ATSU-KCOM First Year Summer Preceptorship : Summary of Evaluations

1. ATSU-KCOM First Year Summer Preceptorship: Summary of Evaluations For presentation to the KCOM Assessment Sub-committee October 21, 2010 April 22, 2009, May 20, 2008 Janet Head, Ed.D, RN

2. Student Evaluations:Overall Program Quality Percent of students rating the program:

3. Student Ratings: AHEC Housing Only students using AHEC housing SHOULD have been responding to this question PERCENT of students rating the housing:

4. Number of students by type of didactics reported

5. Compared to their self-perceived knowledge and skill level, the experiences they participated in were:

6. Level of comfort with skills% of students rating themselves as “extremely” comfortable

7. 2007: “Pre” attitudes gathered prospectively only Level of interest% students indicating “high” interest by specialty and site

8. Student evaluation of preceptor/site(% students responding “yes” to query)

9. Preceptor Comments 2010 What did you most enjoy about having students in your practice? • Their interest, eagerness and excitement x26 Enjoyable to interact with x5 • I like teaching x26 It helps me to keep learning as well x12 The intelligent questions they ask x3 Learning from them x3 Sharing knowledge x4 • Showing how to interact with patients x2 • Refreshing to have budding doctors x2 • Introducing family medicine/primary care medicine x2. • Giving back to the profession. • Med students are more assertive in their desire to do things – more sure of themselves. • Showing how a real practice works. • Forces physicians and staff to re-exam what they do through first principals and new eyes. • Their good work ethic. • I feel it is excellent opportunity and well mastered. What did you least enjoy about having students in your practice? • Nothing x23 • Slows me down x20 and/or Takes more time x14 (Extra work, Less flexible schedule, Hard on my schedule. My practice schedule, short staffed, doubled up on med student. Schedule for me overbooked. Less time to do my own study and catch up on medical staff issues. Sometimes hard to coordinate times/shifts for best learning. Feeling guilty about lack of time to devote to student. Time commitment with no pay. • Didn’t have a computer to use with EMR. • Adapting to a different level of learner than we are used to.; No clinical basis. • Somewhat reluctant to “jump in”. • Having to remember what it was like that long ago. • Setting boundaries for student. • Some patients won’t see students.

10. Preceptor comments/suggestions (2010) *I was the first group of KCOM students to do this program and I feel this makes a big impression on students. *Excellent program – please continue x3 *It’s a pleasure to have osteopathic medical students – the best! *GREAT! *Students are very prepared for this experience. *Pleasure to have student. *I would love to have more students. *Excellent program. We hope this exposure to family practice will motivate them to specialize in family practice. *A long period of 4 weeks would give students a greater opportunity to appreciate clinical applications of basic science. *Some background in pharmacology would be helpful. *All of the students have shown compassion and empathy with my patients. *Please provide detailed learning objectives. *Two weeks or more for length of preceptorship. *Need more preceptors to participate. *Place those that are interested in family practice in a rural area with me. *At times, teaching caused delay in schedule.

11. Clinical Experiences Summer Preceptorship Janet Head, EdD, RN December 3, 2010 ATSU-KCOM AHEC Office Ground Floor, Memorial Hall

12. Evaluations: Overall Program Quality

13. I think being in a small hospital was a very good experience because there were a lot of rotating doctors that came through that I got to spend some time with as well as my assigned preceptor. I learned how these different doctors work together. We also had a difficult situation in which a patient needed immediate surgery, but refused. This was a situation that taught me that even if we have the ability to help the patient, you must respect the patients wishes first. • I really learned a lot from sitting and talking to patients about their history. • Hands-on activities including suturing, draining a knee, giving injections, and practicing physical exam skills. • Letting me go into the room first to take the history and do the exam. Then watching her do it to see what I missed. • Repeated observations of the doctor and his staff is how I learn. After a few days, I felt more comfortable with the patients and actually began to assist them with small tasks. • I was working with a group of 1st, 2nd, and 3rd year Residents. This made the educational part of the experience very beneficial-- but left little for me to do but assist and observe. • I enjoyed the wide range of patients, from infancy to geriatrics & the range of pathology because of the rural area (farm accidents, skin biopsy, fractures, rashes, cancer, hypertension, Alzheimer disease, & ear infections all in one day). The doctor also utilized all aspects of medicine including blood tests, radiographs, OMT, & in office surgeries. Watching all this put together helped me see the "big picture." In addition, the nightly assignments helped me integrate knowledge from the past year to present day events.

14. Never getting to do anything. • Since I had no experience in drawing blood from a patient before, drawing blood for the first time was pretty nerve-wracking. • It was very difficult to gauge where I was supposed to be with my exam skills and patient communication because I received very little negative feedback. I think the doctor should be less cautious about my "feelings" and just give me straight feedback on how I can improve and what I might possibly be doing correctly already. I had to really dig for information out of him, as it didn't seem like he was interested in explaining things to me. I know it must be hard to have a student there, probably slowed him down, but I felt mainly in the way of his busy schedule when he had to take time to educate me. • Not having pharm yet, it was difficult to know the meds involved, as i was always asked what kind of meds would i give. • Overcoming my fear that I was underprepared. • Surprisingly, performing OMT on patients was the most difficult. Real patients come in all different shapes and sizes, with all different levels of pain tolerance. • Actually, just being on my feet all day was difficult. I didn't realize how tired I would be! • The most difficult part of my preceptorship was counseling a family about the terminal illness and poor prognosis of a relative. • I don't know much clinical medicine. I just had to watch most of the time. I don't know drugs and what they do or what the main issues are with different diseases or diagnosis. • Learning the general flow of the office. I felt like a "third wheel" at first, because I didn't know enough to do things on my own, but after awhile, I could sense what needed to be done and wouldn't question myself. • Leaving