The Comprehensive Community Clerkship (CCC) refers to a model of clinical education and training for medical students which occurs in the third year medical school curriculum. This model is referred to generically as a Longitudinal Integrated Clerkship. During the CCC major generalist clinical specialties and their objectives are learned in parallel, rather than in separate “silos.” The CCC is a 6 month (24 week) clinical experience based in a rural or urban community. Students are based in primary care practices as an immersion experience. That is, they live in and experience the communities to which they are assigned. Rather than learning the major generalist specialties of medicine in separate rotations, the learning experiences are integrated based on the practices in which the students are assigned. The CCC is based upon specific learning objectives from each of the major generalist disciplines including obstetrics/gynecology, surgery, psychiatry, pediatrics, internal medicine and family medicine. During the CCC, students assigned to a single primary care provider (usually a family or internal medicine physician), where they will share in the provision of care of both acute and chronic conditions over the course of the clerkship. Students are expected to follow patients that they have seen in the primary practice as they are referred to other specialists for further care. This provides students with an opportunity to follow the course of a patient’s illness and to understand the context in which the patient lives in their community. This continuity of care opportunity is an important core principal in the CCC.
As a longitudinal integrated clerkship, the CCC aims to prepare students to work in rural and urban underserved areas. This is accomplished through experiences in various areas of healthcare within communities across Michigan and Northern Ohio. The partnerships with hospitals and clinics
alike are vital to this mission.