resident as teacher
Post on 07-Jan-2016
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Program review
Resident as teacher
• Principles of learning lecture/discussion series– Activating a student's prior knowledge enhances learning
– How students organize knowledge affects learning
– Students' motivation determines how effectively they learn
– Repetition is key to learning
– Appropriate feedback enhances learning
– Students should become self-directed learners
• Structured curriculum
• Educational resources website
Program overview: three components
• Unit one: Approach to the patient– History
– Examination
– Pap smear and DNA probes/cultures
– Diagnosis and management plans
– Personal interaction and communication skills
– Legal and ethical issues in obstetrics and gynecology
– Preventative care and health maintenance
Structured curriculum
• Section A: Normal obstetrics– Maternal-fetal physiology
– Preconception care
– Antepartum care
– Intrapartum care
– Immediate care of the newborn
– Postpartum care
– Lactation
Unit two: Obstetrics
OB chief
OB jr
OB chiefOB chief
Clinic chiefOB chief
OB jr
• Section B: Abnormal Obstetrics– Ectopic pregnancy
– Spontaneous abortion
– Medical and surgical complications of pregnancy
– Preeclampsia/eclampsia
– Alloimmunization
– Multifetal gestation
– Fetal death
– Abnormal labor
– Third trimester bleeding
– Preterm labor
– Preterm rupture of membranes
– Intrapartum fetal surveillance
– Postpartum hemorrhage
– Postpartum infection
– Anxiety and depression
– Post term pregnancy
– Fetal growth abnormalities
Unit two: Obstetrics
OB chiefOB chief
Clinic chief
OB jr
OB jr
OB chief
MFM
MFMMFM
MFMMFM
MFM
MFM
OB jr
OB jr
Gyne jrGyne jr
Roles MFM
OB jr
Clinic chiefOB chief
Gyne jr
Gyne chief
Onc
OB sr Gyne sr
•Night float team•REI•Urogynecology•Off service PGY1
• You ask a student to take an H&P from a patient in triage– What can go wrong? Why?
• You ask a student to present a clinic patient to the attending– What can go wrong? Why?
• You ask a student to position a gyne patient before surgery– What can go wrong? Why?
• You pimp a student on a topic they learned in lecture yesterday– What can go wrong? Why?
Scenarios
• They do not understand the task they are given
• They do not plan or see the importance in planning
• They use familiar strategies that don’t work as well
• After they fail:– The effort put into adjusting their strategy is proportionate to their
belief about their own ability to learn
– They belive the reason for their failure is external
What students do wrong
• To become self-directed learners, students must learn to:
Students should become self-directed learners
Assess the demands of the
task
Evaluate their own knowledge
and skills
Plan their approach
Monitor their progress
Adjust their strategies as
needed
• Initially, be more explicit than you may think is necessary about expectations– Tell students what you do not want
– Check that the student understands the assignment
• Provide performance criteria with the assignment
• Have students create their own plan– Create assignments that focus on strategizing instead of
implementation
What can we do?
• Provide opportunities for self-assessment– Provide simple questions students can ask themselves
– Use peer review
• Prompt students to analyze the effectiveness of their skills– Study skills
• Directly address their beliefs about learning
What can we do?
• Model our own metacognitive processes
• Use scaffolding to help
What can we do?
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