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The impact of a required preceptorship on senior medical students.

The impact of a required preceptorship program was measured by comparing the perceptions of senior medical students who would have elected the preceptorship rotation had it not been required (the elective group) and those who participated only to fulfill the requirement (the required group). The main difference between the two groups before the preceptorship was the elective group's career preference for family medicine and the required group's preference for an internal medicine subspecialty. The preceptorship had no impact for either group on inclinations toward other specialties, preferred practice setting, or assessment of practice location determinants. Both groups, however, perceived an increase in knowledge of primary care practice and confidence in relevant clinical skills following the preceptorship. These results are used to support the value of a required preceptorship program.

Attitude

Functions of a family medicine preceptorship.

The preceptorship in family medicine, a required four-week experience for fourth-year medical students at the University of North Carolina, was studied during academic year 1976--77. Analysis of narrative comments and closed-ended scales indicated that the preceptorship was a "synthesis" experience valued by both students and preceptors, regardless of the students' choice of graduate specialty training. From these same data seven functions of the preceptorship, many of which are not official program goals, were identified. The authors recommend that preceptorships be designed and evaluated with these, often latent, functions in mind.

Career Choice

Student preceptorships--a factor in alleviating maldistribution of health professionals?

The maldistribution of health professionals between metropolitan and rural areas is a well-documented fact. The preceptorship has been hypothesized as a means of alleviating this problem. Upon completion of a preceptorship in radiologic technology, the students completed a questionnaire concerning values and interpretations derived from the preceptorship. This paper describes the results of the preceptorship and questionnaire.

Evaluation Studies as Topic

The preceptorship, an integral unit of the curriculum in community and family medicine.

A curriculum in community and family medicine at the University of Massachusetts Medical School, planned to include a primary care preceptorship as an integral unit, is described. The curriculum has been planned to allow for repeated and increasing exposure of medical students during their undergraduate years to a variety of health care settings within the state. An extensive program of courses is required for all students and consists of a three-week field clerkship in the first year, a field-oriented epidemiology course in the second year, and a six-week field clerkship in the third or fourth year. A preceptorship elective is available to all medical students after they have completed their first two years. Field visits by community and family medicine faculty to the preceptorship site provide overall guidance, facilitate the implementation of objectives, and provide opportunities to strengthen bonds between the practicing physicians of the Commonwealth of Massachusetts and the state medical school. The results to date are discussed.

Community Medicine

Effect of pregraduate preceptorship experience on development of adaptive competencies of baccalaureate nursing students.

Kolb's (1984) theory of experiential learning was used as a framework to study 50 baccalaureate nursing students' perceptions of the contributions of a senior preceptorship experience to the development of adaptive competencies. Nursing learning environments were thought to contribute most to divergent and convergent competencies, reflecting the importance of both people-oriented and scientific skills in nursing. The preceptorship had a significant impact on most learning competencies. Significant increases occurred in competencies considered not important for nursing by students prior to the experience, e.g., assimilative competencies such as testing theories and ideas, and accommodative competencies such as leading and influencing others. These results support the notion of further research of nursing learning environments from the experiential learning perspective.

Adaptation, Psychological

An evaluation of primary care preceptorships.

Participants and nonparticipants in a primary care preceptorship experience were compared on self-reported competencies in basic skills and performance of clinical procedures. A pre--post analysis of participating students was done, documenting the effect of the preceptorship experience on the students' career choices, practice site selections, and competencies in basic skills and in performance of clinical procedures. The experience tended to give precepting students more than nonprecepting students a feeling of confidence in skill areas and in performance of clinical procedures.

Career Choice

The effect of preceptorship and rural training programs on physicians' practice location decisions.

This study analyzes the relationship between medical student participation in rural training programs, including preceptorships, and the decision to locate medical practice in rural areas. Data consist primarily of responses to questionnaires mailed in 1972 to all graduates of United States medical schools in 1965. Study findings indicate that the overall impact of such programs on practice location decisions is relatively slight, but is most pronounced with respect to urban-reared physicians in nonprimary care specialties. It was also found that a large proportion of urban-located physicians had seriously considered rural practice and that the reluctance of many physicians to locate in rural areas is linked to fear of professional isolation. The findings suggest that an increased orientation toward urban-reared students and dissemination of information on nonsolo practice opportunities in rural areas are means of increasing the effectiveness of preceptorships and other rural training programs in attracting young physicians to underserviced areas.

Attitude of Health Personnel

Preceptorship.

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Dental Hygienists