Table 1.

Description of SCOPE Curriculum

Program Component	Format	Educational Strategies	Evaluation
Year 1 and 2 students
Clinical skill education	Workshops Didactics	Sessions lead by faculty and senior students with hands-on practice (e.g., writing notes, giving oral presentations, motivational interviewing) Sessions lead by subject experts on relevant primary care education topics (e.g., treatment adherence, unconscious bias, health literacy)	Students provide feedback on each individual workshop and on end of course evaluations
Continuity clinic experience	8 half-day visits in assigned continuity clinic	Students take increasing responsibility for patient care and aid in clinic flow (e.g., taking histories and performing physical exam maneuvers, rooming patients, taking vitals)	Faculty provide in person feedback on student performance
Knowledge application	8 written assignments	Assignments accompany each clinic visit and include H&Ps, reflective essays, and guideline research	Faculty provide written feedback on assignments
Year 3 students
Clinical skill education	Monthly workshops Quality improvement projects	Interactive workshopsled by subject experts on relevant primary care education topics (e.g., working with translators, motivational interviewing, social determinants of health) Students work in groups on a quality improvement project at their continuity clinic, from inception to completion	Students provide feedback on each individual workshop and on end of course evaluations
Continuity clinic experience	One half day/week in assigned continuity clinic	Students become primary provider for patients and perform all aspects of care (e.g., performing a history and physical, developing an assessment and plan, presenting to faculty, writing notes, following up on labs and referrals)	Faculty provide in person feedback on student performance Faculty complete 9 feedback cards on specific clinical skills
Knowledge application	12 written assignments	Assignments accompany each monthly workshop and alternate between H&Ps, reflective essays, learning issues, and quality improvement project updates	Faculty provide written feedback on assignments
Year 4 students
Continuity clinic experience	10 half-day visits in assigned continuity clinic	Students continue to follow their established patients on an ad hoc basis	Faculty provide in person feedback on student performance
Knowledge application	8 written assignments	Assignments shift in focus towards skills needed for residency, include peer chart review, mentoring activities, and clinic administration observation	Faculty provide written feedback on assignments