[NPInfo]: Faculty responsibility & preceptors, know "2d nature" practitioner

Fri Apr 4 06:56:12 PDT 2008

You wrote: Despite these efforts, I keep > > wondering how it is all second nature to my collaborating doc and a > > challenge to me. 

Reply- May I respectful ask you to consider the following? Do not assume all aspects of practice are second nature to your colleague. I have done this work for years now and see folks who float from patient to patient, without breaking a sweat, and seem to know everything. Yet with a little digging, I have found out they are like watching a duck swim, smooth on surface, paddling like the dickens below the water.  So, the appearance of being effortless in clinical decision making was just that- an appearance, while lots of processing was going on. Others seem to sweat out every decision, sometimes even verbally. Shared an office once with someone who spoke darn near each decision aloud. Was tough for me at first then I learned to tune it out. From the outside, the "verbalizer" might have appeared unsure while the "swimming duck" looked confident. All in all, both had great clinical strengths, a few weaker points but knew when to get help, and were superb clinicians. I have seen countless different examples of these folks, NPs, PAs, MDs. 

And years of practice, seeing the same dx over and over again certainly helps! Dr. Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP President, Fitzgerald Health Education Associates, Inc. 85 Flagship Drive North Andover, MA 01845-6154 978.794.8366 FHEA website www.fhea.com FHEA on line store www.fhea.biz peg at fhea.com
FNP, Adjunct Faculty, Family Practice Residency Greater Lawrence (MA) Family Health Center, Inc.

> From: dmittman at advancedprac.com> Subject: Re: [NPInfo]: Faculty responsibility & preceptors> Date: Thu, 3 Apr 2008 21:45:03 -0400> To: npinfo at nurse.net> > Sue: It is called residency and if s(he) is in practice longer, > experience.> Dave> > On Apr 3, 2008, at 7:42 PM, Sue Wiers wrote:> > > I agree with Nancy. I precept routinely for Oakland University > > students in Rochester, Michigan. I have developed a reciprocal > > relationship with Oakland University (which is not my alma mater) > > over the years and am on their NP Committee as 'adjunct > > faculty' (not paid, but looks ok on the resume and gives me contact > > with academia). This university is absolutely concerned with the > > best interests of their students and in recognizing and supporting > > their preceptors. Faculty make routine visits to the sites twice a > > semester, ask for written evaluations of the students, invite > > preceptors to appropriate events, and, as in my case, involvement > > with the program. I have always felt appreciated and never > > abused. If one is experiencing such negative things, I recommend > > contacting the university and/or discontinuing the relationship.> >> > As for the missing clinical components in practice- I wish that I > > felt competent in all the areas that Marilyn mentioned. I have > > attended seminars, skills workshops, conference workshops, > > purchased and reviewed numerous educational materials on all of the > > mentioned areas of deficiency. Bridging that gap is where I what I would hope a > > DNP would achieve - I don't think that I am hearing that is the case.> >> > Sue Wiers> >> >> >> >> >> >> From: Nbalkon at aol.com> Date: Thu, 3 Apr 2008 12:59:09 -0400> > >> Subject: Re: [NPInfo]: Faculty responsibility & preceptors> To: > >> npinfo at nurse.net> > > > In a message dated 4/3/2008 12:35:34 PM > >> Eastern Daylight Time, > Margienp at aol.com writes:> > There seems > >> to be issues in students obtaining preceptors and this is the > > >> schools obligation. If the MS program can not arrange for decent > >> preceptors > then > there needs to be less students admitted to > >> the programs.> Many times the preceptors are abused.> I have been > >> a preceptor and never had the university make any contact with > > >> me.> > > Nance respons: Sigh... this disheartens me if it's > >> occurring... Preceptors, > please do contact the department chair > >> in schools where your preceptees come > from... It's unacceptable > >> to have, what I consider, students "dumped" on > preceptors.> > > >> Preceptors... you do have rights... one of them is to work along > >> with > faculty of record whose responsibility it is to be in > >> contact with you at the > beginning of the semester and prn > >> throughout in order to guide the student's > education. Also, if a > >> student is doing poorly, notify faculty who must certainly > work > >> with you to sort out what the issues are, counsel the student with > >> you, > etc etc. Yes, sometimes students are even pulled out of > >> clinical...> > Do you know? The hours that you put in precepting > >> apply towar > re-certification? If you haven't received a letter > >> from the school verifying you've > precepted and for how many > >> hours please make request. Also review recert criteria > for > >> credentialing body to see how hours are applied.> > I've worn both > >> hats during my career... am totally sensitive to the plight > of > >> the preceptor and what can be termed preceptor abuse. I advocate > >> for you. > You're not powerless.> > > Nancy Balkon, PhD, ANP-C, > >> APRN-CS, NPP> Southern New York State Representative -- AANP> > >> Clinical Associate Professor, Stony Brook University School of > >> Nursing> > > > **************Planning your summer road trip? Check > >> out AOL Travel Guides. > (http://travel.aol.com/travel-guide/ > >> united-states?ncid=aoltrv00030000000016)> > >> _______________________________________________> NPInfo mailing > >> list> NPInfo at nurse.net> http://lists.nurse.net/mailman/listinfo/ > >> npinfo> *****************************> > _________________________________________________________________> > More immediate than e-mail? Get instant access with Windows Live > > Messenger.> > http://www.windowslive.com/messenger/overview.html? > > ocid=TXT_TAGLM_WL_Refresh_instantaccess_042008________________________ > > _______________________> > NPInfo mailing list> > NPInfo at nurse.net> > http://lists.nurse.net/mailman/listinfo/npinfo> > *****************************> > _______________________________________________> NPInfo mailing list> NPInfo at nurse.net> http://lists.nurse.net/mailman/listinfo/npinfo> *****************************