Implementing Postgraduate Nurse Practitioner & Clinical Psychology Residencies:

Precepting and Supervision: What are the Staff Roles in a Postgraduate Residency Program?

Wednesday, March 23rd

Community Health Center, Inc.

Foundational Pillars1. Clinical Excellence- fully Integrated teams,

fully integrated EMR, PCMH Level 3

2. Research & Development- CHC’s Weitzman Institute is the home of formal research, quality improvement, and R&D 3. Training the Next Generation: Postgraduate training programs for nurse practitioners and postdoctoral clinical psychologists as well as training for all health professions students

CHC Profile:•Founding Year - 1972•200+ delivery sites•130k patients

The Community Health Center, Inc. and its Weitzman Institute will provide education, information, and training

to interested health centers in: Transforming Teams• National Webinars on advancing team based care• Invited participation in Learning Collaboratives to advance team

based care at your health center

Training the Next Generation• Two National Webinar series on developing Nurse Practitioner

and Clinical Psychology residency programs and successfully hosting health professions students within health centers

• Invited participation in Learning Collaboratives to implement these programs at your health center

Email your contact information to nca@chc1.com and visit www.chc1.com/NCA.

Learning Objectives:

1. Participants will identify two key attributes of a successful preceptor or supervisor within a postgraduate residency program.

2. Participants will name three tasks assigned to dedicated preceptor or supervisor within a postgraduate residency program.

Get the Most Out of Your Zoom Experience• Send your questions using Q&A function in Zoom• Look for our polling questions• Live tweet us at @CHCworkforceNCA and #StartingResidencies and

#HRSAnca • Recording and slides are available after the presentation on our website

within one week• CME approved activity; requires survey completion • Upcoming webinars: Register at www.chc1.com/nca

Organizational Requirements for Being a Preceptor and Supervisor

• Who can precept and supervise?• Who decides?• How is the decision made?• What experience or training do the preceptors and

supervisors need?

Creating Your Preceptor and Supervisor ListNurse Practitioner

Residency Postdoctoral Clinical Psychology

Residency

75%

25%

Core Program Components

ClinicalSupervision and Didactic

40%

20%

30%

10%

Core Program Com-ponents

Precepted Continuity Clinic

Specialty Rotations

Mentored Clinic

Didactics

• There are multiple opportunities for providers to precept. • Think about back-up preceptors, part-time and per diem

preceptors. • Continuity is not essential in precepting.

Nature of Preceptor and Supervisor Training

•Annual Preceptor orientation•Monthly on-site check in meetings •Quarterly Preceptor meetings

•Supervisor Orientation• APA CE material –  on Competency Based Supervision • Monthly supervision meetings with postdoc leadership team

Nurse Practitioner Residency Preceptor Training

Postdoctoral Clinical Psychology Supervisor

Training

Postdoctoral Clinical Psychology Supervisors Roles and Responsibilities

• Supervise 1 to 3 residents a year

• One hour per week of face-to-face individual supervision

• Read and cosign all notes weekly

• Be available for consultation between supervision sessions

• Assist with involuntary hospitalizations, cosigning of CT social security and disability forms

Postdoctoral Clinical Psychology Supervisors Roles and Responsibilities

(cont.)• Participate in the resident’s development of a

professional identify• Instruct in the intricacies of team based care• Complete competency based evaluations• Attend monthly supervisor meetings

Nurse Practitioner Preceptor Roles and Responsibilities

•Discuss clinical issues, labs, diagnostic images •Assist in, and provide direction for all aspects of patient care•Encourage CHC’s goal of providing fully integrated care•Supervise and assist with procedures when applicable (only procedures the preceptor is comfortable with themselves)•Review notes and create addendums to notes

•Encourage other providers to inform residents when good teaching opportunities arise (physical findings/procedures, etc.)•Be dedicated to teaching and supporting the residents during your assigned precepted sessions•Be present and fully available to the residents until the last scheduled patient is seen

Nurse Practitioner Preceptor Roles and Responsibilities

Nurse Practitioner Preceptor Roles and Responsibilities

•Employ teaching strategies during the sessions•Encourage critical analysis and evidence-based reasoning in the ordering of tests and laboratory studies•Assist residents in patient care/visits, in the case that a resident falls behind in the schedule or needs assistance

Nurse Practitioner Preceptor Roles and Responsibilities

•Assist residents in developing competencies in all desired areas of care•Provide leadership and direction, engage in huddles and review the daily session. •Ensure timely and efficient review and management of diagnostic imaging, lab studies and in-house testing

Let’s Hear from Our Preceptor and Supervisor

Open Space for Discussion

RemindersSign up for our next webinar in this series:

Measuring the Outcomes: Research and EvaluationWednesday, April 13th 3–4 p.m. EST

Complete our survey!

Sign up at www.chc1.com/NCA

SpeakersFrom Community Health Center, Inc.:Margaret Flinter, APRN, PhD, Senior Vice President & Clinical Director Kerry Bamrick, MBA, Senior Program Manager Dan Wilensky, MD, PhysicianTimothy Kearney, PhD, Chief Behavioral Health Officer Veena Channamsetty, MD, Chief Medical OfficerAdriana McCormick, Psy.D., Training Director, Postdoctoral ResidencyKatie Carhart, Ph.D., On-site Behavioral Health DirectorDiana Paris, MSN, FNP-BC, RN, Nurse Practitioner