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Development and Implementation of a Novel Learner-driven Precepting Model for Pulmonary Fellowship
Caitlin B Clancy1,2,3, Janae K Heath1,3, Deepa Rani Nandiwada3,4
1Division of Allergy, Pulmonary, and Critical Care Medicine and.
ATS Scholar
|April 19, 2021
Summary
Pulmonary and critical care medicine (PCCM) fellowship training needs better ambulatory education. A new learner-driven precepting model, STEP-UP, improved training perceptions but faced implementation challenges.
Area of Science:
- Medical Education
- Pulmonary and Critical Care Medicine
Background:
- Ambulatory education is currently underemphasized in pulmonary and critical care medicine (PCCM) fellowship training.
- Existing clinic precepting models do not meet the unique needs of fellow-level trainees.
Purpose of the Study:
- To develop and implement a novel fellow-led precepting model to improve ambulatory education for PCCM trainees.
Main Methods:
- A mixed-methods needs assessment (surveys, focus groups, observations) was performed.
- A novel, learner-driven precepting model (STEP-UP) was developed and implemented.
Main Results:
- Current precepting practices did not meet fellows' needs for graduated autonomy, skill development, and self-directed learning.
- Implementation of the STEP-UP model improved perceptions of outpatient training and precepting.
- Barriers to uptake included increased cognitive burden.
Conclusions:
- A needs assessment identified a need to align precepting processes with advanced trainee goals.
- A learner-driven model (STEP-UP) focused on clinical reasoning and self-directed learning was developed.
- Further study is warranted to refine and test the model in different settings.
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