Enlisting New Teachers in Clinical Environments (ENTICE); novel ways to engage clinicians

Abstract

Purpose

To explore the barriers and incentives that affect primary care providers who precept students in outpatient clinics in the US.

Method

In 2013, leadership of our large primary care group sent a 20-question survey via e-mail to all of the 180 providers within the network. The survey assessed provider demographics, precepting history, learner preferences, and other issues that might affect future decisions about teaching.

Results

The response rate was 50% (90 providers). The top reasons for precepting in the past were enjoyment for teaching and personal interaction with learners. The most commonly cited reason for not precepting previously was a perceived lack of time followed by increased productivity demands. When questioned about the future, 65% (59 respondents) indicated that they were likely to precept within the next 6 months. A desired reduction in productivity expectations was the most commonly cited motivator, followed by anticipated monetary compensation and adjusted appointment times. A top barrier to future precepting was a belief that teaching decreases productivity and requires large amounts of time.

Conclusion

This survey represents an opportunity to study a change in focus for a cohort of busy clinicians who were mostly new to teaching but not new to clinical practice. The survey provides further insight into clinician educators’ perceptions regarding the education of a variety of different learners. The results align with data from previous studies in that time pressures and productivity demands transcend specific programs and learner backgrounds. This information is critical for future clerkship directors and hospital administrators in order to understand how to increase support for potential preceptors in medical education.

Keywords:

• clinical teaching
• medical education
• preceptors
• primary care

Acknowledgments

The authors would like to thank John B Anderson, MD, MPH, Pamela B Edwards, EdD, MSN, RN-BC, CNE, and Barbara S Turner, PhD, RN, FAAN for their guidance and support in developing the survey.

Disclosure

The authors report no conflicts of interest in this work.