© 2007 oklahoma state university enhancing the clinical experience for the student and the...
TRANSCRIPT
© 2007 Oklahoma State University
Enhancing the Clinical Enhancing the Clinical Experience for the Student Experience for the Student
and the Preceptor and the Preceptor Abridged VersionAbridged Version
Vicky Pace, M.Ed.Clinical Training Coordinator, Center for Rural
Health Oklahoma State University - College of
Osteopathic Medicine
AACOM 2007 - Collaboration: The Keystone to SuccessJune 28, 2007 in Baltimore, Maryland
© 2007 Oklahoma State University
Matching can EnhanceMatching can Enhance
Matching the student to the site enhances the experience for both
the student and the preceptor.
Definition: To make greater, as in value or effectiveness.
Why is it important? How are we doing now? Where do we start? What next?
© 2007 Oklahoma State University
Why is it Important?Why is it Important?
Goal: Increase the number of physicians that chose to practice
in rural areas.
So how are we doing?
© 2007 Oklahoma State University
© 2007 Oklahoma State University
Where do we start?Where do we start?
Things are changing Differences are important Experiences influence decisions Learning Happens
© 2007 Oklahoma State University
Things Change: Cultural Things Change: Cultural ChangesChanges
75 million Traditionalist (Veterans)
(born before 1945) 10% of the workforce Large need for healthcare
Retiring (62 and older)
© 2007 Oklahoma State University
Things Change: Cultural Things Change: Cultural ChangesChanges
80 million Baby Boomers(born between 1945 - 1964)
45% of the workforce
Increasing need for healthcare
Nearing retirement (43 to 62)
Community Leaders
Training the future physicians
© 2007 Oklahoma State University
Things Change: Cultural Things Change: Cultural ChangesChanges
46 million Generation Xers(born between 1965 –1980)
30% of the workforceOur new physicians (age 27 to 42)
Different kind of patientDifferent kind of student
10 to 15 years training after high school to become a physician
© 2007 Oklahoma State University
Things Change: Cultural Things Change: Cultural ChangesChanges
76 million Nexters (Generation Y or
Millennials) (born after 1980)15% of the workforce Recruiting and training now to be our future physicians
Current medical students
What kind of patient?
© 2007 Oklahoma State University
Things Change: Cultural Things Change: Cultural ChangesChanges
A large percentage of patients are Traditionalist and Baby Boomers.
Traditionalist are retired or retiring.Some Baby Boomers starting to
retire.
Baby Boomers are training and hiring
the new Generation X physicians.
Baby Boomers and GenXer’s are teaching the Millenial's to be our
future physicians.
© 2007 Oklahoma State University
What are we doing now?What are we doing now?
Teaching in the big city(busy hospitals, lots of specialist)
Providing a rural experience (a lottery, kind of like dealing cards)
Attempting to recruit them to rural AFTER they are trained
© 2007 Oklahoma State University
Remember This?Remember This?
© 2007 Oklahoma State University
Experiences influence Experiences influence decisionsdecisions
With the need for Primary Care Physicians
in rural areas rising, the student’s experience plays a large
role in the decisions made
concerning future plans.
© 2007 Oklahoma State University
Learning Happens!Learning Happens!
What do we want them to learn? The very nature of rural medical
education lends itself to unpredictable and varied experiences for both the student doctor and the preceptor doctor.
What are they really learning? What are we doing? Is it planned? Limited time on rotations make planned
learning critical since it ultimately influences the decisions the student doctor makes regarding future plans.
© 2007 Oklahoma State University
Matching can Enhance the Matching can Enhance the ExperienceExperience
Right Student Right Preceptor Right Place Right Curriculum
Better experience for the student
Better experience for the preceptor
Better chance of the student returning to the rural community
Better experience for the school
© 2007 Oklahoma State University
Addressing the ChallengeAddressing the Challenge
Review the process of selecting and placing students in training sites
Review the selection and evaluation process for preceptors and sites
Develop tools that can assist in standardizing the teaching/learning experience
Be aware of how others interact with the process
© 2007 Oklahoma State University
Selecting StudentsSelecting Students Get to know
the students Personal
interviews Interest
surveys Pre-rotation
essays Visit with
the student Student
Performance Evaluations
Recruit from rural areas Return to rural areas as
soon as possible and as often as possible
© 2007 Oklahoma State University
Placing StudentsPlacing Students
Match student to site Personality Cultural
differences Specialty
interests Personal
interests Family
needs Academic
needs
© 2007 Oklahoma State University
Select and Evaluate Preceptors Select and Evaluate Preceptors and Sitesand Sites
Selection Process
Preceptor’s CV Site Information
Forms Site Visits
Evaluation Process Student Site
Evaluations Annual visits Training
© 2007 Oklahoma State University
Standardizing the ExperienceStandardizing the Experience Informative Website
Site locations and strengths
Student accomplishments
Competency Checklist
Are they getting an equal experience
Scheduling/Evaluation Software (EMS) Let them make informed
choices
© 2007 Oklahoma State University
Standardizing the ExperienceStandardizing the ExperienceGathering InformationSurveysSite visitsEvaluations Interviews
Setting Guidelines WebsiteSyllabusChecklists
Making Changes FeedbackPreceptor training
© 2007 Oklahoma State University
Partners in the ProcessPartners in the Process Telemedicine/ IT
Distance Learning support
Area Health Education Centers a friendly face in an
unfamiliar place Physician
Manpower Training Commissionfinancial support to
help make it happen
© 2007 Oklahoma State University
Spread the WordSpread the Word Students to
Students It’s great! Spread the word.
Site Presentations We have a great location with great people! Let us tell you or show you.
Provide Recognition
Great job! Spread the word.
© 2007 Oklahoma State University
Providing RecognitionProviding Recognition
Positive Feedback Signs for Public
Awareness (sample) Plaques for
Individual Recognition (sample)
Awards (just starting) Site of the Year Rural Clinic Award Student Award
“Why we work” wall in Enid, Oklahoma proudly displays family
photos of ER staff.
© 2007 Oklahoma State University
Positive CommunicationPositive Communication Thank you
EmailsCardsFaxesPhone calls
Acknowledgement news releases journal articleswebsitenewsletters
© 2007 Oklahoma State University
Personal VisitsPersonal Visits
Bearing gifts (marketing)
recruitment packetspens
Member Identificationschool lapel pinssigning for officeplaques for the officeshirts with school name
© 2007 Oklahoma State University
Matching Enhances the Matching Enhances the ExperienceExperience
Right Student Right Preceptor Right Place Right Curriculum
Better experience for the student
Better experience for the preceptor
Better chance of the student returning to the rural community
Better experience for the school
© 2007 Oklahoma State University
Now what? Things Change!Now what? Things Change! Cultural changes continue - what children
experience now will affect characteristics of their generation (adapting to their needs)
Rising healthcare needs cause the number of students to increase (recruiting, training, placement)
Increase in number of students and the number retiring preceptors will require adding new training sites and preceptors (selecting and training new preceptors)
Constant evaluation of results (what works?)
© 2007 Oklahoma State University
Questions? Ask the team.Questions? Ask the team.
William Pettit, D.O. - Associate Dean for Rural Health Friday Morning’s Brief Presentation on “A Collaborative
Model Encouraging Rural and Primary Care Residency Selection and Subsequent Practice”
Chad Landgraf, M.S. - Geographic Information Specialist Friday’s poster session on Telemedicine
Machelle Davison, Ed.D. - Educational Development Friday’s poster session on Cultural Differences
Matt Vassar, Ph.D., Warren Finn, Ph.D. and Machelle Davison, Ed.D. Thursday’s Coping with Growth Challenge Session:
An Institutional Model for the Study/Planning of Increased Class Size
© 2007 Oklahoma State University
Thank you!Thank you! Visit our Oklahoma State University
website Center for Health Sciences
http://www.healthsciences.okstate.edu College of Osteopathic Medicine
http://www.healthsciences.okstate.edu/college.edu
Center for Rural Health http://ruralhealth.okstate.edu
Rural Medical Education
http://www.healthsciences.okstate.edu/college/clinical/crh.edu
Telemedicinehttp://www.healthsciences.okstate.edu/telemedicine.edu
© 2007 Oklahoma State University
Information SourcesInformation Sources Understanding Generational Differences
Workshop taught by Michelle Davidson, EdD Managing a Multigenerational Workforce
Workshop taught by Dr. Mary Jo Major, EdD The Fragile Generation – Managing New Complexities
Article written by Jane Genova published in The Greentree Gazette Nov 2006 New Students - New Learning Styles
An article written by Charles C. Schroeder published in Change Sept/Oct 1993 http://www.virtualschool.edu/mon/Academia/KierseyLearningStyles.html
Student Advising Workshop Myers-Briggs Workshop taught by Paul Tieger based on his best selling books
Do What You Are (2000) and The Art of Speed Reading People (1998) Oklahoma State University Data
Student Performance Evaluations Site Evaluations Practice Interest Surveys Site Information Surveys