Department of Pediatrics, Children's Hospital of Richmond, Virginia Commonwealth University, Richmond, VA, USA.
Med Educ Online. 2013 May 3;18:1-7. doi: 10.3402/meo.v18i0.20733.
Community-based outpatient experiences are a core component of the clinical years in medical school. Central to the success of this experience is the recruitment and retention of volunteer faculty from the community. Prior studies have identified reasons why some preceptors volunteer their time however, there is a paucity of data comparing those who volunteer from those who do not.
A survey was developed following a review of previous studies addressing perceptions of community-based preceptors. A non-parametric, Mann-Whitney U test was used to compare active preceptors (APs) and inactive preceptors (IPs) and all data were analyzed in SPSS 20.0.
There was a 28% response rate. Preceptors showed similar demographic characteristics, valued intrinsic over extrinsic benefits, and appreciated Continuing Medical Education (CME)/Maintenance of Certification (MOC) opportunities as the highest extrinsic reward. APs were more likely to also precept at the M1/M2 level and value recognition and faculty development opportunities (p<0.05). IPs denoted time as the most significant barrier and, in comparison to APs, rated financial compensation as more important (p<0.05).
Community preceptors are motivated by intrinsic benefits of teaching. Efforts to recruit should initially focus on promoting awareness of teaching opportunities and offering CME/MOC opportunities. Increasing the pool of preceptors may require financial compensation.
社区门诊经验是医学院临床学习的核心组成部分。这种经验成功的关键是从社区招募和留住志愿教师。先前的研究已经确定了一些导师自愿付出时间的原因，但缺乏比较志愿者和非志愿者的资料。
在回顾了以前研究社区导师看法的研究后，制定了一份调查问卷。采用非参数、曼-惠特尼 U 检验比较活跃导师 (APs) 和不活跃导师 (IPs)，所有数据均在 SPSS 20.0 中进行分析。
回复率为 28%。导师表现出相似的人口统计学特征，重视内在而非外在利益，并将继续医学教育 (CME)/维持认证 (MOC) 机会视为最高的外在奖励。APs 更有可能在 M1/M2 阶段指导，并重视认可和教师发展机会 (p<0.05)。IPs 将时间视为最大的障碍，与 APs 相比，他们认为经济补偿更为重要 (p<0.05)。
社区导师的教学动力来自内在利益。招募工作应首先侧重于提高对教学机会的认识，并提供 CME/MOC 机会。增加导师人数可能需要经济补偿。
