1. Complete the learning contract with resident. Input from both preceptor and resident is expected.
2. Establish your expectations re: professional conduct - clinic start time, dress code; expectations re: nursing home visits, in-patient responsibilities etc.
3. Early: observe complete history and physical until comfortable that resident shows appropriate and consistent skills.
4. Observe resident doing several pelvic exams.
5. Thereafter, observe at least a portion of a history or physical at least once per half-day clinic.
a) Encourage specific goal setting by the resident for these observations
b) Obtain the residents sense of the success in meeting the goals
c) Provide detailed feedback
- What should they continue to do?
- What should they begin or do more of?
- What should they stop or do less of?
d) Develop a specific plan for implementation +/- further specific observation
6. Remind patients that all resident decisions are reviewed with you.
7. Encourage residents to explain thinking process in arriving at their DDx ("What else did you consider?").
8. Ask resident to make a commitment to the most likely diagnosis.
9. Emphasize SOAP format for record keeping including use of the assessment section to explore their thinking process.
10. Counter-sign all resident entries.
11. Encourage resident to read around cases.
12. Assign reading where necessary (i.e. give a learning prescription).
13. Stress a professional approach, appropriate boundary setting, and standards for inter-collegial communication.
14. Ensure formal feedback is given at mid-way point (verbal and/or written if resident is struggling) and end of rotation (verbal and written).