One
Minute Preceptor Method |
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| Step |
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Examples |
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| 1. Get a Commitment
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“What do you think
is going on with this patient?”
“How do you think we should treat this patient?”
“Based on the history you obtained, what parts of the physical
should we focus on?”
“Based on those differential diagnoses, what testing do you
think should be ordered? |
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| 2. Probe for Supporting
Evidence |
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“What factors
in the history and physical support your diagnosis?”
“Why would you choose that particular medication?” |
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| 3. Reinforce What Was
Done Well |
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“Your presentation
was well organized. You had the chief complaint followed by a detailed
history of present illness.”
“You included appropriate medical and social history with
a focused physical exam.”
“Your diagnosis of `probable PID' was well supported by your
history and physical. You clearly integrated the patient’s
history and your physical findings in making that assessment.” |
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| 4. Give Guidance About
Errors & Omissions |
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“In your presentation
you mentioned fever during your history but did not tell me the
vital signs when you began your physical exam. Following a standard
pattern will help avoid omissions and improve your communication
of medical information.”
“I agree that, at some point, a Pap smear will be needed,
but right now the patient is acutely ill and the results would not
assist us in diagnosis or management.” |
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| 5. Teach a General Principle
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“Deciding whether
someone with PID needs to be hospitalized challenging. Fortunately
there are CDC criteria that have been tested which help...”
“When looking for information on what antibiotics to choose,
I have found it more useful to use an up-to-date hand book or electronic
resource than a textbook which may be several years out of date.” |
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| 6. Conclusion |
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“OK, let’s
go back in the room and talk with the patient. After that, I'd like
you to ask the nurse to get a STAT serum hCG and CBC. When we’ve
gotten the results, let me know and we can make a final decision
about the need for hospitalization and our treatment plan.” |