Family Medicine Preceptor Tips
Family Medicine Principles
from John W. Saultz, Textbook of Family Medicine (New York, McGraw-Hill, 2000)
- Access to care
- under- and over-utilization of services
- Continuity of care
- continuity for families
- Comprehensive care
- scope of practice
- extent of services
- Coordiation of care
- in-office systems
- Contextual care
- belief system
One-Minute Preceptor Microskills
Call on Sunday Generates Rounds on Monday
- Get a Commitment
- Ask, "What do you think is going on?" and "What do you want for it?"
- Probe for Supporting Evidence
- Ask, "How did you arrive at that conclusion?"
- Teach General Rules
- Reinforce what was Right
- Correct Mistakes
Neher JO, Gordon KC, Meyer B, Stevens N. A five-step "microskills" model of clinical teaching. J Am Board Fam Pract 1992; 5:419-24.
Moser SE. "Mnemonic Helpful for Preceptors." Family Medicine, January 2001; 33(1):8.
Questions for Reflection:
- What would you do the same next time?
- What would you do differently?
- What insight did you gain about the patient? About yourself?
- What similarities do you see with your prior experience?
- What differences do you see?
- What surprised you? Why?
Evaluation Using the GRADE Strategy
from Langlois JP, Thach S. Family Medicine March 2001; 33(3):159-160
- Get Ready
- review course goals and objectives, evaluation form, decide what you expect from the student
- Review Expectations with the Student
- orient student to your practice, set learning goals
- 1-Minute Preceptor, observe student, frequent direct feedback
- Discuss Evaluation at the Midpoint
- formal session, strengths, problems, new learning goals
- End with a Grade
- complete form before formal 1-hour session, use specific examples
SOAP Approach to Problem Interactions
Lanolis JP, Thach S. Managing the difficult learning situation. Family Medicine 2000; 32(5):307-9.
- S: What do others say? Student self-assessment?
- O: What specific behaviors do you observe?
- A: Differential diagnoses to consider
- Cognitive (information, learning problem)
- Affective (anxiety, fear, anger)
- Valuative (expectations, value of rotation)
- Environment (orientation, available experiences)
- Medical (illness, depression, substance abuse)
- P: Plan to get more information, intervene, or get help
Oct 01, 2018