Longitudinal Integrated Clerkship

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About the Program

The Longitudinal Integrated Clerkship takes place over a 12‐month period and includes practical exposure to several clinical areas: Surgery, Inpatient and Outpatient Internal Medicine, Neurology, Psychiatry, Family Medicine, Pediatrics, and Obstetrics & Gynecology. The LIC also includes bridge weeks between clinical rotations that include instruction in a variety of specialized topics and skills, which include patient safety, palliative care, global health, complementary and alternative medicine, and pharmacology.

Students accepted into this competitive clerkship build their clinical experiences over the duration of the entire clerkship rather than in individual thematic blocks. This curriculum structure gives students the opportunity to follow specific patients throughout their entire treatment, thus requiring strong multitasking skills and a ‘big picture’ outlook in considering patient care. To complete an LIC, you may choose between the Central Vermont Medical Center in Berlin, Vermont or the Hudson Headwaters Health Network in northern New York. Each environment blends the best of traditional academic medical centers with community health care. Larner College of Medicine faculty supervise all clerkships.

With primary care physicians as preceptors, and a primary care health center as a home base, each student becomes a key member of an interdisciplinary team providing comprehensive care to patients.  In addition, students will be assigned to clinical faculty preceptors in surgery, OB/GYN, neurology, pediatrics, and psychology.  Through these experiences, students progressively develop a panel of patients to satisfy all required clinical encounters for the clerkship level.  Scheduled weeks at the local hospital, i.e. Central Vermont Medical Center, Champlain Valley Physician Hospital, or Glens Falls Hospital, give students the necessary inpatient experiences.

The primary care practices are affiliated with one of the following locations:

  • Central Vermont Medical Center, member of the University of Vermont Health Network, based in Berlin, Vermont.
  • Hudson Headwaters Health Network, a University of Vermont Health Network affiliate site headquartered in Queensbury, New York.

Interested students need to complete an application, be in good academic standing, have an interest in rural medicine, enjoy autonomy, have the maturity to work independently, display resiliency, have an interest in the participating in the community, and an interest collaborating with faculty to improve the student experience.

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About Hudson Headwaters


Hudson Headwaters Health Network is a not-for-profit system of 17 community health centers providing care to residents and visitors of the 5,600 square miles of rural upstate New York. The Longitudinal Integrated Clerkship sites are located in Fort Edward, Moreau, Warrensburg and Queensbury, NY. 

As well as being the sole provider of care in many communities, Hudson Headwaters also provides care in seven sub-acute and acute rehabilitation centers as well as Champlain Valley Physician Hospital and Glens Falls Hospital. The primary care health centers are designated as Level 3 Patient-Centered Medical Homes.

Operations are funded from patient service revenue and grant sources, most significantly a Federal Section 330 Rural Health Initiative award from the U.S. Department of Health and Human Services.  Hudson Headwaters provides care for everyone in the communities it serves regardless of financial or social circumstances. Hudson Headwaters serves 1,000 patients every day, and in 2018, served 381,631 patients. 

About Central Vermont Medical Center

UVM Health Network - Central Vermont Medical Center (CVMC) is a hub for regional health care delivery. The 122 licensed bed hospital serves a population of 66,000, and employs nearly 1,400 people across thirty departments. More than 25,000 patients are seen annually in CVMC's Emergency Department and more than 164,000 outpatient visits, including over 3,000 outpatient surgeries are provided. The Medical Center has a medical staff of nearly 135 physicians, nurse practitioners, and physician assistants representing a wide range of primary and specialty services. Care is also provided at twenty three clinics and local practices, and two ExpressCare facilities, and Woodridge Nursing and Rehabilitation. 



West Mountain Health Services
Queensbury, NY


Warrensburg Health Center
Warrensburg, NY

Central Vermont Medical Center

Central Vermont Medical Center
Berlin, VT

More about LIC Clerkship Sites