PRP174: The GRIPE Model for Chronic Disease Precepting
Dean Seehusen, MD, MPH; A.J. Kleinheksel, PhD, MEd, CHSE-A
Context: Teaching in the ambulatory setting is challenging due to time limitations, patient complexity, complaints per visit, learners competency variation, and additional tasks assigned to educators during precepting sessions. The use of precepting tools, such as the One-Minute Preceptor, are recommended to overcome these barriers. Because chronic disease management is not a major portion of ambulatory teaching, there is a need to develop a precepting tool specifically for use with chronic disease management. Objective: To evaluate the effectiveness of a new precepting tool designed for use during chronic disease management visits. Study Design: Precepting sessions with residents were video recorded before and after introduction of a chronic disease management precepting tool – The GRIPE Model. Before and after precepting sessions were compared for quality features pertinent to chronic disease teaching. Setting or Dataset: Precepting sessions were conducted in a simulation center after residents watched mock patient encounters. Population studied: Family medicine faculty and residents from a Southeastern United States residency program. Intervention/Instrument (for interventional studies): After baseline precepting sessions were recorded, the faculty were introduced to The GRIPE Model with through a 30-minute lecture. Outcome Measures: Transcript of the sessions were evaluate for frequency of specific features including: discussion of guidelines, preventive services, learner feedback, and teaching points. Surveys were done to measure resident and faculty satisfaction with the sessions. Results: In this pilot study, 3 pre- sessions and 5 post- sessions were recorded and analyzed. It is not expected that statistically significant changes will be noted with such a small sample size. It is expected that use of the model was acceptable to both the faculty and residents. Conclusions: This pilot demonstrates the feasibility of conducting a large-scale study to measure the effectiveness of The GRIPE Model for chronic disease management precepting.