The One Minute Preceptor:

Time Efficient Teaching in

Clinical Practice

Presentation based on materials included in the:

Produced by :

Supported by HRSA Family Medicine Training

Grant # 1 D15 PE50119-01

The One Minute Preceptor teaching model was

developed at the Department of Family Medicine at
the University of Washington, Seattle.
See:
Neher, J. O., Gordon, K. C., Meyer, B., & Stevens, N.
(1992). A five-step "microskills" model of clinical
teaching. Journal of the American Board of Family
Practice, 5, 419-424.

The One Minute Preceptor

10 Minutes of Teaching Time...
Questioning

3 Minutes
Discussion

1 Minute

Presentation

6 Minutes

Teaching Styles
Expert
Socratic
Others?
One Minute

The 5-Step Microskills Method

1. Get a Commitment
2. Probe for Supporting Evidence
3. Reinforce What Was Done Well
4. Give Guidance About Errors or
Omissions
5. Teach a General Principle

Get a Commitment
Why?
Encourages learner to process
further and problem solve.
Examples...
What do you think is going on
here?
What would you like to do next?

Probe for Supporting Evidence

Why?
Helps you to assess the learners
knowledge and thinking process.
Examples...
What factors support your
diagnosis?
Why did you choose that
treatment?

Reinforce What Was Done Well

Describe specific behaviors and
likely outcomes
Why?... Behaviors that are
reinforced will be more firmly
established.
Example I liked that your
differential took into account the
patients age, recent exposures,
& symptoms.

Guide Errors/ Omissions

Describe what was wrong (be
specific), what the consequence
might be, and how to correct it for
the future
Why? Corrects mistakes and forms
foundation for improvement.

Example During the ear exam

the patient seemed uncomfortable.
Lets go over holding the otoscope.

Teach a General Principle

Symptoms, treatment options, or
resources to look information up
Why? Allows learning to be more
easily transferred to other situations.
Examples Remember 10-15%
people are carriers of strep, which
can lead to false positive strep
tests.

Conclusion
Why?...
Limits Time.
Directs remainder of the encounter.

ExampleLets go back in the room

and Ill show you how to get a good
throat swab. Tell me when we have
the results, and Ill watch you go
over the treatment plan.

5 Step Microskills Method

1. Get a Commitment
2. Probe for Supporting Evidence
3. Reinforce What Was Done Well
4. Give Guidance About Errors or
Omissions
5. Teach a General Principle

What makes sense

in your practice?