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Preceptor Expansion Oversight Committee Discusses Next Steps on CMS Guidelines and Creating Efficiencies and Incentives for Teaching

April 13, 2018—The Preceptor Expansion Oversight Committee met in Kansas City on April 9 to provide input on the progress of the five teams implementing the following tactics to address the shortage of high-quality clinical training sites for students:

  • Tactic 1: Work with CMS to revise student documentation guidelines
  • Tactic 2: Integrate interprofessional/interdisciplinary education into ambulatory primary care settings 
  • Tactic 3: Develop standardized onboarding process for students and preceptors and integrate students into the work of ambulatory primary care settings in useful and authentic ways
  • Tactic 4: Develop educational collaboratives across departments, specialties, professions, and institutions to improve administrative efficiencies
  • Tactic 5: Promote productivity incentive plans that include teaching and develop a culture of teaching in clinical settings 

The Oversight Committee, which is chaired by Annie Rutter, MD, includes representatives from STFM, Clerkship Directors in Internal Medicine, Physician Assistant Education Association, American Association of Nurse Practitioners, American Academy of PAs, as well as a community preceptor.

During the meeting, the committee gave recommendations for resources to help faculty and precepting practices implement the new CMS guidelines on student documentation. FAQs, sample attestations, and a press release will be developed and disseminated once CMS responds to the tactic team’s request to confirm the Initiative’s understanding of the new guidelines.

The committee also provided ideas for standardized training for students prior to their clinical rotations. An area of particular interest was training on how to use EHRs and how to write a high-quality note that can be used for billing purposes with appropriate verification and attestation by the teaching physician. The tactic 3 team will consider next steps on EHR training, in conjunction with the other work they’re doing on standardization.

The tactic 4 team has developed criteria for collaborative pilot projects that improve efficiencies for community preceptors. The Oversight Committee helped the team leaders narrow the focus of the intervention. It was decided that collaboratives selected for the pilot will test standardized onboarding materials/training. The call for applications for pilot projects is expected to go out this summer.

Other time during the meeting was spent discussing tactic team strategies to increase placement for students through interprofessional rotations, incentives for preceptors and teaching practices, and development of a web space to house resources and opportunities developed through the Preceptor Expansion Initiative.

Annie Rutter, MD, recognized the work of the Oversight Committee and tactic teams. “I am impressed with the amount of progress we have made in such a short period of time. The motivation of everyone involved speaks to the importance of what we’re doing.”

Learn more and follow the progress of the initiative


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Copyright 2018 by Society of Teachers of Family Medicine