Faculty development seminars based on the one-minute preceptor improve feedback in the ambulatory setting.
OBJECTIVE
While several models of medical student instruction in the ambulatory setting exist, few have been formally studied. We wished to assess the impact of a faculty development workshop based on the One-Minute Preceptor model on the amount and quality of feedback in the outpatient setting.


METHODS
Ambulatory teaching behaviors were studied during consecutive outpatient precepting sessions before and after 3 faculty development workshops. Student-teacher interactions were assessed using audiotapes of teaching encounters coded through qualitative techniques, and surveys of teacher, learner, and patient satisfaction.


METHODS
Ambulatory internal medicine clinic in a tertiary care medical center.


METHODS
Nine board-certified internist faculty preceptors and 44 third-year medical students.


METHODS
Three 90-minute faculty development seminars based on the One-Minute Preceptor teaching model.


RESULTS
Ninety-four encounters with 18577 utterances were recorded, half before and half after the seminars. After the workshops, the proportion of utterances that contained feedback increased from 17% to 22% (P =.09) and was more likely to be specific (9% vs 15%; P =.02). After the workshops, teachers reported that the learning encounters were more successful (P =.03) and that they were better at letting the students reach their own Conclusions (P =.001), at evaluating the learners (P =.03), and at creating plans for post-encounter learning (P =.02). The workshops had no effect on the duration of the student-teacher encounter or on student or patient satisfaction with the encounters.


CONCLUSIONS
Brief, interactive, faculty development workshops based on the One-Minute Preceptor model of clinical teaching resulted in modest improvements in the quality of feedback delivered in the ambulatory setting.
Salerno
Stephen M
SM
Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA. smsalerno@mindspring.com
O'Malley
Patrick G
PG
Pangaro
Louis N
LN
Wheeler
Gary A
GA
Moores
Lisa K
LK
Jackson
Jeffrey L
JL
D000553:Ambulatory Care; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005178:Faculty; D005246:Feedback; D006801:Humans; D013337:Students, Medical; D011795:Surveys and Questionnaires; D013663:Teaching