Longitudinal Integrated Clerkship


The Longitudinal Integrated Clerkship (LIC) track is a second-year clinical curriculum alternative to the traditional clerkship model that allows students to experience healthcare through a patient-centered design. Students follow a large cohort of patients longitudinally throughout their second year of medical school and have opportunities to explore all the major clinical specialties.

Learn more about the LIC curriculum here.

Hear from Students

Jennifer Chang

Before I finalized my decision to go to Duke, I learned about the unique opportunity provided by the LIC to connect with patients and mentors. I applied for the program as a way to have greater control over my second-year experience. Outside the constraints inherent to the standard clinical rotation curriculum, I found that I was able to dive deep into my specific areas of interest while gaining an appreciation for every clinical setting. The LIC training model, much like an apprenticeship, allows your preceptors to become invested in your long-term success. I am grateful for these relationships, as well as the compassionate community that we have built to support each other along our medical training journeys. Joining this family is truly one of the best decisions I have made, and I feel confident that each of us has grown tremendously through our participation in the LIC. -Jennifer Minjia Chang LIC 2019-20

Shannon Coats

The patient experiences I have had within LIC have been incredibly humanizing, full of gratitude, and challenged me to meet each patient where they are over time. It is of great value to be a small part of these patients’ lives and see some of the changes they go through in the experience of life, both personally and in the context of medical care, shaped by an interplay of intrinsic and extrinsic factors. These experiences have also given me insight into the constraints and frustrations patients experience in the realm of medicine, as well as how a solution needs to be reached that is both efficacious and applicable in a patient’s life. Being in LIC has also significantly shaped my career trajectory as it allowed me to explore various facets of multiple specialties I was interested in, giving me a more comprehensive and sophisticated understanding of what specialty I wanted to pursue. -Shannon Coats LIC 2019-20

Elana Horowitz

Going into second year, I had no idea which specialty I wanted to pursue. With the LIC curriculum, I was really able to dig into the specialties that were spiking my interest in real time, scheduling clinic days with preceptors in various departments and subspecialties as my experiences shifted my curiosity. Having the freedom to investigate my interests as the year progressed really helped elucidate what I’m looking for in my future career as a physician, and I learned a lot along the way. -Elana Horwitz LIC 2019-20

Megha Gupta

I would say that LIC has doubtless been educationally valuable to me, in particular the mentorship and guidance it’s offered throughout clinical year. The support from preceptor mentors, older LIC students, and the mentorship model built into LIC has made this year one that has felt very supportive in the med school crucible of clerkship year. Although we’ve had to stay on top of a lot of things, I’ve found that it’s been particularly beneficial in the era of COVID19, too, in that we’ve had really meaningful long-term clinical education for clerkships before we were pulled from the wards. While our experience was certainly not “typical,” no one’s was and I felt particularly secure in my prior clinical experiences. If only for the relationships that I’ve been able to form this year alone, I’d say LIC has been a huge boon to my career development. -Megha Gupta LIC 2019-20

Monica Bodd

LIC gave me an appreciation for the patient as a person. LIC completely changed my trajectory, and helped me pick a specialty I would have not otherwise had exposure to. LIC presented ample opportunity to develop strong mentor relationships that I will surely carry forward. -Monica Bodd LIC 2019-20

Jennifer Tu

The months of longitudinal integrated clinics, building a panel of patients who would be representative of each specialty, may have been the only chance I’ll have to follow patients across disciplines. I believe that the experience allowed me to see them more as people, whole and with a complex intersection of needs. I also got to witness how care was given across a variety of settings, including a significant amount of time in interdisciplinary clinics like the Perioperative Senior Health Clinic and Eosinophilic Esophagitis Clinic, giving me a fuller picture of how to collaborate effectively and build a system that centers around the patient. I wonder whether there will be space for such personal connection and flexibility as a physician, as I learn to create and keep “professional” boundaries. I’m hopeful there will be. -Jennifer Tu LIC 2018-19

Christine Ha

LIC was such a formative experience that will impact how I provide patient care as a physician. Learning at various clinical sites each day allowed me to appreciate healthcare from a patient's perspective, especially patients with multiple specialty doctors. LIC also allowed me to explore the roles of healthcare providers with degrees other than an MD, such as oncology PAs, audiologists, FNPs, CRNAs, dietitians, and more. And finally, the flexibility in creating my own schedule during LIC allowed me to learn in settings I truly enjoy, from preceptors who are invested in my education. -Christine Ha LIC 2018-19 

Ravyn Njagu

I absolutely loved LIC. I thought it gave me a unique opportunity to develop really good relationships with my preceptors as well as my patients. Additionally, I found it really useful to be able to kind of create your own curriculum in a way, as you were able and encouraged with the flexibility of our schedule to explore other specialties that are traditionally offered. LIC really helped me gain more insight into the patient experience and compassion that I hope to carry forward as I transition to residency.  As far as applying for residency, the conversation seldom came up on the interview trail and, if so, I brought it up to highlight my patient experiences. Overall, LIC was a great experience for me and I do not feel as though my experience was less than my classmates who completed the traditional curriculum. The program continues to improve so I have no doubts that it will only get better each year. -Ravyn Njagu LIC 2017-18

Andrew Barbour

The flexibility and patient-centeredness of the LIC allowed me to gain a deep appreciation for the totality of the patient-care experience while allowing me to organically discover my future specialty. -Andrew Barbour LIC 2017-18