Observation of Students in Clinical Setting via iPAD

Upstate Medical University utilizes a curriculum model built on didactic and theoretical constructs, and the application of those lessons in clinical settings.  Direct observation and feedback is believed to be an effective method for clinical skills assessments (Mazor, 2011). Numerous studies demonstrate the value of videotaped or real-time observation of students (Edelstein, D., 1990).  Implementation of observations and timely feedback remains a challenge due to clinical demands and preceptor availability.

Use of the iPad has been implemented in many institutions, but, has not been studied with respect to the use of FaceTime for real-time feedback. This project will develop and demonstrate a method utilizing the iPad for observation and feedback.  Student, faculty and patient satisfaction with this method will be examined, and the challenges and successes of the processes will be described.

This project will utilize “distance faculty” (DF) to observe a patient encounter via iPad and provide real-time feedback to the student. Distance Faculty Observation (DFO) will use mobile technology (Apple iPads) for this real-time observation and feedback system.  Written feedback will also be documented and available via a web-based database. FaceTime, a free application for iPads, will enable real-time observation with introduction of the Distance Faculty preceptor to the patient/parent and real-time feedback with the student within minutes of the encounter.

The goal of this project is to develop and examine the process of FaceTime preceptoring to bridge time and distance barriers to observing students. Sharing observation procedures across three colleges (PT, Medicine and Family Nurse Practitioner program will help to define “observable clinical skills.” This will improve students’ clinical skills by improving the quantity, quality, efficiency and consistency of formative feedback regarding patient encounters.