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Design and Evaluation of an Interprofessional Preceptor Development Mini-Fellowship Program
Sandro O Pinheiro1, Sharron Rushton, Thomas R Konrad
1Dr. Pinheiro: Professor, Department of Medicine, Division of Geriatrics, and Department of Family Medicine and Community Health, Division of Physician Assistant Studies, Duke University School of Medicine, Durham, NC. Dr. Rushton : Assistant Clinical Professor, Duke University School of Nursing, Durham, NC. Dr. Konrad: Cecil G. Sheps Center for Health Services Research, Carolina Health Workforce Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC. Dr. McLean: Professor, Department of Pediatrics, Division of Hospital Medicine, Duke University School of Medicine, Durham, NC. Dr. Bartlett: Professor, Department of Pediatrics, Division of Hospital Medicine, Duke University School of Medicine, Durham, NC. Dr. Blazar: Assistant Professor, Department of Family Medicine and Community Health, Division of Physician Assistant Studies, Duke University School of Medicine, Durham, NC. Dr. Hibbard: Senior Director of Learning Science & Psychometrics at Blueprint Test Prep, and Consulting Assistant Professor, Duke University School of Medicine, Durham, NC. Dr. Barnett: Professor, Department of Family Medicine and Community Health, Division of Physician Assistant Studies, Duke University School of Medicine, Durham, NC.
Introduction:
Health professions preceptors require skills and knowledge to effectively meet the educational needs of interprofessional students in clinical environments. We implemented a mini-fellowship program to enhance the knowledge, skills, and self-efficacy of preceptors teaching students and applying quality improvement (QI) methods across disciplines and patient care settings.
Methods:
The design, implementation, and evaluation of the program were informed by the faculty development literature, principles of adult learning, and preceptor needs. The 3-day program included workshops on curriculum design, clinical teaching methods, QI, social determinants of health, cultural humility, and interprofessional teamwork. Quantitative and qualitative evaluation methods were used including preprogram and postprogram knowledge and self-efficacy surveys, along with end-of-session and program evaluations.
Results:
Five annual cohorts involving 41 preceptors with varied demographics, professions, and clinical practices completed the mini-fellowship program. Participants' percentage of items answered correctly on a QI knowledge test increased from 79.2% (pretest) to 85.5% (post-test), a gain of 6.3% (90% CI: 2.9-9.7%; P < .003). The average QI self-efficacy scores improved from 2.64 to 3.82, a gain of 1.18 points on a five-point scale ( P < .001). The average education/teaching self-efficacy increased from 2.79 to 3.80 on a five-point scale ( P < .001). Ultimately, 94% would recommend the program to other preceptors.
Discussion:
An interprofessional preceptor development program designed to train clinicians to effectively teach in the clinical setting and to conduct QI projects with students was achievable and effective. This program can serve as a model for academic centers charged with training future health care workers and supporting their community-based preceptors' training needs.
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