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Optimizing the Role of Clinical Educators in Health Professional Education

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Clinical Education for the Health Professions

Abstract

Clinical educators have a unique teaching role in that they need to support student learning while ensuring patient safety and service delivery. This chapter discusses the role of the clinical educator in preparing students for work integrated learning, and how they support students’ learning trajectories during their practical placements. The skills and qualities of effective clinical educators are outlined including the intrinsic attributes that facilitate student learning, and other teaching skills such as organizational, assessment, and feedback skills. Methods for professional development for this group are proposed to assist in improving engagement and both the student and clinical educator experience. This chapter also explores the role of the university in helping develop clinical educators and the importance of building productive relationships between academic and work integrated learning settings. Evidence from a range of health professions are used including allied health, medicine, and nursing.

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References

  • Arora S, Ashrafian H, Davis R, Athanasiou T, Darzi A, Sevdalis N. Emotional intelligence in medicine: a systematic review through the context of the ACGME competencies. Med Educ. 2010;44:749–64.

    Article  Google Scholar 

  • Bandali K, Parker K, Mummery M, Preece M. Skills integration in a simulated and interprofessional environment: an innovative undergraduate applied health curriculum. J Interprof Care. 2008;22:179–89.

    Article  Google Scholar 

  • Barber JRG, Park SE, Jensen K, Marshall H, Mcdonald P, Mckinley RK, Randles H, Alberti H. Facilitators and barriers to teaching undergraduate medical students in general practice. Med Educ. 2019;53:778–87.

    Article  Google Scholar 

  • Barbour L, Armstrong R, Condron P, Palermo C. Communities of practice to improve public health outcomes: a systematic review. J Knowl Manag. 2018;22:326–43.

    Article  Google Scholar 

  • Bearman M, Molloy E, Ajjawi R, Keating J. Is there a plan B?’: Clinical educators supporting underperforming students in practice settings. Teach High Educ. 2012:1–14.

    Google Scholar 

  • Brown T, Williams B, Lynch M. Relationship between clinical fieldwork educator performance and health professional students’ perceptions of their practice education learning environments. Nurs Health Sc. 2013;15:510–7.

    Article  Google Scholar 

  • Chipchase LS, Buttrum PJ, Dunwoodie R, Hill AE, Mandrusiak A, Moran M. Characteristics of student preparedness for clinical learning: clinical educator perspectives using the Delphi approach. BMC Med Educ. 2012;12:112.

    Article  Google Scholar 

  • Cleland JA, Knight LV, Rees CE, Tracey S, Bond CM. Is it me or is it them? Factors that influence the passing of underperforming students. Med Educ. 2008;42:800–9.

    Article  Google Scholar 

  • Crawford E, Caine A-M, Hunter L, Hill AE, Mandrusiak A, Anemaat L, Dunwoodie R, Fagan A, Quinlan T. Service learning in developing countries: student outcomes including personal successes, seeing the world in new ways, and developing as health professionals. J Interprof Educ Pract. 2017;9:74–81.

    Google Scholar 

  • Dart J, Mccall L, Ash S, Blair M, Twohig C, Palermo C. Toward a global definition of professionalism for nutrition and dietetics education: a systematic review of the literature. J Acad Nutr Diet. 2019;119:957–71.

    Article  Google Scholar 

  • Dauphinee WD. Educators must consider patient outcomes when assessing the impact of clinical training. Med Educ. 2012;46:13–20.

    Article  Google Scholar 

  • Davis C, King O, Clemans A, Coles J, Crampton P, Jacobs N, Mckeown T, Morphet J, Seear K, Rees C. Students’ experiences of workplace dignity during work-integrated learning: a qualitative study exploring student and workplace supervisors’ perspectives. Canberra: Australia & New Zealand Association for Health Professions Educaition; 2019.

    Google Scholar 

  • Dawson P, Henderson M, Mahoney P, Phillips M, Ryan T, Boud D, Molloy E. What makes for effective feedback: staff and student perspectives. Assess Eval High Educ. 2019;44:25–36.

    Article  Google Scholar 

  • Dijkstra J, Van Der Vleuten C, Schuwirth LA. New framework for designing programmes of assessment. Adv Health Sci Educ. 2010;15:379–93.

    Article  Google Scholar 

  • Foo J, Rivers G, Ilic D, Evans DJR, Walsh K, Haines T, Paynter S, Morgan P, Lincke K, Lambrou H, Nethercote A, Maloney S. The economic cost of failure in clinical education: a multi-perspective analysis. Med Educ. 2017;51:740–54.

    Article  Google Scholar 

  • Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teach. 2007;29:642–7.

    Article  Google Scholar 

  • Gibson SJ. Addressing the unique needs of training primary care-based educators. Med Educ. 2019;53:754–6.

    Article  Google Scholar 

  • Gibson SJ, Davidson ZE. An observational study investigating the impact of simulated patients in teaching communication skills in preclinical dietetic students. J Hum Nutr Diet. 2016;29:529–36.

    Article  Google Scholar 

  • Gibson S, Molloy E. Professional skill development needs of newly graduated health professionals: a systematic literature review. Foc Health Prof Educ. 2012;13:71–83.

    Google Scholar 

  • Gibson S, Dart J, Bone C, Palermo C. Dietetic student preparedness and performance on clinical placements: perspectives of clinical educators. J Allied Health. 2015;44:101–7.

    Google Scholar 

  • Gibson SJ, Golder J, Cant RP, Davidson ZE. An Australian mixed methods pilot study exploring students performing patient risk screening. Nurs Health Sci. 2016;18:203–9.

    Article  Google Scholar 

  • Gibson SJ, Porter J, Anderson A, Bryce A, Dart J, Kellow N, Meiklejohn S, Volders E, Young A, Palermo C. Clinical educators’ skills and qualities in allied health: a systematic review. Med Educ. 2019;53:432–42.

    Article  Google Scholar 

  • Grace S, O’Neil R. Better prepared, better placement: an online resource for health students. Asia Pacific J Coop Educ. 2014;15:291–304.

    Google Scholar 

  • Hakojärvi H-R, Salminen L, Suhonen R. Health care students’ personal experiences and coping with bullying in clinical training. Nurs Educ Today. 2014;34:138–44.

    Article  Google Scholar 

  • Higgs J, Mcallister L. Being a clinical educator. Adv Health Sci Educ. 2007;12:187–200.

    Article  Google Scholar 

  • Hughes R, Desbrow B. An evaluation of clinical dietetic student placement case-mix exposure, service delivery and supervisory burden. Nutr Diet. 2010;67:287–93.

    Article  Google Scholar 

  • Kaplonyi J, Bowles KA, Nestel D, Kiegaldie D, Maloney S, Haines T, Williams C. Understanding the impact of simulated patients on health care learners’ communication skills: a systematic review. Med Educ. 2017;51:1209–19.

    Article  Google Scholar 

  • Kilminster S, Jolly B. Effective supervision in clinical practice settings: a literature review. Med Educ. 2000;34:827–40.

    Article  Google Scholar 

  • Kilminster S, Jolly B, Vleuten C. A framework for effective training for supervisors. Med Teach. 2002;24:385–9.

    Article  Google Scholar 

  • Knox S, Dunne SS, Hughes M, Cheeseman S, Dunne CP. Regulation and registration as drivers of continuous professional competence for Irish pre-hospital practitioners: a discussion paper. Irish J Med Sci. 2016;185:327–33.

    Article  Google Scholar 

  • Kolb DA, Boyatzis RE, Mainemelis C. Experiential learning theory: previous research and new directions. In: Perspect think learn Cognit styles, vol. 1; 2001. p. 227–47.

    Google Scholar 

  • Kreitzer MJ, Klatt M. Educational innovations to foster resilience in the health professions. Med Teach. 2017;39:153–9.

    Article  Google Scholar 

  • Larsen K, Perkins D. Training doctors in general practices: a review of the literature. Austr J Rural Health. 2006;14:173–7.

    Article  Google Scholar 

  • Loewenson KM, Hunt RJ. Transforming attitudes of nursing students: evaluating a service-learning experience. J Nurs Educ. 2011;50:345–9.

    Article  Google Scholar 

  • Maillet JOS, Brody RA, Skipper A, Pavlinac JM. Framework for analyzing supply and demand for specialist and advanced practice registered dietitians. J Acad Nutr Diet. 2012;112:S47–55.

    Article  Google Scholar 

  • Mcclure E, Black L. The role of the clinical preceptor: an integrative literature review. J Nurs Educ. 2013;52:335–41.

    Article  Google Scholar 

  • Mccluskey A. Collaborative curriculum development: clinicians’ views on the neurology content of a new occupational therapy course. Austr Occup Ther J. 2000;47:1–10.

    Article  Google Scholar 

  • Milosavljevic M, Noble G. Burnout levels among dietitians working in the New South Wales public hospital system: a cross-sectional statewide survey. Nutr Diet. 2015;72:101–6.

    Article  Google Scholar 

  • Milosavljevic M, Noble G, Zaremba C. Day-to-day activities of clinical dietitians working in the inpatient and outpatient settings in a group of New South Wales public hospitals: the results of a direct observational study. Nutr Diet. 2014;71:10–5.

    Article  Google Scholar 

  • Molloy E, Lew S, Woodward-Kron R, Delany C, Dodds A, Lavercombe M, Hughson J. Medical student clinical placements as sites of learning and contribution. Melbourne: University of Melbourne; 2018.

    Google Scholar 

  • Murray TA, Crain C, Meyer GA, Mcdonough ME, Schweiss DM. Building bridges: an innovative academic-service partnership. Nurs Outlook. 2010;58:252–60.

    Article  Google Scholar 

  • Oandasan I, Reeves S. Key elements for interprofessional education. Part 1: the learner, the educator and the learning context. J Interprof Care. 2005;19:21–38.

    Article  Google Scholar 

  • Palermo C, Kleve S, Mccartan J, Brimblecombe J, Ferguson M. Using unfolding case studies to better prepare the public health nutrition workforce to address the social determinants of health. Pub Health Nutr. 2019;22:180–3.

    Article  Google Scholar 

  • Paul D, Ewen SC, Jones R. Cultural competence in medical education: aligning the formal, informal and hidden curricula. Adv Health Sci Educ. 2014;19:751–8.

    Article  Google Scholar 

  • Rees CLS, Huang E, Denniston C, Edouard V, Pope K, Sutton K, Waller S, Ward B, Palermo C. Supervision training in healthcare: A realist synthesis. Adv Health Sci Educ. 2019. In press

    Google Scholar 

  • Rees CE, Lee SL, Huang E, Denniston C, Edouard V, Pope K, Sutton K, Waller S, Ward B, Palermo C. Supervision training in healthcare: a realist synthesis. Adv Health Sci Educ Theory Pract. 2020;25:523–561.

    Google Scholar 

  • Robinson A, Andrews-Hall S, Cubit K, Fassett M, Venter L, Menzies B, Jongeling L. Attracting students to aged care: the impact of a supportive orientation. Nurs Educ Today. 2008;28:354–62.

    Article  Google Scholar 

  • Rodger S, Stephens E, Clark M, Ash S, Hurst C, Graves N. Productivity and time use during occupational therapy and nutrition/dietetics clinical education: a cohort study. PLoS One. 2012;7:e44356.

    Article  Google Scholar 

  • Satterfield JM, Hughes E. Emotion skills training for medical students: a systematic review. Med Educ. 2007;41:935–41.

    Article  Google Scholar 

  • Schuwirth LW, Van Der Vleuten CP. Programmatic assessment: from assessment of learning to assessment for learning. Med Teach. 2011;33:478–85.

    Article  Google Scholar 

  • Scott SD. ‘New professionalism’–shifting relationships between nursing education and nursing practice. Nurs Educ Today. 2008;28:240–5.

    Article  Google Scholar 

  • Seabrook MA. Medical teachers’ concerns about the clinical teaching context. Med Educ. 2003;37:213–22.

    Article  Google Scholar 

  • Sevenhuysen SL, Haines T. The slave of duty: why clinical educators across the continuum of care provide clinical education in physiotherapy. Hong Kong Physioth J. 2011;29:64–70.

    Article  Google Scholar 

  • Sharma M, Pinto AD, Kumagai AK. Teaching the social determinants of health: a path to equity or a road to nowhere? Acad Med. 2018;93:25–30.

    Article  Google Scholar 

  • Sturman N, Régo P, Dick ML. Rewards, costs and challenges: the general practitioner’s experience of teaching medical students. Med Educ. 2011;45:722–30.

    Article  Google Scholar 

  • Sutkin G, Wagner E, Harris I, Schiffer R. What makes a good clinical teacher in medicine? A review of the literature. Acad Med. 2008;83:452–66.

    Article  Google Scholar 

  • Theodoulou I, Nicolaides M, Athanasiou T, Papalois A, Sideris M. Simulation-based learning strategies to teach undergraduate students basic surgical skills: a systematic review. J Surg Educ. 2018;75:1374–88.

    Article  Google Scholar 

  • Waters L, Lo K, Maloney S. What impact do students have on clinical educators and the way they practise? Adv Health Sci Educ. 2018;23:611–31.

    Article  Google Scholar 

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Correspondence to Simone Gibson .

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Gibson, S., Palermo, C. (2021). Optimizing the Role of Clinical Educators in Health Professional Education. In: Nestel, D., Reedy, G., McKenna, L., Gough, S. (eds) Clinical Education for the Health Professions. Springer, Singapore. https://doi.org/10.1007/978-981-13-6106-7_125-1

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  • DOI: https://doi.org/10.1007/978-981-13-6106-7_125-1

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  • Print ISBN: 978-981-13-6106-7

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