The Community Preceptor Crisis: Recruiting and Retaining Community-Based Faculty to Teach Medical Students—A Shared Perspective From the Alliance for Clinical Education

Jennifer G. Christner, Gary Beck Dallaghan, Gregory Briscoe, Petra Casey, Ruth Marie E Fincher, Lynn M. Manfred, Katherine I. Margo, Peter Muscarella, Joshua E. Richardson, Joseph Safdieh, Beat D. Steiner

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Issue: Community-based instruction is invaluable to medical students, as it provides “real-world” opportunities for observing and following patients over time while refining history taking, physical examination, differential diagnosis, and patient management skills. Community-based ambulatory settings can be more conducive to practicing these skills than highly specialized, academically based practice sites. The Association of American Medical Colleges and other national medical education organizations have expressed concern about recruitment and retention of preceptors to provide high-quality educational experiences in community-based practice sites. These concerns stem from constraints imposed by documentation in electronic health records; perceptions that student mentoring is burdensome resulting in decreased clinical productivity; and competition between allopathic, osteopathic, and international medical schools for finite resources for medical student experiences. Evidence: In this Alliance for Clinical Education position statement, we provide a consensus summary of representatives from national medical education organizations in 8 specialties that offer clinical clerkships. We describe the current challenges in providing medical students with adequate community-based instruction and propose potential solutions. Implications: Our recommendations are designed to assist clerkship directors and medical school leaders overcome current challenges and ensure high-quality, community-based clinical learning opportunities for all students. They include suggesting ways to orient community clinic sites for students, explaining how students can add value to the preceptor's practice, focusing on educator skills development, recognizing preceptors who excel in their role as educators, and suggesting forms of compensation.

Original languageEnglish (US)
Pages (from-to)329-336
Number of pages8
JournalTeaching and Learning in Medicine
Volume28
Issue number3
DOIs
StatePublished - Jul 2 2016

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Education
Medical Students
Students
community
medical student
education
Medical Education
Medical Schools
Clinical Clerkship
student
Organizations
educator
instruction
Electronic Health Records
American Medical Association
mentoring
Documentation
school
Physical Examination
documentation

Keywords

  • clinical clerkships
  • community preceptors
  • medical education

ASJC Scopus subject areas

  • Education

Cite this

The Community Preceptor Crisis : Recruiting and Retaining Community-Based Faculty to Teach Medical Students—A Shared Perspective From the Alliance for Clinical Education. / Christner, Jennifer G.; Dallaghan, Gary Beck; Briscoe, Gregory; Casey, Petra; Fincher, Ruth Marie E; Manfred, Lynn M.; Margo, Katherine I.; Muscarella, Peter; Richardson, Joshua E.; Safdieh, Joseph; Steiner, Beat D.

In: Teaching and Learning in Medicine, Vol. 28, No. 3, 02.07.2016, p. 329-336.

Research output: Contribution to journalArticle

Christner, JG, Dallaghan, GB, Briscoe, G, Casey, P, Fincher, RME, Manfred, LM, Margo, KI, Muscarella, P, Richardson, JE, Safdieh, J & Steiner, BD 2016, 'The Community Preceptor Crisis: Recruiting and Retaining Community-Based Faculty to Teach Medical Students—A Shared Perspective From the Alliance for Clinical Education', Teaching and Learning in Medicine, vol. 28, no. 3, pp. 329-336. https://doi.org/10.1080/10401334.2016.1152899
Christner, Jennifer G. ; Dallaghan, Gary Beck ; Briscoe, Gregory ; Casey, Petra ; Fincher, Ruth Marie E ; Manfred, Lynn M. ; Margo, Katherine I. ; Muscarella, Peter ; Richardson, Joshua E. ; Safdieh, Joseph ; Steiner, Beat D. / The Community Preceptor Crisis : Recruiting and Retaining Community-Based Faculty to Teach Medical Students—A Shared Perspective From the Alliance for Clinical Education. In: Teaching and Learning in Medicine. 2016 ; Vol. 28, No. 3. pp. 329-336.
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