260:Female; D006801:Humans; D008297:Male; D018802:Patient-Centered Care / Q000458:organization & administration*; D018794:Problem-Based Learning / Q000458:organization & administration*