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Supervisor expertise to optimise learner : preceptor ratios

Promoting learning in the clinical environment is a complex task that is influenced not only by the supervisor’s abilities, but also by a multitude of factors outside the supervisor’s control. For example, in today’s educational context there is a push to increase numbers of health professional graduates, resulting in greater demand for student placements. Such demand makes student : supervisor ratios an important consideration, one that is reviewed by Loewen et al. in this month’s issue ofMedical Education. Rather than conclusively identifying an ideal student : supervisor ratio, this review achieves more by describing the complexity of clinical supervision and explaining how different strategies may be used to optimise outcomes. Relating benefits and challenges for clinical supervisors – who are also health care providers – directly to ratios of students is important and adds significantly to the topical discourse around the complexity of clinical supervision.