Precepting Medical Students in the Patient's Presence: An Educational Randomized Trial in Family Medicine Cinic

David V Power, Marcy E. Rosenbaum, Lindsey Hanson, Ian R. Reynolds, Darin R Brink, Shailey Prasad, Clarence D. Kreiter

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


BACKGROUND AND OBJECTIVES: Many medical student-patient encounters occur in the outpatient setting. Conference room staffing (CRS) of student presentations has been the norm in the United States in recent decades. However, this method may not be suitable for outpatient precepting, being inefficient and reducing valuable direct face time between physician and patient. Precepting in the Presence of the Patient (PIPP) has previously been found to be an effective educational model in the outpatient setting but has never been studied in family medicine clinics, nor with non-English speaking patients, nor patients from lower socioeconomic backgrounds with low literacy. METHODS: We used a randomized controlled trial of educational models comparing time spent using PIPP with CRS in two family medicine clinics. Patient, student, and physician satisfaction were also measured using a 5-point Likert scale; total encounter time and time spent precepting were also recorded. RESULTS: PIPP is strongly preferred by attending physicians while patients and students were equally satisfied with either precepting method. PIPP provides an additional 3 minutes of physician-patient face time (17.39 versus 14.08 minutes) in an encounter that is overall shortened by 2 minutes (17.39 versus 19.71 minutes). CONCLUSIONS: PIPP is an effective method for precepting medical students in family medicine clinics, even with non-English speaking patients and those with low literacy. Given the time constraints of family physicians, PIPP should be considered as a preferred, time-efficient method for training medical students that is well received by patients, students, and particularly by physicians.

Original languageEnglish (US)
Pages (from-to)97-105
Number of pages9
JournalFamily medicine
Issue number2
StatePublished - Feb 2017

Bibliographical note

Funding Information:
The authors acknowledge the assistance of Scott Bischoff, Department of Family Medicine, University of Minnesota, in preparing the manuscript. Support: The authors wish to acknowledge the financial support provided by a Herz Faculty Development Award from the University Medical Foundation. Presentations: This work has been presented as original research in progress at the Society of Teachers of Family Medicine (STFM) 2013 Conference on Medical Student Education and as completed research at the 2014 STFM Annual Spring Conference.

Publisher Copyright:
© 2017, Society of Teachers of Family Medicine. All rights reserved.

Copyright 2017 Elsevier B.V., All rights reserved.

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