FOR PRECEPTORS
1. Thank you for taking on this five week, core teaching role!
2. You will meet with your group of 3-5 students, in two-hour sessions; twice a week (may be only once during the first and last weeks depending upon other activities.
3. Session format: As an educator you have flexibility here, but in general students practice and critique each others’ oral patient case presentations, discuss interpretation of data and basic patient management, do mini-talks for each other on medical topics of interest, and—most popular-- practice history and physical exam skills at patients’ bedside. Perhaps 25-50% of your time should be spent on such “field trips”. You can also give brief talks but group sessions should NOT be lecture series. FOR YOUR FIRST SESSION WE ASK YOU TO REVIEW THE CONCEPTS OUTLINED IN THE 'FIRST PRECEPTOR SESSION' POWERPOINT WHICH COMES WITH A PRECEPTOR GUIDE AND A STUDENT HANDOUT VERSION IF YOU WANT TO DO ON PAPER INSTEAD OF SLIDES. SEE YOUR SITE DIRECTOR FOR DETAILS.
Other ideas:
- When you go to the bedside, consider having one student to the HPI, a second do a focused physical, and a third do the differential diagnosis (=keep it interactive, ensure all paying attention)
- Your hospitalist group or other inpatient colleagues may be able to suggest patients with good physical exam findings (in addition to ones that your students may be following)
- Take advantage of your facilities medical simulation center to practice heart murmurs, other clinical scenarios
- Go on a field trip to PFT lab or a clinical laboratory (sputum gram stain, urine sediment, blood smears, etc)
- Do an interactive NEJM case together http://www.nejm.org/doi/full/10.1056/NEJMimc1302497
You can get materials from the Clerkship Site Director at your hospital. PLEASE send YOUR group activity ideas and materials for us to share with other hospitals by sending to William.kelly@usuhs.edu
Other resources:
Click here for public clerkship site including a video on R.I.M.E Grading
FORM the students will complete on YOU at the end of the rotation
4. Buy the end of weeks #1, 2, and 3, your students will submit a patient “Write-up” (=history and physical along with a 2-4 page assessment with at least three references). This will be entered into our Sakai site by Sunday Midnight AND emailed to you (so you do NOT have to go into out Sakai site). This has a detailed template with instructions for you and them.
5. You must review and provide timely feedback on each of these Write-ups. The intent is to be as constructive as possible. You can track changes in Word to edit it and provide comments at the end. Importantly, embedded in their write-up template at the end is the “MEDICINE CLERKSHIP PRECEPTOR H&P EVALUATION FORM” for you to complete. Then you just email it back to the student AND cc us at medicinewriteups@gmail.com.
6. Week 5 the student will turn in EITHER an Art Reflection Paper OR a Geriatrics Home Visit Paper (depends on students place in the clerkship cycle) by midnight Wednesday. There is a single-page evaluation form for you incorporated into the end of each file the student will email you. When you email the students special assignments back to the students remember to again also cc: medicinewriteups@gmail.com.
7. You will meet with the Clerkship Site Director around the midpoint and then again at the end of the 5 week period to provide verbal feedback on your students and complete an evaluation form... But don’t hesitate to contact him/her as soon as you discover any student deficiencies or concerns!
8. If your student is completing their first 5-weeks, they will ask for your help completing a "Feedforward" form with you. This is to ensure the progress you have made together continues with the NEXT 5-week Preceptor.
When you have questions, comments, or concerns, please contact your Site Director or me at william.kelly@usuhs.edu 240-753-5689