© 2007 oklahoma state university enhancing the clinical experience for the student and the...

© 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


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?


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?


Where do we start?Where do we start?

Things are changing Differences are important Experiences influence decisions Learning Happens


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)



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



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



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?



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.


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


Remember This?Remember This?


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.


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.


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


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


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


Placing StudentsPlacing Students

Match student to site Personality Cultural

differences Specialty

interests Personal

interests Family

needs Academic

needs


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


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


Standardizing the ExperienceStandardizing the ExperienceGathering InformationSurveysSite visitsEvaluations Interviews

Setting Guidelines WebsiteSyllabusChecklists

Making Changes FeedbackPreceptor training


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


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.


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.


Positive CommunicationPositive Communication Thank you

EmailsCardsFaxesPhone calls

Acknowledgement news releases journal articleswebsitenewsletters


Personal VisitsPersonal Visits

Bearing gifts (marketing)

recruitment packetspens

Member Identificationschool lapel pinssigning for officeplaques for the officeshirts with school name


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


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?)


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


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


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

© 2007 oklahoma state university enhancing the clinical experience for the student and the...

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