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Related Experiment Videos

Time-efficient preceptors in ambulatory care settings.

R P Usatine1, P T Tremoulet, D Irby

  • 1University of California, Los Angeles, School of Medicine, USA. rusatine@ucla.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|June 30, 2000
PubMed
Summary
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Medical preceptors can effectively teach students in managed care settings. Student involvement in family medicine clerkships saves time on charting, allowing for more teaching and patient care without practice loss.

Area of Science:

  • Medical Education
  • Ambulatory Care
  • Family Medicine

Background:

  • Medical education increasingly occurs in ambulatory and managed care settings.
  • There is a high demand for time-efficient and educationally effective teaching methods in these environments.

Purpose of the Study:

  • To examine the teaching and practice strategies of exemplary preceptors in managed care clinics.
  • To measure the use of previously identified strategies in a family medicine clerkship context.

Main Methods:

  • Observational case study of four exemplary preceptors over two years.
  • Observation of 44 patient encounters in ambulatory managed-care settings.

Main Results:

  • Preceptors spent an average of 1 minute more per patient with students present.

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  • Charting time decreased by 3.3 minutes per patient, while teaching time increased by 1.6 minutes.
  • Patients received an additional 12.4 minutes of care from the health-care team.

    • Conclusions:

    • Time savings from student charting can facilitate teaching and patient care.
    • Preceptors can maintain practice efficiency while educating students in managed care settings.