Practice Management Book

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Medical Precepting

Aka: Medical Precepting, Teaching Medical Students, Teaching Medical Residents, Preceptorship
  1. Approach
    1. Help students understand the rotation
      1. Distribute a written overview at the start of the rotation (and review with students)
      2. Include focus areas, core concepts and expectations
    2. Learn about the students
      1. Career goals
      2. Prior rotations and experiences
      3. Specific topics of interest (might lead to presenting a paper or short presentation during rotation)
      4. Student's Perception of their strengths and the areas they need to improve
    3. Give feedback throughout the rotation
      1. See the one minute preceptor below
      2. Give short, specific feedback each focused on a single teaching point for a few minutes daily
      3. Reinforce positive habits
      4. Final evaluation should reflect the cummulative feedback given during the rotation
    4. Treat Students as Colleagues
      1. Share how do you balance your work and life
    5. One Minute Preceptor
      1. Student commits to a diagnosis or clinical syndrome ("What do you think is the cause?")
      2. Student presents supporting evidence ("Why do you think this is the cause and what was your DDx?")
      3. Teach General Rules that apply to the specific diagnosis (core concepts, pearls, or strategies)
      4. Reinforce what was right
      5. Correct mistakes
    6. Distribute the teaching (for the student's experience and for the preceptor's time)
      1. Medical residents Teaching Medical Students
      2. Following the patient's care with a consultant (e.g. surgery of an emergency department patient)
      3. Shadowing another provider to see a patient with an interesting presentation
      4. Experiencing the front desk, nursing triage, rooming of patients, lab, imaging
  2. Resources
    1. One Minute Preceptor (Dr. Margaret Dow, Mayo Clinic)
      1. https://www.youtube.com/watch?v=eRBdfXRj5N0
    2. 1 Minute Preceptor: Precepting Medical Students (Dr. Michelle Rodriguez)
      1. https://www.youtube.com/watch?v=Ry8ScYl2Q0c
    3. Tips To Being an Effective Preceptor (Dr. Paul Paulman)
      1. https://www.youtube.com/watch?v=tItnc733G4E
  3. References
    1. (2022) Presc Lett 29(7): 41

Preceptorship (C0032929)

Definition (MSH) Practical experience in medical and health-related services that occurs as part of an educational program wherein the professionally-trained student works outside the academic environment under the supervision of an established professional in the particular field.
Concepts Educational Activity (T065)
MSH D011231
English Preceptorship, Preceptorships, preceptorships, preceptorship
Swedish Praktik under handledning
Czech odborný výcvik
Finnish Terveydenhuollon työharjoittelu
Russian NASTAVNICHESTVO, НАСТАВНИЧЕСТВО
Polish Preceptorship
Norwegian Praksisopplæring, Utplassering
Spanish Preceptoria, Tutoria
Portuguese Preceptoria, Tutoria
French Stage pratique encadré, Stage pratique en milieu professionnel, Stage pratique guidé
German Berufsausbildung, praktische
Italian Specializzazione sotto supervisore
Dutch Medische stage
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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