orienting the learner. objectives describe the characteristics of an effective learning environment...
Post on 19-Dec-2015
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Objectives
• Describe the characteristics of an effective learning environment
• Describe approaches to creating effective learning environments in the clinical setting
• Analyze videos to identify strategies for teaching fundamental clinical skills.
Out of the Frying Pan…
It’s your first day on a new service. After having received sign out on your patients and surviving a grueling work rounds with your fellow residents, the clerkship director arrives with a new group of 3rd-year med students on the first day of their rotation. As you stare at your patient list and contemplate unchecked boxes too many to count, you realize the student assigned to you is very carefully standing right next to you awaiting instructions.
Carter’s First Day
• Consider what Dr. Benton did in developing a learning climate– What was effective? – What was ineffective?
VIDEO
Learning Climate
• Tone
• Respect and Comfort
• Stimulation
• Admission of Limitations
• Set Expectations
Learning Climate
• Tone– Genuineness, warmth, humor– Demonstrate interest
• Introduce yourself• Have your student introduce themselves
Learning Climate
• Respect and Comfort– Learn names!– Treat students as vital team members– Appreciate student opinions and concerns
Learning Climate
• Stimulation– Show enthusiasm for the work at hand– Challenge
• Prompt – don’t Pimp!– Encourage participation
• Learn together in gap areas
Learning Climate
• Admit your own errors or limitations– Encourage hypothesis testing
• Reward risk taking• Tolerate mistakes
– Never Lie! • Get comfortable saying, “I don’t know
Learning To Play Catch
• Sandlot!– Assess your learner– Break down the skill– Set your learner up for success
VIDEO
Clinical Application
• History Taking– Assess your learner.– Challenge them to tailor their question set for
the interview.– Stress the importance of preparation and
critical thinking in approaching clinical work.– Provide specific and immediate feedback
Clinical Application
• Physical Exam– Assess your learner– Allow them to observe you.– Observe them and highlight ALL findings -
benign or pathologic.– Provide immediate and specific feedback.
Clinical Application
• Oral Presentations
–Assess your learner–Make explicit differences between presentations
–Emphasize preparation –Provide specific and immediate feedback
Clinical Application
• Interpersonal/Communication Skills– Assess your learner– Allow them to observe you delivering news to
patients and families– Observe them interacting with patients and
families– Provide immediate and specific feedback
RIME
• Reporter
• Interpreter
• Manager
• Educator/Expert
– RIME can be useful as a feedback, evaluation, and teaching tool!
RIME as Teaching Tool
• Set Expectations• Third-year Med Students should be reliably
Reporting information and honing their Interpretive skills
• High-performing students should be suggesting Management strategies for their patients (Sub-I’s should be consistently approaching this level)
• Outstanding students will be Educating their colleagues and patients
Putting it all Together
• Prepare yourself
• Model excellent clinical behavior for your students
• Ask for feedback from your learners
• Have fun!