Longitudinal Integrated Clerkship

We offer an opportunity for our students to be immersed in the whole patient journey on their clinical placements in the Longitudinal Integrated Clerkship (LIC).

This innovative patient-centred clinical placement allows students to follow the same patients over time in varied clinical settings.

What is the LIC?

The LIC allows you to follow patients longitudinally over time, seeing patients through all phases of diagnosis and treatment as they navigate different aspects of their care, including GP surgeries, hospitals and community settings.

This continuity in patient interaction allows you to become truly involved in the patient journey and build long-term rapport, to the benefit of both yourself and patients alike.

You will become part of a multidisciplinary team, developing teamwork skills crucial to being a doctor. This experience enhances your clinical learning and understanding of other roles within each healthcare team.

When does the LIC take place?

You can choose to do the LIC in Year 4 instead of the standard clinical placement rotations.

The LIC is delivered over the full academic year (with up to 32 weeks on placement). There is no difference in term dates to the traditional Year 4 clinical placements.


Where does the LIC take place?

The LIC placement is based in the Hambleton and Richmond area, centred in and around Northallerton.

You will spend on average 3 days a week in a primary care setting, 1 day per week in a hospital setting (mainly at the Friarage Hospital in Northallerton, with some of the experiences taking place at James Cook in Middlesbrough) and 1 day per week undertaking self-directed learning and other learning activities such as educational supervision and pharmacology prescribing and therapeutics.


How is the LIC different to the ‘standard’ Year 4?

The principal difference between the ‘traditional’ year 4 and the LIC is the format of your clinical placement. Rather than rotating around four 8-week clinical blocks, with a rotation change to a new secondary and primary care placement after 16 weeks, you will remain with the same GP practice for the academic year.

You will also spend time in wards, clinics and theatres at the Friarage Hospital as well as some scheduled time in James Cook Hospital to cover learning outcomes that you may not experience at the Friarage Hospital or your GP surgery.


How do the LIC placements work?

The blocks that you would have completed in four rotations in Year 4 will be delivered longitudinally across the whole academic year. The areas covered include:

  • Child health
  • ENT
  • Opthalmology
  • Women’s health (including sexual health)
  • Dermatology
  • Acute care
  • Elderly and neuromuscular (including palliative care)

With the support of your GP tutor, the patients you meet will guide your day-to-day learning. By participating in regular clinics, you will meet patients that will open windows on other conditions and you will be expected to read around the conditions that patients present with.

Meeting these patients, you will develop and refine your skills in formulating a differential diagnosis, understanding the diagnostic process, learning the pathophysiology of the condition and formulating management plans that are patient-centred, taking into account their wishes and social situation.

You will follow some of these patients into hospital when they are admitted (either as an emergency or electively) to help you understand the interface between primary and secondary care and to understand healthcare from the patient perspective.


What is the curriculum and how are students assessed?

You will work towards the same learning outcomes as the existing Year 4 curriculum and be assessed in the same way as students on Year 4 clinical placements.

These learning outcomes will be achieved through the activities and experiences encountered in both community and hospital sessions, some scheduled group sessions in a hospital setting, and with the support of an educational supervisor.

Alongside your clinical placements you will continue your SSIP project, building on the project development work you undertook, now is the opportunity to immerse yourself in the research phase with support from your supervisor. We hope that you find this a rewarding experience, which will help build your CV and could lead to academic publication.

What support is available?

The Hull York Medical School team are here to help, support and guide you.

Just as in Year 3, your main student contact at each placement location is the student liaison team, based at the Friarage Hospital.

Again, as in Year 3, you will continue to have an Educational Supervisor.   However rather than changing supervisor after 16 weeks, you will have same supervisor across the entire LIC year.

In addition to our existing Student Support Team and MB BS Medicine team, you will be supported on a day-to-day basis by the LIC administration and clinical skills teams based at the Friarage Hospital and James Cook Hospital.

What is the area like?

The Friarage Hospital, Northallerton is part of South Tees Foundation Hospitals NHS Trust. Northallerton GP Training Programme is part of the Yorkshire and the Humber Deanery School of Primary Care based at the Friarage Hospital, Northallerton.

Northallerton, the county town of North Yorkshire, is a very pleasant market town in the northern part of the Vale of York, between the North York Moors and the Dales. Northallerton has a variety of national retailers mixed with local independent or regional retailers – and is home of the famous Betty’s tea rooms.

There are excellent recreational facilities and it is within easy reach of the urban centres of York, Leeds, Teesside and Newcastle. The town is on the main London to Edinburgh railway line and has services to Thirsk, Middlesbrough and Darlington.

Travelling by car is easy too. Northallerton is approximately five miles from both the A1(M) and A19. Durham Tees Valley, Newcastle and Leeds Bradford airports are all easily accessible too.

The Northallerton area is semi-rural and the GP practices are spread over quite a large area. Commuting is relatively simple and all of the practice involved with the LIC in 2019/20 are within 20 miles of the Friarage.

We hope that you will take opportunities to experience all that this beautiful region of North Yorkshire has to offer during the course of the academic year.

What accommodation is available?

Students will be provided with NHS accommodation, based at the Friarage Hospital.