Being an Effective Preceptor
A review of selected literature has revealed that the following are characteristics of effective clinical teachers:
Communication
- Possesses and demonstrates broad knowledge
- Explains the basis for actions and decisions
- Answers learner questions clearly and precisely
- Open to conflicting ideas and opinions
- Connects information to broader concepts
- Communicates clear goals and expectation
- Captures learners attention
- Makes learning fun
Careful Analysis of the Learner
- Accurately assesses learner’s knowledge attitudes and skills
- Uses direct observation of the learner
- Provides effective feedback
- Performs fair and thoughtful evaluations
Skill in Practice and Teaching
- Provides effective role modeling
- Demonstrates skillful interactions with patients
- Presents information with organization and clarity
- Generates interest in the subject matter
- Organizes and controls the learning experience
- Balances clinical and teaching responsibilities
- Gives appropriate responsibility to the learner
Motivates the Learner
- Emphasizes problem solving
- Translates specific cases into general principles
- Promotes active involvement of the learner
- Demonstrates enjoyment and enthusiasm for patient care and teaching
- Develops a supportive relationship with the learner.
One-Minute Preceptor
Get a commitment
- “What do you think is going on?”
- Provide assessment of learner’s knowledge/skill
- Teach interpretation of data
Probe for supporting evidence
- “What led you to this conclusion?”
- Reveals learner’s thought process and identifies knowledge gaps
Teach general rules
- “When you see this, always consider…”
- Offer “pearls” which can be easily remembered
Reinforce what was done well
- Offer positive reinforcement
- “You did a nice job with…”
Correct errors
- “Next time, try or consider…”
- Comment on omissions and misunderstandings to correct errors in judgment or action
Five-Step Method for Teaching Clinical Skills
From A Simple Five-Step Method for Teaching Clinical Skills (Family Medicine 2001, 33:577-8), John H. George, PhD and Frank X. Doto, MS, suggest taking the following steps:
- Provide an overview of the need for the skill and how it is used in patient care.
- Demonstrate exactly how the skill is performed without commentary.
- Repeat the procedure, but describe each step.
- Have student “talk through the skill” by detailing each step.
- Observe and provide feedback to the student as he performs the skill.