Administering a Rural Longitudinal Integrated Clerkship Across 5 US States

This article illustrates the administrative structure that has evolved to support a multistate longitudinal integrated clinical clerkship (LICC) experience. In 1996 the University of Washington School of Medicine created the WWAMI Rural Integrated Training Experience (WRITE), a five-month rural continuity based LICC experience. WRITE students spend five months in a rural immersion experience with a primary care preceptor. During this time students form continuity based relationships with patients and preceptors, which allows students to develop skills and knowledge required to treat the broad range of medical, surgical, and psychosocial problems found in rural communities.