Penn Family Care Precepting Guidelines

Revision Date: June 06

Resident education is the primary responsibility of the preceptor in the Family Medical Center. The preceptor is expected to be on time to the session and should remain on the 7th floor as much as possible. If the preceptor needs to leave the 7th floor, this should only be for brief periods, and the residents should be made aware of the preceptor’s presence or absence as appropriate.

1. If there are two preceptors, the residents should be divided up in two groups, with each preceptor being responsible for one group.
2. The preceptors should be aware of the time constraints of the residents. They should limit their interventions as per the "1 minute precepting" method and save longer discussions for the end of the session. If there are residents (particularly PGY1's) who do not have patients, the preceptor can provide didactic teaching and/or supervise triage or chart completion.
3. The preceptor(s) for all sessions should conduct sign out rounds from at the end of the session with all the residents who have seen patients that session. All residents should finish patient encounters in timely enough fashion to participate in this session. The focus of this sign out is review of patients not seen or discussed by the precptor while the patient was present in the office.
4. The preceptor will see all PGY1 residents' patients for their first 6 months of patient care. During the second six months of PGY-1 and during PGY2/3 years preceptors should discuss each patient seen prior to the end of the session, but may choose not to see each patient at the time of the visit as appropriate to the patient problem and coding guidelines.
5. All EPIC documentation should be completed within 24 hours of completing the patient encounter. The preceptor should audit resident charts and give timely feedback to the resident by forwarding the chart and comments to the resident for review. Copies of the feedback should go to the residency coordinator in EPIC.
6. Preceptors should review resident coding of patient encounters at the time of the visit to ensure compliance with UPHS billing guidelines.