Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach

Few validated methods that are grounded in educational theory exist to effectively teach medical knowledge, clinical skills, and diagnostic reasoning to learners at different stages of medical training. The goal of this Perspective was to address potential gaps in clinical education pedagogy by mode...

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Main Authors: Michael C. Savaria, Sugi Min, Ghazal Aghagoli, Allan R. Tunkel, David A. Hirsh, Ian C. Michelow
Format: Article
Language:English
Published: Elsevier 2022-02-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971221012108
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author Michael C. Savaria
Sugi Min
Ghazal Aghagoli
Allan R. Tunkel
David A. Hirsh
Ian C. Michelow
author_facet Michael C. Savaria
Sugi Min
Ghazal Aghagoli
Allan R. Tunkel
David A. Hirsh
Ian C. Michelow
author_sort Michael C. Savaria
collection DOAJ
description Few validated methods that are grounded in educational theory exist to effectively teach medical knowledge, clinical skills, and diagnostic reasoning to learners at different stages of medical training. The goal of this Perspective was to address potential gaps in clinical education pedagogy by modeling new concepts for teaching in the field of infectious diseases. Our approach involved synthesizing the relevant literature, identifying proven approaches, and enhancing an existing educational microskills model — the one-minute preceptor. Our strategy was to emphasize the essential core elements of the one-minute preceptor using a descriptive acronym — DEFT (Diagnosis, Evidence, Feedback, Teaching), meaning skillful — as a potentially helpful reminder to improve the quality of interactions between learners and preceptors. The need for learners to discuss risk factors, mechanisms of disease, and potential complications, and for preceptors to model analytical and diagnostic skills, was further illustrated using a practical example of a teacher–learner interaction about a child with a respiratory infection. The one-minute preceptor/DEFT approach is experiential, adaptable, case-driven, and skills-focused, and also applicable to clinical training in other specialties.
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spelling doaj.art-98eff367fb464366a71a17de1cd1f2312022-12-21T18:45:24ZengElsevierInternational Journal of Infectious Diseases1201-97122022-02-01115149153Enhancing the one-minute preceptor method for clinical teaching with a DEFT approachMichael C. Savaria0Sugi Min1Ghazal Aghagoli2Allan R. Tunkel3David A. Hirsh4Ian C. Michelow5Office of Medical Education, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USAThe Warren Alpert Medical School of Brown University, Providence, Rhode Island, USAThe Warren Alpert Medical School of Brown University, Providence, Rhode Island, USADepartment of Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USAHarvard Medical School, Boston, Massachusetts, USA; Department of Medicine, Cambridge Health Alliance, Cambridge, Massachusetts, USADepartment of Pediatrics, Division of Infectious Diseases, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA; Address Correspondence to: Ian C. Michelow, Rhode Island Hospital, 55 Claverick Street, Suite 101, Providence, Rhode Island, USA, Tel: 401-444-6548Few validated methods that are grounded in educational theory exist to effectively teach medical knowledge, clinical skills, and diagnostic reasoning to learners at different stages of medical training. The goal of this Perspective was to address potential gaps in clinical education pedagogy by modeling new concepts for teaching in the field of infectious diseases. Our approach involved synthesizing the relevant literature, identifying proven approaches, and enhancing an existing educational microskills model — the one-minute preceptor. Our strategy was to emphasize the essential core elements of the one-minute preceptor using a descriptive acronym — DEFT (Diagnosis, Evidence, Feedback, Teaching), meaning skillful — as a potentially helpful reminder to improve the quality of interactions between learners and preceptors. The need for learners to discuss risk factors, mechanisms of disease, and potential complications, and for preceptors to model analytical and diagnostic skills, was further illustrated using a practical example of a teacher–learner interaction about a child with a respiratory infection. The one-minute preceptor/DEFT approach is experiential, adaptable, case-driven, and skills-focused, and also applicable to clinical training in other specialties.http://www.sciencedirect.com/science/article/pii/S1201971221012108clinical educationteachingskillsdiagnostic reasoningone-minute preceptor
spellingShingle Michael C. Savaria
Sugi Min
Ghazal Aghagoli
Allan R. Tunkel
David A. Hirsh
Ian C. Michelow
Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach
International Journal of Infectious Diseases
clinical education
teaching
skills
diagnostic reasoning
one-minute preceptor
title Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach
title_full Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach
title_fullStr Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach
title_full_unstemmed Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach
title_short Enhancing the one-minute preceptor method for clinical teaching with a DEFT approach
title_sort enhancing the one minute preceptor method for clinical teaching with a deft approach
topic clinical education
teaching
skills
diagnostic reasoning
one-minute preceptor
url http://www.sciencedirect.com/science/article/pii/S1201971221012108
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