The Community Preceptor Crisis: Recruiting and Retaining Community-Based Faculty to Teach Medical StudentsA Shared Perspective From the Alliance for Clinical Education

被引:62
作者
Christner, Jennifer G. [1 ]
Dallaghan, Gary Beck [2 ]
Briscoe, Gregory [3 ]
Casey, Petra [4 ]
Fincher, Ruth Marie E. [5 ]
Manfred, Lynn M. [6 ,7 ]
Margo, Katherine I. [8 ]
Muscarella, Peter [9 ]
Richardson, Joshua E. [10 ]
Safdieh, Joseph [11 ]
Steiner, Beat D. [12 ]
机构
[1] Baylor Coll Med, Med Educ, Houston, TX 77030 USA
[2] Univ Nebraska Med Ctr, Off Med Educ, Omaha, NE USA
[3] Eastern Virginia Med Sch, Dept Psychiat, Norfolk, VA 23501 USA
[4] Mayo Clin, Dept Obstet & Gynecol, Rochester, MN USA
[5] Med Coll Georgia Augusta, Acad Affairs, Augusta, GA USA
[6] Med Univ South Carolina, Dept Pediat, Charleston, SC USA
[7] Med Univ South Carolina, Dept Med, Charleston, SC USA
[8] Perelman Sch Med, Dept Family Med & Community Hlth, Philadelphia, PA USA
[9] Montefiore Med Ctr, Dept Surg, 111 E 210th St, Bronx, NY 10467 USA
[10] Weill Cornell Grad Sch Med Sci, Hlth Informat, New York, NY USA
[11] Weill Cornell Med Coll, Dept Neurol, New York, NY USA
[12] Univ N Carolina, Dept Family Med, Chapel Hill, NC USA
关键词
community preceptors; medical education; clinical clerkships; ELECTRONIC HEALTH RECORDS; EFFICIENT; CARE; STRATEGIES;
D O I
10.1080/10401334.2016.1152899
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Issue: Community-based instruction is invaluable to medical students, as it provides real-world opportunities for observing and following patients over time while refining history taking, physical examination, differential diagnosis, and patient management skills. Community-based ambulatory settings can be more conducive to practicing these skills than highly specialized, academically based practice sites. The Association of American Medical Colleges and other national medical education organizations have expressed concern about recruitment and retention of preceptors to provide high-quality educational experiences in community-based practice sites. These concerns stem from constraints imposed by documentation in electronic health records; perceptions that student mentoring is burdensome resulting in decreased clinical productivity; and competition between allopathic, osteopathic, and international medical schools for finite resources for medical student experiences. Evidence: In this Alliance for Clinical Education position statement, we provide a consensus summary of representatives from national medical education organizations in 8 specialties that offer clinical clerkships. We describe the current challenges in providing medical students with adequate community-based instruction and propose potential solutions. Implications: Our recommendations are designed to assist clerkship directors and medical school leaders overcome current challenges and ensure high-quality, community-based clinical learning opportunities for all students. They include suggesting ways to orient community clinic sites for students, explaining how students can add value to the preceptor's practice, focusing on educator skills development, recognizing preceptors who excel in their role as educators, and suggesting forms of compensation.
引用
收藏
页码:329 / 336
页数:8
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