title: Burden, responsibility, and reward: preceptor experiences with the continuity of teaching in a longitudinal integrated clerkship.
abstract: BACKGROUND
  To address challenges to clinical education, clerkships should be designed to promote continuity of educational experiences including continuity in teaching. Yet, little is known about how continuity in teaching impacts clinical teachers. Experiences of clinical teachers who precept students during a longitudinal integrated clerkship (LIC) must be examined.
  
  
  METHODS
  The authors interviewed 27 preceptors who could compare their LIC with traditional clerkship teaching experiences.
  
  
  RESULTS
  Teaching during an LIC had a significant impact on preceptors' time, effort, and clinic responsibilities. Preceptors felt they bore sole responsibility for teaching a discipline and ensuring students' learning, and they experienced a deep sense of reward observing students' growth.
  
  
  CONCLUSIONS
  To support and sustain the reward of LIC teaching for faculty, LIC developers should focus on targeted faculty development and resource allocation to clinical teaching.
authors.affiliation: University of California, San Francisco, School of Medicine, Office of Medical Education, 185 Berry St., Suite 5350, Box 3202, San Francisco, CA 94143-3202, USA. arianne.teherani@ucsf.edu
authors.forename: Arianne
authors.initials: A
authors.lastname: Teherani
authors.forename: Bridget C
authors.initials: BC
authors.lastname: O'Brien
authors.forename: Dylan E
authors.initials: DE
authors.lastname: Masters
authors.forename: Ann N
authors.initials: AN
authors.lastname: Poncelet
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Robertson
authors.forename: Karen E
authors.initials: KE
authors.lastname: Hauer
mesh_terms: D002982:Clinical Clerkship; D005180:Faculty, Medical; D011231:Preceptorship