Despite recent major changes in the practice of medicine there has been relatively little change in medical education, particularly in the clinical years.importent areas such as ethics, domestic violence, nutrition, preventive medicine and clinical decision making have been neglected in the currilculam, However, in 1994 the UCLA School of Medicine began to implement Doctoring III multidisciplinary centralized, longitudinal course that spans the third year of mcdical school, This course addresses many underrepresented topics. Students spend one day every other week in Doctoring III. Half of the day is spent in community-based clinical sites and the other half is spend in small-group teaching sessions, In the small groups, students and faculty follow and manage a panel of simulated patients over the course of the year The student; thus have the opportunity to develop a sense of the progression of common illnesses over time arid to explore related ethical. social, and other concerns. The approach taken in Doctoral; III has enabled the UCLA Suhod of Medicine to overcome many barriers to curricular change, and it may serve as a model for incorporating the teaching of underrepresented topics in the clinical years.
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