How to Accommodate Teaching in the Ambulatory Setting

 Many preceptors accommodated their teaching by minimally reducing their clinical loads and lengthening their workdays by approximately one hour.

 Case presentations / discussions took 4 -15 min. per case (in ambulatory care settings).

 Preceptors should expect to spend 10 -15 min./case presentation / discussion with medical students.

Ferenchick et al (1997). Strategies for Efficient and Effective Teaching in the Ambulatory Care Setting. Academic Medicine 72(4), 277-280.

Do these findings surprise you?

Time-Efficient Strategies before the Learner-Patient Encounter

① Practice anticipatory precepting (before the student sees a patient) -- adjust to learner’s level.

② Modify your schedule (i.e., wave scheduling).