STUDENT PERSPECTIVE ABOUT ONE MINUTE PRECEPTORSHIP IN A BUSY OUTPATIENT SETTING

One Minute Preceptorship in A Busy Outpatient Setting

Abstract

Objective: To evaluate the students’ experiences about One Minute Preceptor (OMP) as an instructional tool.
Study Design: Case study.
Place and Duration of Study: Riphah International University, Islamic International Medical College Trust, Pakistan Railway Hospital, Rawalpindi from January 2013 to March, 2014.
Material and Methods: Non-probability convenience sampling of 75 final year medical students who had experienced OMP during their rotation in gynecology department was done. A survey questionnaire having 12 closed ended statements and 3 open ended questions regarding OMP was designed. The students were asked to fill in the forms at the end of their rotation using a 7 point agreement Lickert scale after taking informed consent. The survey form was filled in anonymously to protect the identity of the students. The questions included the efficacy of OMP in making concepts, time utilization, skills learnt, understanding the clinical diagnosis and management. Data analysis was done using IBM SPSS version 17 to calculate frequency analysis of the survey. Content analysis was done using NVIVO 10 by text query analysis to produce word frequency table, cluster analysis and word cloud.
Results: Quantitative analysis of our study show that OMP is a useful instructional tool for improving presentation skills (78.2%), providing feedback (72%), formulation of an assessment plan (75.9%) and encouragement to read more about the disease (77%). Qualitative analysis shows that it is a student friendly tool which provides instruction in a short period of time. Time was the most commonly used word in all the 7 themes including clinical skills, case presentation, decision making, problem solving, time management, organization and resources.
Conclusion: OMP is perceived as a good tool to improve presentation skills, clinical evaluation of the patient, making a plan of action and providing feedback in a short clinical encounter with the patient.