Learning Communities in Medical Education: Impact, Integration, and Best Practices.

Learning communities (LCs) are longitudinal, relationship-centered structures that foster belonging, mentorship, and collaboration across diverse educational settings. This monograph focuses on LCs in undergraduate medical education (UME), summarizing their structures and models; evidence for effects on the learning environment, advising, well-being, and clinical skills; and practical strategies for implementation. We outline common elements of learning communities across the UME spectrum, including protected small-group time, curricular integration, and structured reflection. We then present the Vanderbilt Colleges as a case study demonstrating these design principles in practice. A checklist, pitfalls, and research priorities are offered to support adoption and continuous improvement.