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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
DIREC TOR 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 EducationOrganizational 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 ProgramSuccessful 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: SPADESETSU 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
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