Quick Start Guide for Effective Precepting: Roadmap for Rotations

Introduction and Context This module is intended to be used to clarify the timeline and framework for LUCOM’s standard 4-week rotation block. Due to variations between practices and settings, preceptors are encouraged to develop a plan that integrates students into their existing workflow.

Rotation Timeline Start of Rotation Midpoint End of Rotation 1 Week Prior First 2 Weeks of Rotation Second 2 Weeks of Rotation

What Should Happen 1 Week Prior to Start Students should contact preceptor’s office to verify: Where to show up on first day Who to report to on the first day What time to arrive Anything they should review prior to showing up

Suggestions for 1st Day of Rotation Preceptor or Point of Contact: Meets the student at the office Provide a brief orientation Outline preceptor-specific expectations Clinic workflow Unique aspects of the clinical team Performance expectations Additional educational assignments by preceptor

Suggestions for the Midpoint of Rotation Preceptor Provides: Short, informal midpoint assessment of student 5 to 10 minutes length Areas of strength Suggestions for improvement Clinical skill or knowledge deficits

Suggestions for the Last Week of Rotation Student Case Presentation Provided at a time/date convenient for preceptor Typically during the last week of rotation “Morning Report” style case presentation based upon a patient the student has seen 10-20 minutes long Graded on a 5-point Likert scale on End-of- Rotation Evaluation

Suggestions for the Last Week of Rotation Student Education Day Occurs last Friday of each 4-week rotation Consists of: End-of-Rotation exam Educational seminar Feedback session OMT review session

Clinical Training Expectations Students ideally interact with 6-8 patients in a day. Assigned by preceptor Allows for reflective learning Actual number may vary depending upon the rotation and the medical complexity of the patient Focus of patient interaction should be on H&P skills Development of differential diagnosis Explanation of supportive diagnostic data Development of an appropriate holistic, patient-centered treatment plan Evidence-based medical management Develop of skills required to function on an interdisciplinary medical team

Procedures Emphasis is on the indications and risk-benefit ratio At the discretion of the preceptor Considered a privilege and not an expectation Must have prior approval and consent of preceptor and patient Must be directly supervised by preceptor or other provider with privileges to perform procedure This includes the utilization of osteopathic manipulative treatment

Evaluation At the end of each rotation, students are required to evaluate Preceptor Clinical rotation site Periodically, the preceptor will receive de-identified summaries of these evaluations for their review.

Appointment Process LUCOM uses secondary verification through the state licensing boards Application process takes about 5 minutes to fill out Once appointed, preceptors may be asked to update their credentialing file periodically

Stipends (If Appropriate) Invoiced 2 times per year Invoice is generated from completed and submitted student evaluation Stipends are disbursed typically 2 times per year Actual date of payment may vary slightly based upon affiliation agreement