The One Minute Preceptor Helen Morgan, MD Clinical Assistant Professor Obstetrics and Gynecology hjkang@med.umich.edu Elizabeth Jones, MD Clinical Assistant Professor Family Medicine elizjone@med.umich.edu
No Disclosures
In what contexts are you teaching students? Introductions In what contexts are you teaching students? Helen- inpatient floor, OR, outpatient, other
Objectives 1. Challenges 2. One Minute Preceptor 3. Video 4. Interactive practice activity
Challenges Helen
Challenges for the learners? Helen
One Minute Preceptor 1. Get the student to take a stand 2. Probe for supporting evidence 3. Teach general rules Beth 4. Provide positive feedback 5. Correct errors
Tell me what’s happening with your patient 1. Get the student to take a stand 2. Probe for underlying reasoning Tell me what’s happening with your patient 3. Teach general rules Beth 4. Provide positive feedback 5. Correct errors
What led you to that conclusion?**** 2. Probe for underlying reasoning What else did you consider? Beth Tell me more about why you’ve made the decision to call the doctor
3. Teach general rules Beth Approaches to patients with dementia…
(Now let me give you some FEEDBACK………) Beth 4. Provide positive feedback
Beth 5. Correct errors
https://www.youtube.com/watch?v=rj3NG0fQ3sQ Helen
Keep the presentation to a minimum Brief focused sessions Make the questions natural and routine Always provide feedback
Case #1 Helen
Case #2 Helen
Debrief
Allows students and preceptor to see and reflect on clinical reasoning Helps the student understand the patient encounter process Immediate feedback Students may struggle with H&P >One minute
Questions?
References Bott GL et al. A Clinical Teaching Technique for Nurse Preceptors: The Five Minute Preceptor. J of Professional Nursing 2011; 27(1): 35-42 Bowen JL et al. Enhancing the effectiveness of One-Minute preceptor faculty development workshops. Teaching and Learning in Medicine 2006; 18(1): 35-41. Teherani A. Student perceptions of the One-Minute preceptor and traditional preceptor models. Medical Teacher 2007; 29: 323-327 Aagaard E et al. Effectives of the One-Minute preceptor model for diagnosing the patient and the learner proof of concept. Academic Medicine 2004; 79(1): 42-49.