title: Challenges in transformation of the "traditional block rotation" medical student clinical education into a longitudinal integrated clerkship model.
abstract: BACKGROUND
  Longitudinal integrated clerkships (LIC) in the first major clinical year in medical student training have been demonstrated to be at least equivalent to and in some areas superior to the "traditional block rotation" (TBR). Flinders University School of Medicine is starting a pilot changing the traditional teaching at the major Academic Medical Centre from TBR to LIC (50% of students in other locations in the medical school already have a partial or full LIC programme).
  
  
  METHODS
  This paper summarises the expected challenges presented at the "Rendez-Vous" Conference in October 2012: (a) creating urgency, (b) training to be a clinician rather than imparting knowledge, (c) resistance to change.
  
  
  RESULTS
  We discuss the unexpected challenges that have evolved since then: (a) difficulty finalising the precise schedule, (b) underestimating time requirements, (c) managing the change process inclusively.
  
  
  CONCLUSIONS
  Transformation of a "block rotation" to "LIC" medical student education in a tertiary academic teaching hospital has many challenges, many of which can be anticipated, but some are unexpected.
authors.affiliation: School of Medicine, Flinders University, Bedford Park, South Australia and Darwin, Northern Territory, Australia.
authors.forename: William
authors.initials: W
authors.lastname: Heddle
authors.forename: Gayle
authors.initials: G
authors.lastname: Roberton
authors.forename: Sarah
authors.initials: S
authors.lastname: Mahoney
authors.forename: Lucie
authors.initials: L
authors.lastname: Walters
authors.forename: Sarah
authors.initials: S
authors.lastname: Strasser
authors.forename: Paul
authors.initials: P
authors.lastname: Worley
mesh_terms: D001315:Australia; D002982:Clinical Clerkship / Q000458:organization & administration*; D004059:Diffusion of Innovation; D004504:Education, Medical, Undergraduate / Q000458:organization & administration*; D016730:Program Development / Q000379:methods*; D018511:Systems Integration