Optimizing the Educational Environment: GLEAM Workshop

Description: Many students do not disclose personal issues (illness, family roles and responsibilities, biases) that may impact their performance on clinical rotations, and most faculty do not proactively ask about these. There are challenges in choosing to disclose personal matters in environments where students are being evaluated. We have developed a tool using the mnemonic “GLEAM” that uses concepts analogous to “patient-centered” communication to facilitate the preceptor’s ability to dialogue with students on these topics, and for preceptors to reflect on their own perceptions and biases.


1. Recognize the importance of early exploration and identification of differences in values and expectations between preceptor and student.

2. Familiarize oneself with the GLEAM tool to facilitate exploration and discussion of the student’s career goals, learning styles, cultural biases, and personal roles and responsibilities so that they can begin to be addressed in an attempt to optimize the students learning experience.

3. Reflect upon one’s own biases and assumptions as a clinical preceptor and how they impact one’s perception of a student’s behavior.


Kim O’Connor, MD is a board certified physician and Associate Professor in the Division of General Internal Medicine.  In her clinical role, Dr. O’Connor’s provides primary care to a diverse patient population at the University of Washington Roosevelt General Internal Medicine Clinic. 

 In her role as an academic internist she works extensively with internal medicine residents and medical students in a teaching and mentoring role and designs and implements clinical and faculty development curricula, lectures and workshops. 

Genevieve Pagalilauan, MD is an Associate Professor in the Division of General Internal Medicine. Her practice is dominantly outpatient at Roosevelt General Internal Medicine Clinic and she also practices inpatient medicine overseeing resident and medical student teams at UWMC.