1. Does your clerkship need CPR? Society of Teachers of Family Medicine 34th Predoctoral Education Conference Portland, OR January 26, 2008

2. C ommunity P receptor R elations C ommunication P erpetuation R ecognition

3. This is just an example… Preceptors are not dogs!!! Communication –Communicate through auditory and visual actions to have the dog sit. Perpetuation –Perpetuate the activity over time through repetition. Recognition –Recognize the successful activity and provide reward for reinforcement.

4. Community Preceptor Relations Communication Perpetuation Recognition How do we do it? How do you do it?

5. Southern Illinois University School of Medicine Department of Family & Community Medicine Predoctoral Education Harald Lausen, DO, MA Amber Barnhart, MD Julie Robbs, MA

6. Southern Illinois University School of Medicine Split Campus - 3 hours apart Year One in Carbondale Years Two - Four in Springfield Approximately 70 students per year

8. Family & Community Medicine Clerkship Preceptor-Based; 27 years 160+ Preceptors in Illinois All areas of Illinois 50-60 Preceptors per Year 8 rotations per Year Groups of 7-10 Students

9. Family & Community Medicine Clerkship Schedule 6 Week Rotations Orientation – 2 days during week 1 Preceptorship – 5 weeks Evaluation – 3 days during week 6

10. Preceptor Strengths Community Experience Patient-Centered Medical Home Continuity of Care Community Clinic Environment Direct and Continuous Supervision Autonomy for Students Volunteer Workforce Preceptors are why we are #1 !!!

11. Preceptor Challenges Experience Levels Patient Populations Clinical and Procedural Offerings Preceptor Information Scheduling Workforce Competition Turnover Burnout

12. Overview Discuss aspects of Communication, Perpetuation, and Recognition Divide into 3 small groups for sharing, discussion, and reflection Summarize small group discussions and share our ideas

13. Communication

14. Telephone Written Face to Face Electronic

15. Telephone Annually to Schedule Rotations –Multiple Calls/Contacts with Preceptor Mid-Clerkship Feedback –Preceptor Feedback on Student Intermittently –Special Circumstances

16. Written Appointment Letters –Formalize Relationship & Clinical Rank Preceptor Packets –Clerkship Summary & Specific Information Intermittently –Year-End Letter, Special Circumstances

17. Face to Face Site Visit –Efficient Meeting, Special Functions Faculty Development –Longer “Sit-Down”, Workshops Meetings –Regional, Focus Groups

18. Electronic Fax Urgent Issues –Rotation Schedules, Evaluations, etc Email (challenge) –Infrequently used

19. Perpetuation

20. Workforce Quality Control Database Faculty Development

21. Workforce Identifying New Preceptors –New Grads / Partners / Meetings Maintaining Current Preceptors –Maintaining Contact Preceptor Turnover –“Burnout”, Inactivated, Moved

22. Quality Control Student Debriefing –Live and Blinded Feedback Site Visit –Office & Preceptor Assessment Requirements –Individual & Practice Characteristics

23. Database Current Preceptor Information –Detailed Electronic Database Annual Updating –Modified Information Maintenance of Appointment Information –Updating Affiliation Information

24. Faculty Development Site Visit –One Issue Regional Dinner Meeting –Group Learning Book / Article –Preceptor Activities & Feedback

25. Recognition

26. Personal Certificates Nominations Awards

27. Personal (Thank You) Every Contact Opportunity –Phone, Letter, Fax, Face to Face Partners/Group/Employers –Appreciation Letter about Preceptor News Release –Student on Clerkship

28. Certificates Annual Appreciation –Typical Certificate Clinical Rank –Certificate or Plaque Intervals of Service –Certificate at 5 Year Intervals

29. Nominations New Preceptor Awards –Teacher Development Award Local Preceptor Awards –Local Society Service Award Regional Preceptor Awards –State Teacher of the Year

30. Awards Preceptor of the Year –Based on Feedback & Service Master Preceptor –Based on Feedback & Service Center of Excellence –Based on Feedback & Learning Opportunity

31. Small Group Discussion

32. 3 groups w/ 1 Facilitator Meet for 15 minutes Share Current Activities Record Novel Ideas Brainstorm for New Ideas Identify 1 or 2 Ideas to Implement Summary of Findings w/ Large Group

33. Discussion Results 1) Student Mentor Dinner—student chooses the most influential preceptor and why they chose FM—Preceptor gives speech 2) Hire someone to help do site visits- needs to be involved with curriculum 3) Digital Preceptor newsletter featuring 1 preceptor and preceptor who graduated from school along w/ campus changes (Email-1/3 of preceptors don’t use)

34. Discussion Results 4) Workshops on maintenance of certification/basic computer skills/Faculty Development through library 5) Student teach preceptors computers Workshop – “boards” maintenance of certification (student friendly) 6) EBM/preventive med assignments- student does and helps preceptors

35. Discussion Results 7) HUB coordination faculty 1x week 8) Holiday cards w/ our pictures to preceptor and staff (New Year) 9) Thank you from students (Add hospitals) 10) Faculty Appreciation-all clerkships at end of year and give awards—we talked about this in the past and $$ was issue 11) Preceptor sign for the window

36. Discussion & Future

37. Communication Electronic Mail Database Chat Room on “Preceptor Corner” Electronic Preceptor Newsletter

38. Perpetuation Preceptor Score Card Internet Faculty Development w/CME Resident Training as Future Preceptors

39. Recognition Preceptor Profiles on Clerkship Website Press Release: Internal & External “Branding” – Lapel Pins, etc

40. Thank You!