Becoming a preceptor
YOUR ROLE AS A PRECEPTOR
Physician preceptors support third- and fourth-year clinical training. By agreeing to supervise and mentor medical students, preceptors are shaping the next generation of providers. It is through a combination of office-based and hospital experiences that most of our students realize the “essence” of becoming a physician in the 21st century. As such, they are heavily influenced by the passion, empathy and fortitude of their preceptors. Preceptors are mentors – a role which requires specific skills and functions. The following areas are provided to help clarify your roles as a CHSU COM preceptor and adjunct faculty member.
- Set expectations for students early in their rotation
- Provide ongoing feedback throughout the rotation
- Fill out evaluations and discuss them with students on the last day of their rotation
- Always be an exemplary and positive role-model (teach them about your specialty and the profession in and out of the office).
- To optimize the teaching/learning encounter with a CHSU COM medical student, preceptors are asked to carry-out the following functions:
- Orient student to the rotation and training site. Clearly identify specific service and personal expectations.
- Encourage office/ancillary care staff to be helpful and make student feel a part of the team.
- Complete a formal written evaluation of the student’s performance during the rotation and give formative feedback midway through rotation.
- Contact the Regional Assistant Dean to discuss issues of concern and poor student performance.
- Serve as a mentor (experienced and prudent advisor) who assists the student in applying knowledge and building skills to problem-solve patient care.
- Provide a variety of patient cases and adequate patient volume.
- Challenge the student with deliberate and thoughtful questions.
- Allow the student to participate in patient management to a degree appropriate for the level of training.
- Provide written and verbal feedback to the student in a constructive and timely manner.
- Be available, on site, for assistance during all patient care activities.
- Share learning resources (texts, computers and educational programs if available) sufficient to increase student knowledge and productivity.
- Assign readings, literature searches, or medical information gathering pertinent to patient cases.
For preceptors who are DOs, integrate Osteopathic Manipulate Medicine into the rotation experience. As such, encourage the use of hands-on OMT as appropriate for the level of training.
If you are unclear about the scope of these duties, or would like additional materials to develop your teaching/mentoring skills, contact your Regional Assistant Dean.
Becoming a ROTATION SITE
The purpose of this process is to ensure students have a rigorous clinical educational experience that meets the core educational learning objectives of the university and is comparable across all core educational sites, regardless of where students rotate. CHSU-COM has a rigorous and iterative process for assessment of its physician role experiences, clinical education experiences and outcomes.
There are four elements integral to this process and include:
1. Curricular requirements:
- Clearly defined clinical conditions that students should see, as defined by the faculty via the clinical education subcommittee of the curriculum committee
- Clerkships with the same syllabi and learning objectives, regardless of site
- Consistent university global learning objectives throughout the clerkship syllabi
- Opportunities for utilization of osteopathic principles and practice which are available
2. Standardized learner assessments and grading processes across site:
- Guidelines for grading defined by the clinical education subcommittee of the curriculum committee
- A standardized EPA-based evaluation form across all clerkships
- Electronic tracking of patients and conditions seen on rotation
- A mid-clerkship feedback communication to identify progress toward curricular requirements with a plan for addressing gaps
- Available electronic cases/OSCEs as a back-up plan for selected conditions or procedures not encountered on rotation
3. Monthly analysis of outcomes
- Reviewed by clinical education staff
- Annual clerkship analysis of outcomes cumulatively and across sites by the associate dean of clinical affairs
- Presentation of data to the curriculum committee and the university’s institutional effectiveness department
- Data collection and monitoring, including the student information system and learning management system.
The process involves clear communication of the expectations and required elements between the clinical education department and the site preceptors. Communication will occur at the initial orientation meeting, semi-annually as preceptor evaluation reports are provided to preceptors, and annually as the clerkship director shares annual clerkship academic report data with preceptors.
Monthly clerkship review is conducted by the clinical education staff, with immediate action taken if necessary. Annual clerkship analysis cumulatively and across sites occurs by the associate dean of clinical affairs with an annual report presented to the curriculum committee. Feedback and recommendations from the curriculum committee are relayed to the associate dean and clinical education subcommittee to implement recommended clerkship modifications.
The clerkship review process is repeated annually, with data, findings, trends, and recommendations discussed at the annual clinical education retreat. The retreat provides a forum for safe yet public discussion of critical areas that need improvement, discussing successful practices from other clerkships or sites for possible reproduction.
CURRENT CLERKSHIP ROTATION SITES
Clerkship Policy and Procedures Manual
Preceptors and rotation sites receive the following manual prior to starting their clerkship rotations and agree to abide by all terms and conditions specified in the manual below.
Students receive the following manual prior to starting their clerkship rotations and agree to abide by all terms and conditions specified in the manual below.
Glossary of terms
|AACOM||American Association of Colleges of Osteopathic Medicine|
|ACGME||Accreditation Council for Graduate Medical Education|
|ACLS||American Heart Association’s Advanced Cardiac Life Support|
|AHA||American Heart Association|
|AOA||American Osteopathic Association|
|ARC||American Red Cross|
|ATSU||A.T. Still University; visiting third- and fourth-year students for clerkship|
|BLS||American Heart Association’s Basic Life Support (Healthcare Provider)|
|CHEA||Council for Higher Education Accreditation|
|CHMG||Community Hospitalist Medical Group|
|CHMG Hospitalist||Contracted Internal Medicine Preceptor (DR)|
|CHSU||California Health Sciences University|
|Clerkship||Clinical clerkships encompass a period of medical education in which medical students train in a teaching hospital|
|CMC||Community Medical Centers|
|COCA||Commission on Osteopathic College Accreditation|
|COM||College of Osteopathic Medicine|
|COMAT||Distinctive subject examinations designed to assess core osteopathic medical knowledge. currently tests on eight core clinical disciplines: Emergency Medicine, Family Medicine, Internal Medicine, OB/GYN, Osteopathic Principles and Practice, Pediatrics, Psychiatry, and Surgery. 2.5-hour exam consisting of 125 questions|
|COMLEX Level 2 CE||COMLEX-USA Level 2-Cognitive Evaluation (CE) is a problem-based and symptoms-based assessment related to clinical care. Broken up into two 4-hour sessions in the same day. 400 questions, the exam covers a wide array of topics including: emergency medicine, family medicine, internal medicine, obstetrics/gynecology, osteopathic principles and neuromusculoskeletal medicine, pediatrics, psychiatry, surgery, and other relevant areas|
|CORE ELMS||Experiential Learning Management System|
|CRMC||Community Regional Medical Center|
|D.O.||Doctor of Osteopathic Medicine|
|Direct Supervision of a Medical Student||Direct supervision of a medical student by a licensed provider who is available in the facility at the time the student is providing care to any patient. For a procedure, the licensed provider must be credentialed to perform the procedure and in the room with the student throughout.|
|Education Days||Third-year osteopathic medical students will be presented with didactic and small group discussion content covering clinical content, topics of the community health center movement, health systems science, and the Central Valley. The students will be presenting patient case presentations and facilitating journal clubs.|
|EMR||Electronic medical records|
|FBU||Fresno Barrios Unidos|
|FQHC||Federally Qualified Health Center|
· Golden Valley”
|GME||Graduate Medical Education|
|GVH||Golden Valley Hospital|
|Hospitalist||CRMC contracted preceptors|
|ILP||Individualized Learning Plan|
|KCUMB (KCU)||Kanas City University Medicine and Biosciences; visiting third- and fourth-year students for clerkship|
|LIGS||Letters in Good Standing- A letter of good standing is used to verify the character and academic status of a student|
|MCH||Madera Community Hospital|
|NACIQI||National Advisory Committee on Institutional Quality and Integrity|
|NBOME||National Board of Osteopathic Medicine Examiners|
|OCC||Osteopathic Core Competencies|
|OMM||“Osteopathic Manipulative Medicine|
Third-year osteopathic medical students will be provided the opportunity to complete training in osteopathic manipulation medicine; OMM day is held the last day of clerkship following COMAT exams.”
|OMS-l, ll, lll, lV||Osteopathic Medical Student in academic year 1, 2, 3, or 4|
|OPP||Osteopathic Principles and Practice|
|PALS||American Heart Association’s Pediatric Advanced Life Support|
|PGY-1||Post Graduate Year One; residency or intern rotations|
|Preceptor||The preceptor guides the student’s clinical learning experience, facilitates student autonomy, and acts as a role model.|
|PRHS I, II, III, IV||Physician Role in Health Science Courses 1, 2, 3, 4|
|QuantiFERON Gold test||(QFT) is a simple blood test that aids in the detection of Mycobacterium tuberculosis, the bacteria which causes tuberculosis (TB)|
|Student Credentialing||Verification documents required for clinical rotation|
· 2022 Visiting students
· Three residency rotations (in hospital)”
|Title IV||Title IV of the Higher Education Act|
|USDE||United States Department of Education and the Secretary of Education|
|VSAS||Visiting Students Application System|
|VSLO||Visiting Students Learning Opportunities|
|WASC||Western Association of Schools and Colleges|
|WILP||Wellness Individualized Learning Plan|