Posted: April 2, 2020

A Fourth-Year Medical School Rotation in Quality, Patient Safety, and Population Medicine


This article describes a 4-week, team-based, rapid-cycle quality improvement project within a required rotation for fourth-year medical students at the Loma Linda University School of Medicine. The goal of this medical school curricular innovation is to provide hands-on, experiential learning in full-cycle, population-based care. Evaluation results from 2008-2010 are included. This article is part of the October, 2011 Supplement to the American Journal of Preventive Medicine, "Patients and Populations: Public Health in Medical Education." The supplement is based on the September 2010 conference of the same name that drew more than 190 medical and public health educators and public health practitioners from the U.S. and Canada. Publication of the Supplement was supported by the cooperative agreement between the Centers for Disease Control and Prevention (CDC) and the Association of American Medical Colleges (AAMC).


Wayne Dysinger, MD, MPH, Loma Linda University School of Medicine
James Pappas, MD, MBA, Loma Linda University Medical Center

Learner Audience

Undergraduate Medical Education (UME)


Systems Based Practice

Resource Type(s)

Distance Learning - Asynchronous

Instructional Method(s)



Public Health, Population Health, Patient Safety, Preventive Medicine, Journal Supplement, Centers for Disease Control and Prevention, Healthcare quality improvement