Creating a positive learning environment a community preceptors perspective Tobe Harberd, md

Objectives: Best practices in welcoming/orienting students Setting appropriate expectations Providing effective feedback

Disclosures: No financial disclosures

Chelan, wa

Orientation best practices Prearrival planning Email 2 weeks prior to rotation start date Confirm arrival date & time Accommodate travel from other sites Discuss tentative orientation day schedule Confirm housing location & provide contact information

Orientation best practices Orientation Day Allot several hours to meet exclusively with student Provide detailed schedule of orientation day Personal tour of facilities (clinic, hospital, housing) Arrange time with appropriate departments IT, HR, medical records Confirm clinical start time

Orientation best practices Scheduling Tips Printed monthly schedule Avoid too many preceptors (3-5 ideal) Allot ½ day of flex time per week Required community project, study time, online clinical cases Include mandatory webinars and balint sessions Testing days & travel time Reassess/adjust monthly

Orientation best practices Engage students outside of clinic Arrange monthly preceptor dinners Connect with other students (PT, PA, nursing) Recreational opportunities (hiking, biking, skiing) List of social activities (i.e. pub trivia)

Lake chelan community hospital

ESTABLISHING EXPECTATIONS Student’s perspective Personal goals for rotation Improve PE/procedural skills, history taking, oral presentations, specialty exposure Desired grade Expectations Clinical requirements Personal time

Establishing expectations Preceptor expectations # of patient encounters/day Clinical hours Clinic times, hospital rounding, call, ER shifts As explicit as possible (not just “ come if you want to”) Encourage ownership of patients Chart note completion

Establishing expectations Grading Provide WRITE anchor grid @ orientation Outline requirements for desired grade Family Medicine Clerkship grading criteria Clinical, exam and final grade Cumulative performance over time “Not where you start, but where you finish”

Lake chelan

Effective feedback Foster a positive learning environment Students thrive when comfortable Real time is best Quick recap after procedure On the fly teaching Set students up for success Prepare in advance for patient encounters/procedures Don’t overwhelm, pick 1 key aspect

Effective feedback Formal monthly evaluation Schedule time on student’s calendar Provide written evaluation Include preceptor comments Establish consistency Individualize/personalize feedback Helpful in final clerkship evaluation

Effective feedback Avoid generics “You’re doing great, keep up the good work” Provide patient specific examples Constructive criticism is appreciated Pick an item to improve upon

Questions?