Leadership and Population Health Training


Student and patient Student and patient


Pre-Orientation In July, Year 1

2 ½ days of bonding as a team, risking, visioning, self-care

The leadership curriculum begins as a 2 ½-day pre-orientation late July prior to matriculation.  Students participate in activities to promote risk-taking, to encourage commitments to self-care, and to develop team identity.  We use the Everything DiSC TM workshop for students to learn their personal leadership styles and to learn how to interact with other leadership styles.  During the pre-orientation PCLT students also learn basic team skills such as giving and receiving feedback.

Year 1


Team meetings for reflection and planning


Dinner discussions on leadership and population health issues
Population health topics in some team meetings

Once a semester 

Community service project chosen by the team

Once in spring

Self and peer evaluation on leadership skills

In the first year, PCLT students take turns leading weekly team meetings.  Students reflect on self-care commitments.  They discuss leadership and team skills that they practice in their PCLT team and in other teams, such as small groups for anatomy or for team-based learning.  They also take turns leading the planning and implementation of a monthly dinner discussion on a topic of their choosing.  The first year PCLT team works together to select and complete both a fall and spring service project in the Durham community.  Population health topics will be presented and discussed.  In the spring, students will complete a self evaluation as well as peer evaluations of leadership skills.   Students will receive their individual results for feedback purposes.

Year 2                                  

Longitudinal Integrated Clerkship

Opportunities to create Individualized Learning Activities

Primary Care Seminar

Peer Teaching

Orientation to the Durham Community

Introduction to agencies/ departments serving underserved health care needs. 
Leading change lectures.

Community  service

Once a week during LIC; individual choice

QI project

At one continuity clinic

During the LIC in the second (clinical) year, PCLT students meet weekly in a mentored seminar (Primary Care Seminar) and practice teaching each other.  The LIC affords some flexibility for students to meet their educational needs in individualized ways.  The freedom afforded to PCLT students encourages students to take a leading role in their learning.  Students function as a team and provide support and encouragement to help maximize the clinical experience.  Students have offered tips for how to work with residents, facilitated an OB “boot camp,” and shared their self-directed experiences at clinical sites outside the required placements such as Pulmonary Clinic and the ICU.

Population health training continues with an Orientation to the Durham community of groups focused on addressing unmet health care needs.  Population health lecture discussions continue.  Each student will serve longitudinally a community team of their choosing. 

Each student will work with one of their longitudinal clinics to complete a QI project.

Year 3                                                       

Population Health Research

With Stakeholder engagement. 
Options for second degree, like MPH, MPP, MBA

Individual coaching

To enhance personal effectiveness

Leadership elective opportunities

PCLT leadership coach for year 1 students
Schweitzer Fellowship
Chancellor’s Service Fellowship
Primary Care Seminar instructor
Other community volunteer activities

Presentation of research

Some travel funding available

The main focus of third year is scholarly activity.  PCLT students will complete a population health improvement research project, ideally with stakeholder engagement.  There is also opportunity to earn a second degree, such as an MPH, MPP, or MBA, etc.

During the third year, all PCLT students get one-on-one coaching to improve self-efficacy.  In addition, select PCLT students serve as leadership coaches for first-year PCLT students in their weekly meetings.  These third-year student coaches meet regularly with the PCLT director for guidance on how to coach the first year team.  In this process students learn important principles of group dynamics and team leadership.  There is also opportunity to be an instructor in the Primary Care Seminar.

Year 4                                                     

Presentation of research


Lead Certificate 

Opportunity to complete the requirements for the SOM

During the fourth year, devoted mostly to clinical electives, PCLT students can complete the LEAD leadership certificate, if they have not already done so.  They will present their research on Primary Care Seminar to inspire junior PCLT students.