Preceptor Roles
Teaching of content that is foundational in nature
What is Direct Instruction
"Good Job" Meets the standard for feedback. True/False
False: Feedback does not provide the resident with specific information about why he or she did a good job
Resident earns "Achieved" for >/= 80% of the required objectives and SP for all elective objectives of the residency program.
Where is this on the rating scale? NI (needs improvement), SP (satisfactory progress) , ACH (Achieved) or ACHR (Achieved for residency) ?
Achieved for residency
Demonstrating a skill or process while "thinking out loud" so the resident can witness the thoughts or problem-solving process of the preceptor
What is Modeling
Feedback: Resident needs to ask self the question, "Are all the recommended therapies ordered for this problem?" for each problem on every patient without losing efficiency in reviewing and analyzing patient data. Does this meet the standard?
Yes. The resident is given specific information about a weakness and what they need to do to improve
Direct Instruction: Teaching content that is foundational in nature and necessary to acquire before skills can be applied or performed.
Where is this on the rating scale? NI (needs improvement), SP (satisfactory progress) , ACH (Achieved) or ACHR (Achieved for residency) ?
Needs Improvement (Direct Instruction)
Allowing a resident to perform a skill while being observed by the preceptor, who provides ongoing feedback during the process
What is Coaching
Feedback to resident "Resident saw all patients in the anticoagulation clinic today" Does this meet the feedback standard?
Frequently seen, but No. It only addressess what was done, but not how well it was done. Feedback needs to address the quality of resident performance, not just list tasks completed.
Allowing the resident to perform independently, while the preceptor remains available if needed and de-briefing with the resident afterward.
Where is this on the rating scale? NI (needs improvement), SP (satisfactory progress) , ACH (Achieved) or ACHR (Achieved for residency) ?
Achieved- Facilitating
The resident observes a preceptor develop a medication therapy regimen and monitoring plan for an asthma patient in notes, while the preceptor simultaneously explains the thought and problem-solving process that normally would go on silently
What is modeling
Feedback: "Resident specified therapeutic goals based on consideration of the disease state. He uses practice guidelines appropriately (JNC-8). Goals are measurable and realistic for the patient." Does this meet the standard?
Yes. The resident is told specifically why he is doing well.
Demonstration of a skill or process while thinking out loud so the resident can witness the thoughts or problem solving process of the preceptor
Where is this on the rating scale? NI (needs improvement), SP (satisfactory progress) , ACH (Achieved) or ACHR (Achieved for residency) ?
Modeling- Needs improvement
Allowing a resident to perform independently, while the preceptor remains available if needed and de-briefing with the resident after the fact
What is facilitating
Feedback to resident "Although you don't have a specific date to present your monograph, you should start gathering the literature and reading/evaluating the studies because the residency is not going to slow down. You will continue to have new assignments and projects"
Does this meet the standard for feedback?
Yes, specific and measurable.
Allowing a resident to perform a skill while being observed by the preceptor, who provides ongoing feedback during the process. Allows fine tuning of the resident's skills.
Where is this on the rating scale?: NI (needs improvement), SP (satisfactory progress) , ACH (Achieved) or ACHR (Achieved for residency) ?
Coaching- SP- Satisfactory Progress