Journal article
Precepting Medical Students in the Patient's Presence: An Educational Randomized Trial in Family Medicine Cinic
Family medicine, Vol.49(2), pp.97-105
02/01/2017
PMID: 28218934
Abstract
BACKGROUND AND OBJECTIVES: Many medical student-patient encounters occur in the outpatient setting. Conference room staffing (CRS) of student presentations has been the norm in the United States in recent decades. However, this method may not be suitable for outpatient precepting, being inefficient and reducing valuable direct face time between physician and patient. Precepting in the Presence of the Patient (PIPP) has previously been found to be an effective educational model in the outpatient setting but has never been studied in family medicine clinics, nor with nonEnglish speaking patients, nor patients from lower socioeconomic backgrounds with low literacy.
METHODS: We used a randomized controlled trial of educational models comparing time spent using PIPP with CRS in two family medicine clinics. Patient, student, and physician satisfaction were also measured using a 5-point Likert scale; total encounter time and time spent precepting were also recorded.
RESULTS: PIPP is strongly preferred by attending physicians while patients and students were equally satisfied with either precepting method. PIPP provides an additional 3 minutes of physician-patient face time (17.39 versus 14.08 minutes) in an encounter that is overall shortened by 2 minutes (17.39 versus 19.71 minutes).
CONCLUSIONS: PIPP is an effective method for precepting medical students in family medicine clinics, even with non-English speaking patients and those with low literacy. Given the time constraints of family physicians, PIPP should be considered as a preferred, time-efficient method for training medical students that is well received by patients, students, and particularly by physicians.
Details
- Title: Subtitle
- Precepting Medical Students in the Patient's Presence: An Educational Randomized Trial in Family Medicine Cinic
- Creators
- David V. Power - Supreme Council Of HealthMarcy E. Rosenbaum - Univ Iowa, Dept Family Med, Iowa City, IA 52242 USALindsey Hanson - Sioux Falls Family Med Residency Program, Sioux Falls, SD USAIan R. Reynolds - Supreme Council Of HealthDarin Brink - Univ Minnesota, Dept Family Med & Community Hlth, Minneapolis, MN 55455 USAShailendra Prasad - Univ Minnesota, Dept Family Med & Community Hlth, Minneapolis, MN 55455 USAClarence D. Kreiter - Univ Iowa, Dept Family Med, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Family medicine, Vol.49(2), pp.97-105
- PMID
- 28218934
- NLM abbreviation
- Fam Med
- ISSN
- 0742-3225
- eISSN
- 1938-3800
- Publisher
- Society of Teachers of Family Medicine
- Number of pages
- 9
- Grant note
- Herz Faculty Development Award from the University Medical Foundation
- Language
- English
- Date published
- 02/01/2017
- Academic Unit
- Family and Community Medicine; Office of Consultation and Research in Medical Education
- Record Identifier
- 9984297343002771
Metrics
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