What is the "One Minute Preceptor"?
The "Microskills" teaching strategy is also called the one minute preceptor
because of the short time available for teaching.
The microskills provide a simple framework for daily teaching during
This strategy was developed from a combination of educational
theory and practical experience and has been validated in teaching medical
students and residents in several different situations such as in the
clinic or during hospital rounds.
The microskills can be used to structure effective precepting encounters
that last five minutes or less OR to address problems that arise during
Like patient care, the microskills technique begins
with diagnosis and moves to intervention. Also like patient care, the
technique requires a rationale for the diagnosis and the intervention
progresses from broad general terms to highly specific directives.
The original microskills uses a five-step approach. We have
added an initial "goal-setting" and a final "reflection" stage
because we have found that otherwise the learning can be very transient and the
student or resident can be overwhelmed by a rapid succession of disconnected
learning episodes during a busy clinic or rounding session.