Coaching

 

 

Coaching is allowing a resident to perform a skill while being observed by the preceptor, who provides ongoing feedback during the process.  For example, after the resident has acquired the necessary background information (direct instruction) and observed the preceptor model the development of a medication therapy regimen and monitoring plan for an asthma patient (modeling), the preceptor allows the resident to develop a regimen and monitoring plan for another asthma patient and asks the resident to "think out loud" so the preceptor can observe the resident's thoughts and actions.  The preceptor gives feedback during the process. 

 

This preceptor role is appropriate after the resident has had the opportunity to observe modeling of the process he/she is about to take on but is not yet ready for independence.  The coaching process allows fine tuning of the resident's skills as well as assuring the preceptor that the resident is ready to move to greater independence.  When the preceptor no longer feels the need to provide corrective feedback to the resident while they perform the task at hand, it is time to move to the next preceptor role: facilitating.

 

 

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