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Chapter-15 One Minute Preceptor

BOOK TITLE: Principles of Medical Education

Author
1. Singh Daljit
2. Singh Tejinder
3. Gupta Piyush
ISBN
9788184485653
DOI
10.5005/jp/books/10679_15
Edition
3/e
Publishing Year
2009
Pages
6
Author Affiliations
1. Amritsar, India, Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar, India, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India, G B Pant Institute of Postgraduate Medical Education and Research, New Delhi, India, GB Pant Hospital, Maulana Azad Medical College, New Delhi, India, Sri Guru Ram Das University of Health Sciences, Amritsar, Punjab, India, Govind Ballabh Pant Institute of Postgraduate, Medical Education and Research, Govind Ballabh Pant Hospital, New Delhi, India, Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar-143001, India, Maulana Azad Medical College and Associated GB Pant Hospital, New Delhi, India, Dr Daljit Singh Eye Hospital, Radhaswami Road, Amritsar, India, Air Force Hospital, Kanpur, Uttar Pradesh, India, Dayanand Medical College and Hospital, Ludhiana, Punjab, India; Royal College of Paediatrics and Child Health (RCPCH), London, UK, Command Hospital (SC), Pune, Maharashtra, India, Dayanand Medical College and Hospital, L
2. Maulana Azad Medical College, New Delhi, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India, Christian Medical College and Hospital, Ludhiana, Punjab, India, SGRD Institute of Medical Sciences and Research, Amritsar, Punjab, India, CMCL-FAIMER Regional Institute; MCI Regional Center; Christian Medical College, Ludhiana, Punjab, India, Medical Education SGRD Institute of Medical Sciences and Research, Amritsar, Punjab, India
3. University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, University College of Medical Sciences, New Delhi, India; Indian Academy of Pediatrics (2021), University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India; Indian Academy of Pediatrics 2020, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India; Indian Academy of Pediatrics 2021, University College of Medical Sciences, New Delhi, India; Elect 2020, Indian Academy of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India, University College of Medical Sciences, New Delhi, India; Indian Pediatrics; IAP Education Center, Indian Academy of Pediatrics 2008-13; University College of Medical Sciences, Delhi, University College of Medical Sciences; Indian Pediatrics, New Delhi, India, University College of Medical Sciences, Delhi, University College of Medical Sciences and GTB
Chapter keywords
OMP model, clinical teaching, clinical skills, microskills, clinical encounter, learning needs, clinical reasoning skills, diagnosis

Abstract

One minute preceptor or OMP model which is based on the experience of clinical teachers regarding spending time during a clinical encounter has been extensively used for clinical teaching in many universities across the World. This model provides guidelines which are useful to sequence a clinical conversation. It is flexible and pliable based on the teaching situation. It provides the teacher with an array of clinical skills, which have proven teaching value. In the OMP model, the teacher first focuses on diagnosis of the patient, then on diagnosing the learning needs of the students and finally provides targeted instruction in the context of his diagnosis. To attain this objective, the teacher has to use five micro skills including getting a commitment, probing for underlying reasoning, teaching general rules, re-enforcing what was right, and correcting mistakes. The sequence of microskills suggested here has been shown to improve the ownership of learning by the learner and diagnosis of learning problem by the teacher. The skills are easy to learn and the simplest way of learning them is to focus on one skill at one clinical encounter so that over a period of few weeks, one can learn to effectively use all the skills.

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