The Longitudinal Integrated Model

  1. Goal
  • To train final-year students continuously for a year on a secondary and/or primary health service platform in a rural environment.
  • To motivate students to practise in rural areas on completion of their studies


  1. Guidelines with which the model must comply

During a work seminar in March 2009 in which foreign experts in the field of Rural Clinical Schools participated, the following 10 guidelines were adopted:

  • Recruit students from rural areas and teach students in rural areas to encourage future retention
  • ‘Teach where the patients are’ to ensure relevant exposure to the burden of disease and practical experience
  • Enable continuity with patients for better learning
  • Enable continuity with the mentor for better guidance and supervision
  • Enable continuity with a specific community for better service orientation and contextualization of health problems
  • Catalyze research in a rural context as the research base is limited
  • Support i inter-professional learning to foster teamwork
  • Make use of IT solutions to overcome geographic distances
  • Promote a community orientated approach / community engagement / sense of responsibility for a defined population
  • Enable longer exposure to the district health system so that service learning becomes a win-win for both students and the community