The One Minute Preceptor: Time Efficient Teaching in Clinical Practice

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Supported by HRSA Family Medicine Training Grant # 1 D15 PE50119-01

The One Minute Preceptor teaching model was developed at the Department of Family Medicine at the University of Washington, Seattle. See: Neher, J. O., Gordon, K. C., Meyer, B., & Stevens, N. (1992). A five-step "microskills" model of clinical teaching. Journal of the American Board of Family Practice, 5, 419-424.

The One Minute Preceptor

10 Minutes of Teaching Time...
Questioning

3 Minutes
Discussion

1 Minute

Presentation

6 Minutes

Teaching Styles
Expert Socratic Others? One Minute

The 5-Step Microskills Method

1. Get a Commitment 2. Probe for Supporting Evidence 3. Reinforce What Was Done Well 4. Give Guidance About Errors or Omissions 5. Teach a General Principle

1. Get a Commitment
Why? Encourages learner to process further and problem solve. Examples... What do you think is going on here? What would you like to do next?

2. Probe for Supporting Evidence

Why? Helps you to assess the learners knowledge and thinking process.
Examples... What factors support your diagnosis? Why did you choose that treatment?

3. Reinforce What Was Done Well

Describe specific behaviors and likely outcomes Why?... Behaviors that are reinforced will be more firmly established. Example I liked that your differential took into account the patients age, recent exposures, & symptoms.

4. Guide Errors / Omissions

Describe what was wrong (be specific), what the consequence might be, and how to correct it for the future Why? Corrects mistakes and forms foundation for improvement.

Example During the ear exam the patient seemed uncomfortable. Lets go over holding the otoscope.

5. Teach a General Principle

Symptoms, treatment options, or resources to look information up Why? Allows learning to be more easily transferred to other situations. Examples Remember 10-15% people are carriers of strep, which can lead to false positive strep tests.

Conclusion
Why?... Limits Time. Directs remainder of the encounter.

ExampleLets go back in the room and Ill show you how to get a good throat swab. Tell me when we have the results, and Ill watch you go over the treatment plan.

5 Step Microskills Method

1. Get a Commitment 2. Probe for Supporting Evidence 3. Reinforce What Was Done Well 4. Give Guidance About Errors or Omissions 5. Teach a General Principle

What makes sense in your practice?