An Achilles Heel

23 Pages·2017·2.18 MB·English

by  Katherine Fisher

OCTOBER 7 - 10
OMED 17
®
PHILADELPHIA, PENNSYLVANIA
29.5 Category 1-A CME credits anticipated
ACOFP / AOA’s 122nd Annual Osteopathic Medical Conference & Exposition
ACOFP Clinical Preceptor Series:
An Achilles Heel: Preceptor Formative and
Summative Evaluation of Students
Katherine Fisher, DO
The American College of Osteopathic Family Physicians is accredited by the
American Osteopathic Association Council to sponsor continuing medical
education for osteopathic physicians.
The American College of Osteopathic Family Physicians designates the lectures
and workshops for Category 1-A credits on an hour-for-hour basis, pending
approval by the AOA CCME, ACOFP is not responsible for the content.

10/2/2017
An Achilles Heel:
Preceptor Formative and
Summative Evaluations
of Students in 3 Parts
Katherine Fisher, DO
Director of Clinical Education
COMP-NW
Western University of Health Sciences
October 9, 2017
Disclosures
•Nothing financial or personal to disclose
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10/2/2017
Learning Objectives
•Understand current and past issues of evaluating
students on clinical rotations
•Understand the need to develop more useful
and objective evaluation tools for preceptors
•Understand the importance of teaching
preceptors how to do evaluations
A Talk in Three Parts (Thanks, TED)
• Past and present evaluation methods
• Creating the Adaptable Physician of the
Future (as it relates to Evaluations)
•Teaching Preceptors to Evaluate Properly
• What do you mean by “properly”?
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Why should you care?
Who suffers for the
weakness?
The school (credibility)
The preceptor (not engaged)
The student (but not their
grade)
Ultimately, the patient (which
could be any one of us)
Ghosts of
preceptors past
Out of sight, out of mind
An afterthought
“As above”
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10/2/2017
Part 1: The Past and The Present
Remote past
•Hmmm, does the past repeat itself?....
•“Those who do not study history are
doomed to repeat it”…..
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100 years of {Not Much} Change
…but ideas were brewing
•Physicians returning from European training
•Rise of mass public education and the modern university
•Philanthropy of wealthy industrialists
Present and Near Future
(After another 100 years of not much change)
•Abraham Flexner’s legacy
•Evaluations based on 7 Competency Domains
•EPAs (Entrustable Professional Activities)
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You’ve Heard/Seen This Before
•Baby Boomers (‘46-’64) 18 year generation
•Gen X (‘65-’80) 15 year generation
•Gen Y (Millennials) (‘81-’01) 20 year generation
•Digital Natives (‘02 -?) ? Years
•Gen Y and Digital Native line blurred by socio-
economics
Cross Cultural Psychology
•Hofstede’s Dimensions (Geert Hofstede, Dutch
Psychologist 1960s-70s)
• Individualism vs collectivism scale
• Cultural tolerance of ambiguity
• Power Distance Index (PDI)
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7 Core Competencies
• Medical Knowledge
• Patient Care
• Interpersonal and Communication Skills
• Professionalism
• Practice based Learning and Improvement
• Systems based Practice
• Osteopathic Philosophy
Get Ready for Part 2
•Stretch and fidget
•Check messages
•Check FB
•Smart phones and functional cognitive
dysfunction
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Part 2: Creating the Adaptable
Physician
•Harvard Graduate School of Education:
Making Caring Common Project (since 2014)
• http://mcc.gse.harvard.edu/files/gse-mcc/files/parent_tips_.pdf?m=1448054400
Raising Caring, Respectful, Ethical Children Physicians
Part 2: Creating the Adaptable Physician
(Harvard Guide)
• Work to develop caring, loving relationships with your kids students
• Be a strong moral role model and mentor
• Make caring for others a priority and set high ethical expectations
• Provide opportunities for children students to practice caring and gratitude
• Expand your child’s s t u d e n t ’ s circle of concern
• Promote children’s s t u d e n t ’s ability to be ethical thinkers and positive
change-makers in their communities.
• Help children s t u d e n t ’ s develop self-control and manage feelings
effectively.
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