Preceptor Preparedness

1. Preceptor Preparedness Teri Junge, CST, CFA, FAST, BS Surgical Technology Program Director San Joaquin Valley College, Fresno, CA 2011 Instructor�s Workshop San Francisco, CA Eventually I would like to make this presentation available to all facilities who provide clinical experiences for our students. And possibly add a module that introduces adult learning styles.Eventually I would like to make this presentation available to all facilities who provide clinical experiences for our students. And possibly add a module that introduces adult learning styles.

2. Preceptor Preparedness What is a preceptor?

3. Preceptor Preparedness Preceptor �A teacher; an instructor.� �An expert or specialist, who gives practical experience and training to a student, especially of medicine.� Source: dictionary.com This is a direct quote from dictionary.com I thought it was interesting that they had a definition specifically related to medical educationThis is a direct quote from dictionary.com I thought it was interesting that they had a definition specifically related to medical education

4. Preceptor Preparedness Who would make an outstanding preceptor?

5. Preceptor Preparedness An outstanding preceptor is one who: Is enthusiastic Is highly qualified or experienced Desires to serve as a mentor/role model Is tolerant, patient, and respectful of the learner Challenges the learner There are many other qualities that could be included here, but I think that listing them all might scare away the potential preceptors! Could I have a show of hands of those who�s clinical sites offer extra pay to surgical technologist preceptors? None of the sites that our program uses offer this incentive. The pros and cons of paying a preceptor could be a topic for another session (or at the end of this presentation, time permitting). Highly qualified and experienced preceptors have credible clinical skills. Which means that they adhere to best practices and have rationale for all of their actions. How many times do you think that a preceptor tells a student to do something because �that�s the way we always do it� or �because I said so�? A preceptor must be willing to give meaningful �authentic� responsibility to the learner.There are many other qualities that could be included here, but I think that listing them all might scare away the potential preceptors! Could I have a show of hands of those who�s clinical sites offer extra pay to surgical technologist preceptors? None of the sites that our program uses offer this incentive. The pros and cons of paying a preceptor could be a topic for another session (or at the end of this presentation, time permitting). Highly qualified and experienced preceptors have credible clinical skills. Which means that they adhere to best practices and have rationale for all of their actions. How many times do you think that a preceptor tells a student to do something because �that�s the way we always do it� or �because I said so�? A preceptor must be willing to give meaningful �authentic� responsibility to the learner.

6. Preceptor Preparedness What kind of time commitment is necessary?

7. Preceptor Preparedness Clinical Hours The student is at the clinical site two or three days per week The student is required to work an 8 hour shift at the assigned clinical site The student will work whatever the day shift hours are at the facility. The requirement may be different at different schools or facilities, but the point if that the preceptor should be aware of the requirement.The student will work whatever the day shift hours are at the facility. The requirement may be different at different schools or facilities, but the point if that the preceptor should be aware of the requirement.

8. Preceptor Preparedness What is the role of the preceptor? It is extremely important to talk about the preceptor�s expectations of the student prior to the start of the case. �This is an excellent opportunity for you because we have two similar cases with the same surgeon today. Since you haven�t seen this case before, you will observe the first one and then you can set up and 2nd scrub the second case. Then, the next time we are assigned to a similar situation, you will first scrub.� Or Be sure to ask any questions before we get started or once the case is finished because the case will be intense and it will not be appropriate to ask during the procedure or because the surgeon�� It is extremely important to talk about the preceptor�s expectations of the student prior to the start of the case.

9. Preceptor Preparedness Role of the Preceptor Share knowledge by demonstration Explain basis for actions and decisions Answer student�s questions clearly Again, many other duties could be included here, but these are the ones that I think are most critical. Again, many other duties could be included here, but these are the ones that I think are most critical.

10. Preceptor Preparedness Role of the Preceptor (continued) Connect basic information to broad concepts Communicate goals and expectations (Assess) What do you think is happening? (Assess further) What makes you think that? (Feedback - positive) You did an excellent job of� (Instruct) When this happens, do this� (Feecback - constructive) Next time that happens, try this�(Assess) What do you think is happening? (Assess further) What makes you think that? (Feedback - positive) You did an excellent job of� (Instruct) When this happens, do this� (Feecback - constructive) Next time that happens, try this�

11. Preceptor Preparedness Role of the Preceptor (continued) Delegate responsibility as appropriate Encourage critical thinking Use open-ended questions to stimulate critical thinking Do not reward correct responses too quickly to encourage critical thinking (use prompts like �what will the surgeon want next?�) Use open-ended questions to stimulate critical thinking Do not reward correct responses too quickly to encourage critical thinking (use prompts like �what will the surgeon want next?�)

12. Preceptor Preparedness Role of the Preceptor (continued) Provide effective feedback through fair and thoughtful evaluations If possible, include student in department activities � such as inservice sessions Ask the learner to reflect on his or her performance (debriefing after the case) Any additional suggestions for preceptor do�s? Maybe take five additional suggestions from the audience and further discuss at the end of the session (time permitting). Preceptor Don�ts: Take over the case unless absolutely necessary Don�t give inappropriate (lengthy) lectures in the OR Give the learner a chance to formulate his/her answer before jumping in with the response Any additional suggestions for preceptor don�ts? Maybe take five additional suggestions from the audience and further discuss at the end of the session (time permitting). Ask the learner to reflect on his or her performance (debriefing after the case) Any additional suggestions for preceptor do�s? Maybe take five additional suggestions from the audience and further discuss at the end of the session (time permitting). Preceptor Don�ts: Take over the case unless absolutely necessary Don�t give inappropriate (lengthy) lectures in the OR Give the learner a chance to formulate his/her answer before jumping in with the response Any additional suggestions for preceptor don�ts? Maybe take five additional suggestions from the audience and further discuss at the end of the session (time permitting).

13. Preceptor Preparedness What are the goals and expectations?

14. Preceptor Preparedness The syllabus states that the student is to: Perform duties as assigned by clinical site manager � Duty areas may include: Sterile processing department Preoperative holding area Surgery and obstetrics departments Instrument room Environmental services Observer Assistant to the circulator Scrub (Observation, 2nd, 1st,) Postanesthesia care unit

15. Preceptor Preparedness The course outline states that the student should be able to: Perform sequentially with speed and accuracy the patient care elements that relate to the preoperative, intraoperative, and postoperative surgical case management in the clinical setting under the direct supervision of a preceptor.

16. Preceptor Preparedness How much paperwork is necessary?

17. Preceptor Preparedness Very Little! Clinical Time Sheet Clinical Evaluation Clinical Case Log Copies of these documents are included at the back of your packet. The advisory committee worked on developing these items at a previous meeting and I also included suggestions from the ARC-ST site visit team.Copies of these documents are included at the back of your packet. The advisory committee worked on developing these items at a previous meeting and I also included suggestions from the ARC-ST site visit team.

18. Preceptor Preparedness Clinical Time Sheet Student will complete Preceptor should verify times and sign on a DAILY basis

19. Preceptor Preparedness Clinical Evaluation Student will complete facility name and date of evaluation Preceptor should rate the student using the provided scale, make any related comments, and sign on a DAILY basis Comments are critical! How many of you have difficulty getting the preceptors to write comments? We can talk about strategies to encourage additional comments at the end of the session (time permitting). Also ask if there is a pathway for preceptors to submit the evaluation without showing it to the student.Comments are critical! How many of you have difficulty getting the preceptors to write comments? We can talk about strategies to encourage additional comments at the end of the session (time permitting). Also ask if there is a pathway for preceptors to submit the evaluation without showing it to the student.

20. Preceptor Preparedness Clinical Case Log Student will complete Preceptor should verify and sign on a WEEKLY basis

21. Preceptor Preparedness Achieve the Final Goals Graduation National Certification Employment Of course the absolute goal is premium care for the patient, but the secondary goals include the successful student and the availability of qualified surgical technologists in the community. Of course the absolute goal is premium care for the patient, but the secondary goals include the successful student and the availability of qualified surgical technologists in the community.

22. Preceptor Preparedness References Preceptorship, University of Tasmania, http://www.snm.utas.edu.au/preceptor/preceptor_role.html (Accessed 10-06-10). The Effective Preceptor, Ohio University, www.oucom.ohiou.edu/fd/monographs/effective.htm (Accessed 10-06-10). The One Minute Preceptor, Ohio University, www.oucom.ohiou.edu/fd/monographs/microskills.htm (Accessed 10-06-10). Could lead a discussion on student preparedness (time permitting)/Could lead a discussion on student preparedness (time permitting)/