1. Quick Start Guide for Effective Precepting: Roadmap for Rotations

2. 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.

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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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.

12. 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

13. 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