On Doctoring Preceptor Responsibilities
On the first day the student visits:
- Set aside at least 15 minutes in your schedule to get acquainted with your student.
- Orient student to the practice, your staff and partners
For each visit day
- Plan ahead and review assignments and goals, which are emailed to you.
- Schedule patients for the student if needed.
- Ask student what her or his expectations are for that day.
- Give feedback at the end of the day or ongoing throughout the day.
- Maintain a comfortable learning environment and involve staff with ongoing support of the student.
Overall for the year
- Keep the broad On Doctoring goals in mind.
- Attend at least one Faculty Development workshop.
- Communicate with On Doctoring Course Directors and staff about concerns or problems with student performance or behavior. If a student's absences exceed two consecutive visits, the On Doctoring administration should be notified.
- Provide formal feedback to your student by the end of January and at the and of the year. Communicate your feedback to the student's small group facilitator as well.
- Review DMED Reports with your student 2-3 times during the year.
Goals of On Doctoring - Year One
Patient Interviewing:
- Understand the functions and structure of the medical interview.
- Learn to be an active listener.
- Begin to elicit the complete and accurate information necessary to diagnose and manage patients' biomedical and psychosocial problems.
- Begin to use patient-centered counseling skills to facilitate behavior change.
Physical Diagnosis:
- Learn to perform the elements of the normal physical exam introduced in the course.
- Attend to issues of patient privacy and comfort in performing the physical exam.
- Perform a focused physical exam determined by the patient history.
Patient Write-ups:
- Organize clinical data in a clear, concise manner.
- Describe normal and abnormal physical findings in case write-ups.
Personal/Professional Issues - begin to:
- Display professional behavior in the practice of medicine including intellectual honesty, respect for patient, families, colleagues and faculty.
- Demonstrate knowledge and application of group dynamics and role as a member of a team.
- Ensure time for reflection on personal reactions to clinical work.
- Establish identity as a physician and effective doctor-patient relationships.
- Understand your own personal values and attitudes and the influence of these on your relationships with patients.
- Develop effective relationships, communication and problem-solving with other health care professionals.
- Demonstrate knowledge of challenges in balancing personal and professional life.
Goals of On Doctoring - Year Two
Demonstrate the ability to ...
Patient Interviewing
- Be an active listener.
- Elicit the complete and accurate information necessary to diagnose and manage patients' biomedical and psychosocial problems.
- Reflect and summarize in the medical interview.
- Take an accurate history of a chronic medical problem and an acute medical problem.
- Use patient-centered counseling skills to facilitate behavior change.
Physical Diagnosis
- Perform a complete physical exam (excluding GU and GYN exams) accurately and efficiently on a classmate.
- Perform a focused physical exam determined by the patient history.
- Perform a GU, Breast and GYN exam on a standardized patient.
- Attend to issues of patient privacy and comfort in performing the physical exam.
Presentation Skills (oral and written)
- Organize clinical data in a clear, concise manner using the clinical write up and SOAPP format.
- Write up a complete HPI for two hospitalized patients.
- Deliver organized and concise oral presentations.
- Display clinical reasoning through generation of an assessment (including differential diagnosis) and plan in your write-ups and oral presentations.
Personal and Professional Issues
- Use professional and ethical behavior in the practice of medicine including honesty, respect for patients, families, colleagues, and faculty.
- Begin to develop effective relationships, communication, and problem-solving with other health care professionals.
- Understand your own personal values and attitudes and the influence of these on your relationships with patients.
- Ensure time for reflection on personal reactions to clinical work.