Faculty verbal evaluations reveal strategies used to promote medical student performance

Background: Preceptors rarely follow medical students’ developing clinical performance over time and across disciplines. This study analyzes preceptors’ descriptions of longitudinal integrated clerkship (LIC) students’ clinical development and their identification of...

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Main Authors: Lowell Tong, Paul A. Hemmer, Bridget O'Brien, Lindsay Mazotti, Karen E. Hauer
Format: Article
Language:English
Published: Taylor & Francis Group 2011-05-01
Series:Medical Education Online
Subjects:
Online Access:http://med-ed-online.net/index.php/meo/article/view/6354/pdf_132
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author Lowell Tong
Paul A. Hemmer
Bridget O'Brien
Lindsay Mazotti
Karen E. Hauer
author_facet Lowell Tong
Paul A. Hemmer
Bridget O'Brien
Lindsay Mazotti
Karen E. Hauer
author_sort Lowell Tong
collection DOAJ
description Background: Preceptors rarely follow medical students’ developing clinical performance over time and across disciplines. This study analyzes preceptors’ descriptions of longitudinal integrated clerkship (LIC) students’ clinical development and their identification of strategies to guide students’ progress. Methods: We used a common evaluation framework, reporter-interpreter-manager-educator, to guide multidisciplinary LIC preceptors’ discussions of students’ progress. We conducted thematic analysis of transcripts from preceptors’ (seven longitudinal ambulatory preceptors per student) quarterly group discussions of 15 students’ performance over one year. Results: All students’ clinical development progressed, although most experienced obstacles. Lack of structure in the history and physical exam commonly obstructed progression. Preceptors used templates for data gathering, and modeling or experiences in the inpatient setting to provide time and solidify structure. To advance students’ knowledge acquisition, many preceptors identified focused learning topics with their students; to promote application of knowledge, preceptors used reasoning strategies to teach the steps involved in synthesizing clinical data. Preceptors shared accountability for helping students advance as the LIC allowed them to follow students’ response to teaching strategies. Discussion: These results depict preceptors’ perceptions of LIC students’ developmental continuum and illustrate how multidisciplinary preceptors can use a common evaluation framework to identify strategies to improve performance and follow students’ performance longitudinally.
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spelling doaj.art-32487e0ead1445a4884c2a5861e08c122022-12-21T18:59:17ZengTaylor & Francis GroupMedical Education Online1087-29812011-05-011601910.3402/meo.v16i0.6354Faculty verbal evaluations reveal strategies used to promote medical student performanceLowell TongPaul A. HemmerBridget O'BrienLindsay MazottiKaren E. HauerBackground: Preceptors rarely follow medical students’ developing clinical performance over time and across disciplines. This study analyzes preceptors’ descriptions of longitudinal integrated clerkship (LIC) students’ clinical development and their identification of strategies to guide students’ progress. Methods: We used a common evaluation framework, reporter-interpreter-manager-educator, to guide multidisciplinary LIC preceptors’ discussions of students’ progress. We conducted thematic analysis of transcripts from preceptors’ (seven longitudinal ambulatory preceptors per student) quarterly group discussions of 15 students’ performance over one year. Results: All students’ clinical development progressed, although most experienced obstacles. Lack of structure in the history and physical exam commonly obstructed progression. Preceptors used templates for data gathering, and modeling or experiences in the inpatient setting to provide time and solidify structure. To advance students’ knowledge acquisition, many preceptors identified focused learning topics with their students; to promote application of knowledge, preceptors used reasoning strategies to teach the steps involved in synthesizing clinical data. Preceptors shared accountability for helping students advance as the LIC allowed them to follow students’ response to teaching strategies. Discussion: These results depict preceptors’ perceptions of LIC students’ developmental continuum and illustrate how multidisciplinary preceptors can use a common evaluation framework to identify strategies to improve performance and follow students’ performance longitudinally.http://med-ed-online.net/index.php/meo/article/view/6354/pdf_132educationmedicalundergraduateclinical clerkshipclinical competencefaculty
spellingShingle Lowell Tong
Paul A. Hemmer
Bridget O'Brien
Lindsay Mazotti
Karen E. Hauer
Faculty verbal evaluations reveal strategies used to promote medical student performance
Medical Education Online
education
medical
undergraduate
clinical clerkship
clinical competence
faculty
title Faculty verbal evaluations reveal strategies used to promote medical student performance
title_full Faculty verbal evaluations reveal strategies used to promote medical student performance
title_fullStr Faculty verbal evaluations reveal strategies used to promote medical student performance
title_full_unstemmed Faculty verbal evaluations reveal strategies used to promote medical student performance
title_short Faculty verbal evaluations reveal strategies used to promote medical student performance
title_sort faculty verbal evaluations reveal strategies used to promote medical student performance
topic education
medical
undergraduate
clinical clerkship
clinical competence
faculty
url http://med-ed-online.net/index.php/meo/article/view/6354/pdf_132
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AT lindsaymazotti facultyverbalevaluationsrevealstrategiesusedtopromotemedicalstudentperformance
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