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Supporting Community preceptors: new, strategic, state-wide initiatives
Doug Bower MD & Jeff Morzinski PhD Medical College of Wisconsin, Milwaukee Rural Educators Faculty Development Conference Sept 16, 2016
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Challenges & Opportunities
Community preceptor availability Wide and diverse levels of teacher prep & experience Instability within courses & curricula Unclear – what could be expected of a well-rounded preceptor? Opportunities Shared regional and collegial commitments Shared goal – health of Wisconsin! Support for skill development (e.g., earlier today) Early examples of strategic, statewide supports Challenges Opportunities – many of us know each other and enjoy working together!
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Community Preceptor Competencies
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What competencies would you expect?
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Examples: Student Competencies*
Demonstrate basic knowledge of the complex factors involved in behavioral change. Develop diagnostic and treatment plans in partnership with the patient and the patient's family. Integrate principle of community medicine, and the population factors of heritage, environment, and disease prevalence into a patient's care. *From MCW Family Medicine, 3rd year Clerkship
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Competencies for Preceptors
Vetted and agreed-upon preceptor abilities / behaviors Aggregate description of a “good preceptor” Guide teachers who wish to examine / expand approaches Positively influence learner experiences What this is NOT: not a mandate, not a standard, not an external assessment Now – in early stage, asking you to be part of “exploring, editing, seeking consensus” on preceptor competencies.
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Working DRAFT of Five Preceptor Competencies*
Demonstrate a commitment to learner’s (and patient’s) success and well-being leading to learners’ growth into their professional roles. Flexibly tailor teaching and communication styles to facilitate patient care and learning. Demonstrate best educational and evidence-based practices and role model those behaviors for learners. Role model continuous self-assessment and lifelong learning. Provide appropriate feedback to the student and assessment reports to the medical school. *Each competency has three-to-six “observable behaviors” – see worksheet
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Help Review Competencies!
In assigned groups, review ONE of the five competencies and related, “observable” behaviors. Example, a row like this, with white space for edits: Review + give feedback on “clarity” and “what should be changed or added”. You have ___ minutes! Each group: report “one finding” from discussion; Turn in worksheet. DOMAIN COMPETENCY OBSERVABLE BEHAVIORS (A well-rounded preceptor will…) Patient & Learner Centeredness 1. Demonstrate a commitment to learner’s (and patient’s) success and well-being leading to learners’ growth in their professional roles. Prepare the clinical environment for the learner Orient the learner to the clinical environment Ascertain each learner’s knowledge, skills and attitudes related to rotation expectations and the clinic population Demonstrate awareness and sensitivity to patient and learner’s cultural context Help learners develop learning goals aligned with patients’ needs
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Key Findings - Your Discussions
Demonstrate a commitment…. Flexibly tailor teaching… Demonstrate best evidence-based practice… Role model continuous self-… Provide appropriate feedback and assessment… Please turn in your worksheets!
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Infographics
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WISE-FM and INFOGRAPHIC Development
Wisconsin Institute of Scholars and Educators in Family Medicine (MCW, Aurora, UW, Others - Med school + community-based) Goal: Develop and distribute teaching support materials for Wisconsin’s community-based clinical teacher sites Infographics “visual, impactful, efficient” WISE-FM vetted topics / selected those deemed: Suitable for infographics Aimed at goal
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Three examples of Infographics In-Use
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Current WISE-FM Infographic Titles
ARCH Feedback EBM Journey Priming for Efficient Patient Encounters Clues to Diagnose the Challenging Learner Teaching in the Patient's Presence [TIPP] Discover the Joys of Family Medicine Electronic Health Records: The Newest Teaching Tool YOUR IDEAS…. Pipeline is open for additional ideas for Infographics! Send your ideas to Jeff at: or you can call
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WISE-FM and Competencies - Contributors
Aurora Health Care: Family Medicine Deb Simpson PhD John Brill MD, MPH Anne Getting MD Sharon Mambourin MCW – Family and Community Medicine Doug Bower MD Jeff Morzinski PhD David Klehm MD Maureen Longeway MD UW-SOMPH [Family Medicine & Community Health) Dave Deci MD Magnolia Larson MD Melissa Styles MD Input on Competencies Darin Brink UMinn-SOM Byron Crouse MD Kara Traxler Jill Niemczyk
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Wrap Up Competencies Infographics Find out more
Early stages, appreciate you helping us define “the good preceptor.” Infographics Try them! Make them available to all preceptors / instructors / residents / learners at your sites! Find out more Free download of Infographics and bonus materials at:
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