ROTATION: St. Christopher's Resident as Teacher Block - "Effective
                             Precepeting"

GOAL 1: Understand the complex tasks that are required in order to perform
effective precepting.

OBJECTIVES:
  • Describe the multiple tasks that must be accomplished simultaneously by
     a preceptor when teaching medical students and residents including (C,
      PC, K)
          o    Diagnose the patient
          o    Assess learner’s knowledge base
          o    Provide feedback to the learner
          o    Teach the learner

GOAL 2: Learn techniques for effective precepting

OBJECTIVES:
  • Use techniques which will help prepare the learners, patients and
     caregivers prior to the precepting experience including (K, PB)
        o “Prime” the learner prior to initiation of the patient encounter (e.g.
            highlight historical and physical exam data that is pertinent to the
            chief complaint)
        o Set expectations for the learners (e.g. length of time in the room,
            information to include in the oral presentation)
        o Set expectations for the patient/caregiver prior to initiation of the
            patient encounter (e.g. longer visit time)
  • Role model effective communication skills with the patient and the
     caregivers including (P, C, PC)
        o Proper introductions
        o Explain role to patient and caregiver
        o Identify the primary historian
        o Use effective history taking techniques (e.g. ask open-ended
            questions, ask questions one at a time)
        o Use effective non-verbal cues (e.g. nod, maintain eye contact)
        o Use language at the proper developmental/educational level
        o Avoid medical jargon
        o Encourage questions from patient/caregivers
  • Include the learners in the encounter between the preceptor and the
     patient with the caregivers. (P)
  • Demonstrate respect for learners, patient and caregivers during the
     precepting encounter. (P)
GOAL 3: Become familiar with the “One Minute Preceptor

OBJECTIVES:
  • Demonstrate the steps of the “One Minute Preceptor”. (C)
       o Allow the student to present the history, physical examination,
          assessment and plan uninterrupted
       o Get a commitment
       o Probe for supporting evidence
       o Teach a general rule
       o Provide positive feedback
       o Provide constructive feedback

GOAL 4: Learn techniques to engage the learners, patient, and patient’s
family members during the precepting experience.

OBJECTIVES:
  • Use effective listening skills to elicit information from the learner (e.g.
     maintain eye contact, attentive) (C)
  • Provide a wrap-up of the precepting session (K, PC)
        o Give concluding teaching points to the students.
        o Supervise the student giving education and discharge instructions
           to the patient/caregivers.


INSTRUCTIONAL STRATEGIES:

   1. Lectures
   2. Role playing

EVALUATION STRATEGIES:

   1. Direct observation
   2. Evaluation forms (see attached)

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Goals objectives example

  • 1. ROTATION: St. Christopher's Resident as Teacher Block - "Effective Precepeting" GOAL 1: Understand the complex tasks that are required in order to perform effective precepting. OBJECTIVES: • Describe the multiple tasks that must be accomplished simultaneously by a preceptor when teaching medical students and residents including (C, PC, K) o Diagnose the patient o Assess learner’s knowledge base o Provide feedback to the learner o Teach the learner GOAL 2: Learn techniques for effective precepting OBJECTIVES: • Use techniques which will help prepare the learners, patients and caregivers prior to the precepting experience including (K, PB) o “Prime” the learner prior to initiation of the patient encounter (e.g. highlight historical and physical exam data that is pertinent to the chief complaint) o Set expectations for the learners (e.g. length of time in the room, information to include in the oral presentation) o Set expectations for the patient/caregiver prior to initiation of the patient encounter (e.g. longer visit time) • Role model effective communication skills with the patient and the caregivers including (P, C, PC) o Proper introductions o Explain role to patient and caregiver o Identify the primary historian o Use effective history taking techniques (e.g. ask open-ended questions, ask questions one at a time) o Use effective non-verbal cues (e.g. nod, maintain eye contact) o Use language at the proper developmental/educational level o Avoid medical jargon o Encourage questions from patient/caregivers • Include the learners in the encounter between the preceptor and the patient with the caregivers. (P) • Demonstrate respect for learners, patient and caregivers during the precepting encounter. (P)
  • 2. GOAL 3: Become familiar with the “One Minute Preceptor OBJECTIVES: • Demonstrate the steps of the “One Minute Preceptor”. (C) o Allow the student to present the history, physical examination, assessment and plan uninterrupted o Get a commitment o Probe for supporting evidence o Teach a general rule o Provide positive feedback o Provide constructive feedback GOAL 4: Learn techniques to engage the learners, patient, and patient’s family members during the precepting experience. OBJECTIVES: • Use effective listening skills to elicit information from the learner (e.g. maintain eye contact, attentive) (C) • Provide a wrap-up of the precepting session (K, PC) o Give concluding teaching points to the students. o Supervise the student giving education and discharge instructions to the patient/caregivers. INSTRUCTIONAL STRATEGIES: 1. Lectures 2. Role playing EVALUATION STRATEGIES: 1. Direct observation 2. Evaluation forms (see attached)