HealthStream regularly publishes guest blog posts like the one below from Vicki Searcy, Vice President of Consulting Services, VerityStream.
The issue of the differences between proctoring and preceptorships are still misunderstood in some organizations. So it is time to revisit this subject to make sure that we all have a good understanding of when to use proctoring and when a preceptorship would be indicated.
The Joint Commission, in their 2007 standards for the Medical Staff, introduced a new concept—that of Focused Professional Practice Evaluation (FPPE). The principle behind the requirements associated with FPPE is that when new applicants are granted privileges, an organization has information that suggests competence. It is the organization’s responsibility to confirm competence during a practitioner’s introduction into the organization.
Many organizations use “proctoring” as a tool to confirm competence during the initial FPPE period. Proctoring may be performed concurrently (watching a provider perform a procedure, for example) or retrospectively (an evaluation typically carried out by review of the patient record).
It is important to understand what proctoring is—and what it is not. These are two terms that are sometimes used by medical staff organizations interchangeably. However, they have very different meanings.
Proctoring is the process through which skills and/or knowledge that a provider asserts he/she already possesses are confirmed.
Precepting is the process through which a provider gains experience and/or training on new skills and knowledge. Therefore, precepting would not be an appropriate method to use to confirm competency. It would be an appropriate method to train someone on a new skill.
The American Society for Gastrointestinal Endoscopy published a paper in 1999 on Proctoring for Hospital Endoscopy Privileges which has an excellent description of the role of a proctor:
Role of the Proctor:
This same paper goes on to describe a preceptor as follows: A preceptor is an instructor or teacher. When teaching an endoscopic practice to a trainee, a physician is responsible for the actions of that trainee as well as himself/herself.
Clinical learning does not stop when a residency or fellowship is completed. Continued learning and skills acquisition is required if providers are to have a contemporary and relevant clinical practice. Clinical education/experience is a life-long process. A well organized and targeted preceptorship can assist providers with a skills refresher when specific clinical skills have not been recently performed or in obtaining supervised human subjects experience after didactic training has been completed. A well run and well documented program will ensure that privileging criteria is met prior to granting clinical privileges.
Make sure that your organization is clear on what is and is not expected of a proctor. And—if your organization determines that establishing a preceptorship program would be of value—it will be necessary to resource the preceptorship program in order to assure that it is well-defined and that one of the outcomes is documentation that confirms how a provider acquired new skills and/or knowledge.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.View All Learning & Performance
When you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.View All Quality & Compliance
Fulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.View All Products
HealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.View All Reimbursement
Improve the preparedness of your staff, increase survival rates, and cut costs with the advanced resuscitation training services from HealthStream.View All Resuscitation
Expand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.View All Clinical Development
Delivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.View All Credentialing
Make sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.View All Scheduling & Capacity Management