Before the Student Arrives
The student should reach out 1-2 weeks before the start date with information about themselves including past rotations and goals for the upcoming rotations. Once communication is made with the student, it is vital that the student is provided with a proper introduction and orientation to your practice.
Time To Teach
The “One-Minute Preceptor” teaching method is a brief teaching tool that fosters assessment of student knowledge, as well as provision of timely feedback.
SNAPPS is a learner-centered teaching approach to clinical education consisting of six steps.
It is encouraged that our students are integrated into charting in the medical record. This helps prepare them for the ever demanding increases in EMR usage as well as decreasing the burden placed on preceptors.
On average, patients who receive care from a student and a provider receive 12.8 more minutes per visit. With the students charting, it brings down the extra time required from the provider from 3.8 minutes to 0.5 minutes (Usatine RP, Tremoulet PT, Irby D. Time-efficient Preceptors in Ambulatory Care Settings. Academic Medicine. 2000;75(6):639-642. doi:10.1097/00001888-200006000-00016.)
“The teaching physician must personally perform (or re-perform) the physical exam and medical decision making activities of the E/M service being billed, but may verify any student documentation of them in the medical record, rather than re-documenting this work.” CMS: Medical Claims Processing Manual.
The preceptor should consistency provide feedback on the student’s performance throughout the rotation. Articles regarding providing feedback to clinical students are provided below.
Article published in the Journal of Palliative Medicine that reviews literature regarding feedback and provides an algorithm for general feedback.
Article from the Hospital of Pharmacy providing an excellent checklist to providing feedback.