Department of Health Promotion Sciences, Hudson College of Public Health, University of Oklahoma, Oklahoma City, OK.
School of Community Medicine, University of Oklahoma-Tulsa, Tulsa, OK.
Fam Med. 2024 Sep;56(8):485-491. doi: 10.22454/FamMed.2024.513346. Epub 2024 Jul 3.
Building on research highlighting the success of tribal, rural, and underserved clerkships to increase students' intention to practice family medicine in these areas, we explored the perspectives of prospective precepting physicians and administrators to develop an optimal structure to facilitate recruitment of external preceptors.
We conducted semistructured interviews with family physicians (N=14) and health system administrators (N=14) working in tribal, rural, and underserved areas. Discussions were recorded, transcribed verbatim, and coded independently by two researchers. Applying rapid assessment qualitative research methods, we used a framework method to identify emergent themes that were applied to improve the recruitment of external preceptors.
Physicians identified key facilitating factors and barriers to serving as a preceptor, which paralleled those common within the existing literature. However, administrators were motivated to serve as a precepting site to increase the potential of recruiting future physicians. We developed the Premier Medical Education Hub model to align these different but compatible interests with the goal to increase preceptor participation. In this model, each host site dedicates staff and adopts standardized procedures to manage rotations, hosts at least five students annually, provides housing, has procedures to facilitate electronic health record access, and offers student immersion experiences.
As practice ownership shifts from physician-owned to health system ownership, administrators become the gatekeepers for prospective preceptors. Our findings demonstrate that integrating the compatible interests between physicians and administrators allows for the creation of a synergistic model that facilitates preceptor recruitment.
基于强调部落、农村和服务不足的实习岗位在增加学生在这些领域从事家庭医学实践意愿方面取得成功的研究，我们探讨了未来指导医生和管理人员的观点，以制定最佳结构来促进外部指导教师的招聘。
我们对在部落、农村和服务不足地区工作的家庭医生（N=14）和卫生系统管理人员（N=14）进行了半结构化访谈。讨论内容被记录、逐字转录，并由两名研究人员独立进行编码。应用快速评估定性研究方法，我们使用框架方法确定了新出现的主题，这些主题被应用于改善外部指导教师的招聘。
医生们确定了担任导师的关键促进因素和障碍，这与现有文献中的常见因素相似。然而，管理人员有动力成为指导站点，以增加招聘未来医生的可能性。我们开发了 Premier Medical Education Hub 模型，将这些不同但兼容的利益与增加指导教师参与的目标联系起来。在这个模型中，每个主办站点都专门配备人员并采用标准化程序来管理轮班，每年至少接待五名学生，提供住房，有方便获取电子健康记录的程序，并提供学生沉浸体验。
随着实践所有权从医生所有向医疗系统所有转移，管理人员成为未来指导教师的把关人。我们的研究结果表明，整合医生和管理人员之间的兼容利益可以创建一个促进指导教师招聘的协同模型。
