Running a Successful Clinical Rotation

Running a Successful Clinical Rotation

Nephtali R. Gomez, M.D.

The LLUSOM Surgery Clerkship» 10 week track» 40 students per track» Students rotate among four clinical sites

LLUMC

RCRMC

KAISERVAH

LLUMC

RCRMC

KAISERVAH

County

PrivateGovernment

University

»Different backgrounds

»Different patient populations

»All 40 students must have an equivalent experience/education??????!

Equalizing the Student Experience» Objectives for the course are the same for all students across all sites

» Required Patient encounters

» Preceptor at each site acts as representative for the clerkship director

» Good communication between CD and preceptors is paramount

» Once a week all students come together for lecture, quiz, and updates

1. Abdominal Pain2. Trauma3. Breast4. Male UG exam5. DRE/Prostate exam6. Three encounters of alimentary tract surgery

The LLUSOM Surgery Clerkship»10 week track»40 students per track»Students rotate among four clinical sites» Students from all sites come together weekly for lectures, quiz, and updates

»Weekly small group sessions at designated sites

The LLUSOM Surgery Clerkship» Mid-Rotation Evaluation

The LLUSOM Surgery Clerkship» Final Rotation Evaluation

» NBME Surgery Exam

The Role of the Clerkship Director»Who should be a clerkship director?»What are the tasks of the CD?»How much time is required to be a successful CD?»What faculty development is available for a CD?»Who supports a CD?»What negotiation skills does a CD need?

The Role of the Clerkship DirectorWho should be a clerkship director?

~ Has experience teaching medical students…and enjoys it

~ Understands the differences between educating students and residents

~ Knowledge of institution’s curriculum

~ Good communication skills/interpersonal relationships

~ Flexible/adaptable

~ Research interests in education

The Role of the Clerkship Director»Who should be a clerkship director?»What are the tasks of the CD?»How much time is required to be a successful CD?»What faculty development is available for a CD?»Who supports a CD?»What negotiation skills does a CD need?

The Role of the Clerkship DirectorWhat are the tasks of a clerkship director?» Create and maintain effective learning experiences

» Relationships with students

» Relationship with Chair

» Relationship with residency program director

» Faculty development

The Role of the Clerkship Director»Who should be a clerkship director?»What are the tasks of the CD?»How much time is required to be a successful CD?»What faculty development is available for a CD?»Who supports a CD?»What negotiation skills does a CD need?

The Role of the Clerkship DirectorHow much time is required to be a successful CD?» CD time is consumed in

~ Development~ Administration~ Evaluations~ Teaching activities

» 1990’s IM department Chairs endorsed 25% of time (25% salary support)» More recent recommendations

At least 50%!

The Role of the Clerkship Director»Who should be a clerkship director?»What are the tasks of the CD?»How much time is required to be a successful CD?»What faculty development is available for a CD?»Who supports a CD?»What negotiation skills does a CD need?

The Role of the Clerkship DirectorWhat faculty development is available for a CD?» Fellowships…(Fam Med, Int Med)» Mentoring

~ Previous CD, Dept Chair, CDs from other disciplines~ Join organization that focuses on education in your specialty field (ASE)

•Faculty development seminars» On line resources

~ MedEDPORTAL~ www.surgicaleducation.com/

Margo, K., The Role of the Clerkship Director

The Role of the Clerkship Director»Who should be a clerkship director?»What are the tasks of the CD?»How much time is required to be a successful CD?»What faculty development is available for a CD?»Who supports a CD?»What negotiation skills does a CD need?

The Role of the Clerkship DirectorWho supports a CD? » Clerkship Coordinator» Clinical Faculty» Residents» Non-clinical faculty» Dean’s office» Clerkship director committee

The Role of the Clerkship Director»Who should be a clerkship director?»What are the tasks of the CD?»How much time is required to be a successful CD?»What faculty development is available for a CD?»Who supports a CD?»What negotiation skills does a CD need?

The Role of the Clerkship DirectorWhat negotiation skills does a CD need» Must negotiate for

~ Time~ Money~ Space

» May have to negotiate for additional resources (SIM lab, teaching assistants, AV equipment, computers, digital content/resources)

» Careful preparation~ Well-thought-out reasoning and clear justifications~ Alliance with other CD with similar needs may help

The End