Advancing Rural Generalist Training: The Northern Regional Integrated Clerkship, a Blended Longitudinal Integrated Clerkship Innovation in Northern British Columbia
Bibliographic record
Abstract
The Northern Medical Program (NMP) is the most rural site of the University of British Columbia's distributed medical school. Situated in northern British Columbia, Canada, the NMP strives for health equity by training physicians to meet the needs of northern, rural and Indigenous patients with innovative approaches to curriculum delivery which maintain comparability to the rest of the program and alignment with the assessment structure. Medical schools have a social accountability mandate to train physicians to serve the needs of rural and Indigenous peoples, to address the challenges of rural recruitment and retention, and to eliminate health inequities. Here we describe the creation of a new blended clerkship which places students in a small rural community for a 6-month longitudinal integrated clerkship and in a small urban community for a 6-month rotational clerkship. This new clerkship provides a unique opportunity for learners to learn and experience rural generalist medicine while meeting the accreditation standard of comparability. Early implementation has shown promise in enhancing rural medical education while maintaining curricular comparability, with positive reception from students and faculty.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".