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      Student perceptions of the one minute preceptor and traditional preceptor models

      , , , ,
      Medical Teacher
      Informa UK Limited

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          Abstract

          The one-minute preceptor (OMP) model was developed to effectively and efficiently teach learners while simultaneously addressing patient needs. This study was conducted to determine if third- and fourth-year medical students prefer the OMP model over the traditional precepting model and what teaching points they needed from the clinical encounters.

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          Most cited references11

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          Problem-based learning outcomes: the glass half-full.

          To compare the characteristics and outcome data of students from a single institution with a two-track, problem based learning (PBL) and standard (STND) curriculum. PBL and STND students from nine graduating classes at Southern Illinois University School of Medicine were compared using common medical school performance outcomes (USMLE Step 1, USMLE Step 2, clerkship mean ratings, number of clerkship honors and remediation designations, and the senior clinical competency exam), as well as common admission and demographic variables. PBL students were older, and the cohort had a higher proportion of women. The two tracks had similar USMLE Step 1 and 2 mean scores and pass rates. Performance differences were significant for PBL students in two clerkships as well as in the clerkship subcategories of clinical performance, knowledge and clinical reasoning, and noncognitive behaviors. In addition, the proportion of PBL students earning honors was greater. The traditional undergraduate educational outcomes for the PBL and STND students are very positive. In several of the clerkship performance measures, the PBL students performed significantly better, and in no circumstance did they perform worse than the STND students.
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            Faculty development seminars based on the one-minute preceptor improve feedback in the ambulatory setting.

            While several models of medical student instruction in the ambulatory setting exist, few have been formally studied. We wished to assess the impact of a faculty development workshop based on the One-Minute Preceptor model on the amount and quality of feedback in the outpatient setting. Ambulatory teaching behaviors were studied during consecutive outpatient precepting sessions before and after 3 faculty development workshops. Student-teacher interactions were assessed using audiotapes of teaching encounters coded through qualitative techniques, and surveys of teacher, learner, and patient satisfaction. Ambulatory internal medicine clinic in a tertiary care medical center. Nine board-certified internist faculty preceptors and 44 third-year medical students. Three 90-minute faculty development seminars based on the One-Minute Preceptor teaching model. Ninety-four encounters with 18577 utterances were recorded, half before and half after the seminars. After the workshops, the proportion of utterances that contained feedback increased from 17% to 22% (P =.09) and was more likely to be specific (9% vs 15%; P =.02). After the workshops, teachers reported that the learning encounters were more successful (P =.03) and that they were better at letting the students reach their own Conclusions (P =.001), at evaluating the learners (P =.03), and at creating plans for post-encounter learning (P =.02). The workshops had no effect on the duration of the student-teacher encounter or on student or patient satisfaction with the encounters. Brief, interactive, faculty development workshops based on the One-Minute Preceptor model of clinical teaching resulted in modest improvements in the quality of feedback delivered in the ambulatory setting.
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              Teaching and learning in ambulatory care settings

              D Irby (1995)
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                Author and article information

                Journal
                Medical Teacher
                Medical Teacher
                Informa UK Limited
                0142-159X
                1466-187X
                July 03 2009
                January 2007
                July 03 2009
                January 2007
                : 29
                : 4
                : 323-327
                Article
                10.1080/01421590701287988
                17786745
                dc36134a-cc14-463e-a67c-84f0c9e0c5df
                © 2007
                History

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