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Welcome
The National Cooperative Agreement on
Clinical Workforce Development
Presented by the
the Community Health Center, Inc.
& the National Nurse-Led Care Consortium
WEBINAR 3: Enhancing the Student Experience Through Effective
Precepting
May 23, 2017
Community Health Center, Inc.
Foundational Pillars
1. Clinical Excellence- fully Integrated teams, fully
integrated EMR, PCMH Level 3
2. Research & Development- CHC’s Weitzman Institute is
the home of formal research, quality improvement, and R&D
3. Training the Next Generation: Postgraduate training
programs for nurse practitioners and postdoctoral clinical
psychologists as well as training for all health professions
students
CHC Profile:
•Founding Year - 1972
•200+ delivery sites
•140k patients
Learning Objectives:
1. Participants will describe two techniques to provide
constructive feedback to students.
2. Participants will identify how recruit and engage
preceptors at your health center.
3. Participants will identify two strategies to that can be
incorporated into evaluating a preceptor
Get the Most Out of Your Zoom Experience
• Send your questions using Q&A function in Zoom
• Look for our polling questions
• Recording and slides are available after the presentation on our website within
one week
• Upcoming webinars: Register at www.chc1.com/nca
Speakers
From Community Health Center, Inc.:
Anna Rogers, Director of the National Cooperative Agreement
Margaret Flinter, APRN, PhD, Senior Vice President and Clinical Director
Reema Mistry, MPH, Project Coordinator, National CooperativeAgreement
Kerry Bamrick, Senior Program Manager, Weitzman Institute
Mary Blankson- DNP, APRN, Chief Nursing Officer
Bruce Jamie Stevens, APRN, On-Site Behavior Health Director
Beth Dmowski- APRN, On-Site Medical Director
Dan Wilensky, MD, Physician
From El Rio Health Center:
Rajiv Modak, MD, Physician
From National Student Nurses Association:
Trisha Mims, MSN, MBA/HCM, Director of Program and Education
Preceptor Preparation:
Taking it to the Next Level
Tips and tools for success
TRISH MIMS MSN, MBA, HCM, RN
DIRECTOR OF PROGRAM AND EDUCATION
NATIONAL STUDENT NURSES’ ASSOCIATION
What are Preceptors?
Preceptors are providers who serve as:
◦ Role models
◦ Educators
◦ Facilitators
◦ Evaluators
Preparation: Staff to Preceptor
• Preceptor training curriculums exist
• Curriculum helps to define role of
preceptor as clinical instructor.
• Curriculum provides clarity on how to assist
students with transition from classroom to
to clinical environment.
• Goal: Develop preceptors who can translate
knowledge, clinical proficiency, and
professionalism to students.
Preceptor Concept
• Promotes success of students
in clinical environment.
• Supports pipeline of students
for recruitment as staff.
• Increases job satisfaction and
promotes retention.
• Provides robust experience for
student trainee.
Goal of Preceptor Curriculum Models
• Adaptable guidelines and structure for preceptor and
student experience
• Training and resources for preceptor to effectively
transition students from classroom to clinical
environment.
• Ensures quality patient services, respect of
organizational standards, and continuity of patient care
in a cost-effective manner.
• Provides benchmarks and tools for preceptor to assess
and develop knowledge, clinical proficiency, and
professionalism and translate that to student.
Dedicated Education Sites (DES)
• Dedicated education site is emerging model of nursing
education in Community Health Centers adapted from a
hospital setting.
• Students partner with clinical staff for learning.
• Dedicated education site preceptor teaches and assesses
clinical skills of student to ensure robust support system.
• Preceptor orientation designed to address skills critical for
success.
• Challenges: development of face-to-face DES preceptor
orientation and ongoing support through clinical semester.
Building a Culture of Education
Organizational principles for success:
1. Student training is mission of
health center.
2. Preceptor critical to mission.
3. Health center has defined
student training infrastructure.
4. Preceptor curriculum core
component program.
5. Collaborative partnership
between health center and
educational institution.
Building a Culture of Education
Organizational challenges:
• Time constraints, efficiency, effectiveness, oversite and
communication
• Resources to build and execute training
• Shared responsibility and clear expectations between
educational institution and health center
• Effectively incentivize preceptor
• Making the case for cost/benefit
Informal Process to Successful Program
CHC approached academic partner:
1. How can we provide students a better
training experience?
2. How can we better support our
preceptors?
3. How can we develop a more collaborative
relationship?
Ultimately... How can we improve our
student training program?
Informal Process to Successful Program
Informal Process:
• Preceptors agree to take students.
• Academic institution assigns students to preceptors.
• Informal, fragmented and resource intensive.
• Communication limited to the preceptor and student.
• Record keeping limited.
• Little support for preceptors and students.
• Lack of clarity of expectations and requirements.
Informal Process to Successful Program
Successful Program:
• CHC developed clinical coordinator position.
• Student training requests directed to clinical
coordinator.
• Educational institution applied for grants to support
development of curriculum model for preceptors.
• Faculty content experts from school of nursing
developed orientation program to prepare preceptors
to meet unique needs of DES students
• Adjunct status given to preceptors through academic
institution
Institutional Grant Awarded: SPADES
ETSU College of Nursing Awarded
• Added clinical coordinator position at health
center
• Orientation and introduction prior to start of
semester for both preceptor and student
• Debrief between parties at end of clinical day
• Built in consultation time with clinical
coordinator for Mid-Term
• Compensation for time and preceptors
• Adjunct status, CEUs, resources (computer,
books, etc.)
Hall, C., Diffenderfer, S., Stidham, A., Mullins, C. (2015). Student and
preceptor advancement through a dedicated education site (SPADES):
Playing the Cards Dealt in Advanced Nursing Education and Practice HRSA-
16-070--ANEP Grant Proposal, College of Nursing, East Tennessee State
University, Johnson City, Tennessee.
Thank you!
TRISH MIMS MSN, MBA, HCM, RN
Director of Program and Education
National Student Nurses’ Association
Trisha.Mims@Gmail.com
Speakers
From Community Health Center, Inc.:
Anna Rogers, Director of the National Cooperative Agreement
Margaret Flinter, APRN, PhD, Senior Vice President and Clinical Director
Reema Mistry, MPH, Project Coordinator, National CooperativeAgreement
Kerry Bamrick, Senior Program Manager, Weitzman Institute
Dan Wilensky, MD, Physician
Mary Blankson- DNP, APRN, Chief Nursing Officer
Bruce Jamie Stevens, APRN, On-Site Behavior Health Director
Elizabeth Dmowski- APRN, On-Site Medical Director
From El Rio Health Center:
Rajiv Modak, MD, Physician
From National Student Nurses Association:
Trisha Mims, MSN, MBA/HCM, Director of Program and Education
Reminders
Complete our survey!
Sign up at www.chc1.com/NCA

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Enhancing the Student Experience Through Effective Precepting

  • 1. Welcome The National Cooperative Agreement on Clinical Workforce Development Presented by the the Community Health Center, Inc. & the National Nurse-Led Care Consortium WEBINAR 3: Enhancing the Student Experience Through Effective Precepting May 23, 2017
  • 2. Community Health Center, Inc. Foundational Pillars 1. Clinical Excellence- fully Integrated teams, fully integrated EMR, PCMH Level 3 2. Research & Development- CHC’s Weitzman Institute is the home of formal research, quality improvement, and R&D 3. Training the Next Generation: Postgraduate training programs for nurse practitioners and postdoctoral clinical psychologists as well as training for all health professions students CHC Profile: •Founding Year - 1972 •200+ delivery sites •140k patients
  • 3. Learning Objectives: 1. Participants will describe two techniques to provide constructive feedback to students. 2. Participants will identify how recruit and engage preceptors at your health center. 3. Participants will identify two strategies to that can be incorporated into evaluating a preceptor
  • 4. Get the Most Out of Your Zoom Experience • Send your questions using Q&A function in Zoom • Look for our polling questions • Recording and slides are available after the presentation on our website within one week • Upcoming webinars: Register at www.chc1.com/nca
  • 5. Speakers From Community Health Center, Inc.: Anna Rogers, Director of the National Cooperative Agreement Margaret Flinter, APRN, PhD, Senior Vice President and Clinical Director Reema Mistry, MPH, Project Coordinator, National CooperativeAgreement Kerry Bamrick, Senior Program Manager, Weitzman Institute Mary Blankson- DNP, APRN, Chief Nursing Officer Bruce Jamie Stevens, APRN, On-Site Behavior Health Director Beth Dmowski- APRN, On-Site Medical Director Dan Wilensky, MD, Physician From El Rio Health Center: Rajiv Modak, MD, Physician From National Student Nurses Association: Trisha Mims, MSN, MBA/HCM, Director of Program and Education
  • 6. Preceptor Preparation: Taking it to the Next Level Tips and tools for success TRISH MIMS MSN, MBA, HCM, RN DIRECTOR OF PROGRAM AND EDUCATION NATIONAL STUDENT NURSES’ ASSOCIATION
  • 7. What are Preceptors? Preceptors are providers who serve as: ◦ Role models ◦ Educators ◦ Facilitators ◦ Evaluators
  • 8. Preparation: Staff to Preceptor • Preceptor training curriculums exist • Curriculum helps to define role of preceptor as clinical instructor. • Curriculum provides clarity on how to assist students with transition from classroom to to clinical environment. • Goal: Develop preceptors who can translate knowledge, clinical proficiency, and professionalism to students.
  • 9. Preceptor Concept • Promotes success of students in clinical environment. • Supports pipeline of students for recruitment as staff. • Increases job satisfaction and promotes retention. • Provides robust experience for student trainee.
  • 10. Goal of Preceptor Curriculum Models • Adaptable guidelines and structure for preceptor and student experience • Training and resources for preceptor to effectively transition students from classroom to clinical environment. • Ensures quality patient services, respect of organizational standards, and continuity of patient care in a cost-effective manner. • Provides benchmarks and tools for preceptor to assess and develop knowledge, clinical proficiency, and professionalism and translate that to student.
  • 11. Dedicated Education Sites (DES) • Dedicated education site is emerging model of nursing education in Community Health Centers adapted from a hospital setting. • Students partner with clinical staff for learning. • Dedicated education site preceptor teaches and assesses clinical skills of student to ensure robust support system. • Preceptor orientation designed to address skills critical for success. • Challenges: development of face-to-face DES preceptor orientation and ongoing support through clinical semester.
  • 12. Building a Culture of Education Organizational principles for success: 1. Student training is mission of health center. 2. Preceptor critical to mission. 3. Health center has defined student training infrastructure. 4. Preceptor curriculum core component program. 5. Collaborative partnership between health center and educational institution.
  • 13. Building a Culture of Education Organizational challenges: • Time constraints, efficiency, effectiveness, oversite and communication • Resources to build and execute training • Shared responsibility and clear expectations between educational institution and health center • Effectively incentivize preceptor • Making the case for cost/benefit
  • 14. Informal Process to Successful Program CHC approached academic partner: 1. How can we provide students a better training experience? 2. How can we better support our preceptors? 3. How can we develop a more collaborative relationship? Ultimately... How can we improve our student training program?
  • 15. Informal Process to Successful Program Informal Process: • Preceptors agree to take students. • Academic institution assigns students to preceptors. • Informal, fragmented and resource intensive. • Communication limited to the preceptor and student. • Record keeping limited. • Little support for preceptors and students. • Lack of clarity of expectations and requirements.
  • 16. Informal Process to Successful Program Successful Program: • CHC developed clinical coordinator position. • Student training requests directed to clinical coordinator. • Educational institution applied for grants to support development of curriculum model for preceptors. • Faculty content experts from school of nursing developed orientation program to prepare preceptors to meet unique needs of DES students • Adjunct status given to preceptors through academic institution
  • 17. Institutional Grant Awarded: SPADES ETSU College of Nursing Awarded • Added clinical coordinator position at health center • Orientation and introduction prior to start of semester for both preceptor and student • Debrief between parties at end of clinical day • Built in consultation time with clinical coordinator for Mid-Term • Compensation for time and preceptors • Adjunct status, CEUs, resources (computer, books, etc.) Hall, C., Diffenderfer, S., Stidham, A., Mullins, C. (2015). Student and preceptor advancement through a dedicated education site (SPADES): Playing the Cards Dealt in Advanced Nursing Education and Practice HRSA- 16-070--ANEP Grant Proposal, College of Nursing, East Tennessee State University, Johnson City, Tennessee.
  • 18. Thank you! TRISH MIMS MSN, MBA, HCM, RN Director of Program and Education National Student Nurses’ Association Trisha.Mims@Gmail.com
  • 19. Speakers From Community Health Center, Inc.: Anna Rogers, Director of the National Cooperative Agreement Margaret Flinter, APRN, PhD, Senior Vice President and Clinical Director Reema Mistry, MPH, Project Coordinator, National CooperativeAgreement Kerry Bamrick, Senior Program Manager, Weitzman Institute Dan Wilensky, MD, Physician Mary Blankson- DNP, APRN, Chief Nursing Officer Bruce Jamie Stevens, APRN, On-Site Behavior Health Director Elizabeth Dmowski- APRN, On-Site Medical Director From El Rio Health Center: Rajiv Modak, MD, Physician From National Student Nurses Association: Trisha Mims, MSN, MBA/HCM, Director of Program and Education
  • 20. Reminders Complete our survey! Sign up at www.chc1.com/NCA

Editor's Notes

  1. ALDON: Done by 3:00-3:05 Kerry
  2. What other roles do preceptors play? Typically in a clinic setting their primary responsibility is a provider and some are clinical directors. Clinic preceptors wear multiple hats. This is why it is critical to have clear roles, responsibilities and expectations outlined and a clinic culture that supports and respects the student training process.
  3. Talking points: A handful of model curriculums for preceptor training have been developed in response to the health care industry need to increase the number of prepared preceptors in the workplace. The preceptor role has been in existence for many years, but the role has not always been clearly defined and there have been limitations to the process for training preceptors. In most clinics, the preceptor are identified staff members who demonstrates a high level of knowledge, clinical proficiency, and professionalism. The preceptor serves as a clinical instructor to students, assisting with the transition into the clinical environment from classroom studies.
  4. Talking points: The preceptor concept has been adopted by many employers and educational institutions to help promote success of the students in the clinical environment, while enhancing learning outcomes and creating a more supportive environment with in the institution. The preceptor concept within the CHC can: Assist in the development of a pipeline of students that can transition upon graduation from student to staff. Increase job satisfaction for the preceptor and promote retention. Provide a solid experience for the preceptee. The extreme nursing shortage and the unstable health care environment has magnified the need for improvement in the workplace environment to decrease staff turnover and provide a solid foundation for the students to practice in.
  5. Talking points: Providing a preceptor curriculum (preparation, training, and tools) will help to support the healthcare industry in this strategy for workplace reform by providing guidelines and structure for the preceptor. The purpose of the curriculum is to provide a foundation that can be used in its entirety or adapted as needed by faculty and facility for instruction and is designed to prepare health care providers for their role as preceptors. Most models provide the tools and motivation for the preceptor to be effective in transitioning students. An effective preceptor must demonstrate a high level of knowledge, clinical proficiency, and professionalism and be given the tools to be successful. The preceptor assists with the student with the transition to the clinical environment in order to insure quality patient services, maintains organizational standards, and continuity of patient care in a cost-effective manner.
  6. J Contin Educ Nurs 2013;44(8):352-356. Talking points: The dedicated education unit has been a model being used with in the hospital settings for a few year. The dedicated education site is an emerging model of nursing education in the Community Health Center setting. For both of these models, Instead of an instructor-led clinical group, students are partnered with a clinic staff for precepted learning. In contrast to the role of clinic staff in traditional clinical education settings, the dedicated education site preceptor is often responsible for teaching and assessing the clinical skills of the student. Therefore, a robust support system and specific preceptor orientation designed to address these skills is key. The challenges associated with preparing clinic staff to precept students at all educational levels is the development of a face-to-face DES preceptor orientation and ongoing support through the clinical semester.
  7. Clinics need the following tenants built into their organizational principles to build a successful culture of education in your clinic. 1. The role of the preceptor is crucial to the success of the student. 2. The organization culture must value and support the role by providing a formalized structure for the process. Collaborative partnerships are key between the clinic and the educational institution. What is the incentive to precept? How do we incentivize preceptors? Encourage educational institutions who you collaborate with to apply for grants to take some of the burden off the CHC. ETSU applied for the HRSA-16-070--ANEP Grant Proposal- Student and preceptor advancement through a dedicated education site (SPADES): Playing the Cards Dealt in Advanced Nursing Education and Practice 
  8. Clinic had to compensate preceptors for their attendance and provide additional staff to cover for their absence on the unit. To address these challenges, -- possibile shared cost with institution -- an innovative online orientation program for DES preceptors can be developed.
  9. Should be noted this progam was developed for Nursing schools but can be adapted to any curriculum
  10. Should be noted this program was developed for Nursing schools but can be adapted to any curriculum
  11. Should be noted this progam was developed for Nursing schools but can be adapted to any curriculum
  12. Discuss Clinical Coordinator Role- Support of both preceptor and preceptee Discuss how one on one orientation for each group goes and the specific preceptor education Discuss Cost- Sharing Compensations
  13. Discuss Clinical Coordinator Role- Support of both preceptor and preceptee Discuss how one on one orientation for each group goes and the specific preceptor education Discuss Cost- Sharing Compensations