title: Enlisting New Teachers in Clinical Environments (ENTICE); novel ways to engage clinicians.
abstract: OBJECTIVE
  To explore the barriers and incentives that affect primary care providers who precept students in outpatient clinics in the US.
  
  
  METHODS
  In 2013, leadership of our large primary care group sent a 20-question survey via e-mail to all of the 180 providers within the network. The survey assessed provider demographics, precepting history, learner preferences, and other issues that might affect future decisions about teaching.
  
  
  RESULTS
  The response rate was 50% (90 providers). The top reasons for precepting in the past were enjoyment for teaching and personal interaction with learners. The most commonly cited reason for not precepting previously was a perceived lack of time followed by increased productivity demands. When questioned about the future, 65% (59 respondents) indicated that they were likely to precept within the next 6 months. A desired reduction in productivity expectations was the most commonly cited motivator, followed by anticipated monetary compensation and adjusted appointment times. A top barrier to future precepting was a belief that teaching decreases productivity and requires large amounts of time.
  
  
  CONCLUSIONS
  This survey represents an opportunity to study a change in focus for a cohort of busy clinicians who were mostly new to teaching but not new to clinical practice. The survey provides further insight into clinician educators' perceptions regarding the education of a variety of different learners. The results align with data from previous studies in that time pressures and productivity demands transcend specific programs and learner backgrounds. This information is critical for future clerkship directors and hospital administrators in order to understand how to increase support for potential preceptors in medical education.
authors.affiliation: Department of Medicine, Division of General Internal Medicine, Duke University Medical Center, Durham, NC, USA.
authors.forename: Bruce
authors.initials: B
authors.lastname: Peyser
authors.affiliation: Duke University Medical Center, Durham, NC, USA.
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Daily
authors.affiliation: Department of Community and Family Medicine, Physician Assistant Program, Duke University, Durham, NC, USA.
authors.forename: Nicholas M
authors.initials: NM
authors.lastname: Hudak
authors.affiliation: Department of Community and Family Medicine, Physician Assistant Program, Duke University, Durham, NC, USA.
authors.forename: Kenyon
authors.initials: K
authors.lastname: Railey
authors.affiliation: Department of Medicine, Division of General Internal Medicine, Duke University Medical Center, Durham, NC, USA ; Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
keywords: clinical teaching; medical education; preceptors; primary care