qa medical education: teaching clinical skills faculty of medicine 9 september 2008
TRANSCRIPT
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QA Medical Education:Teaching Clinical Skills
Faculty of Medicine9 September 2008
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Common Pitfalls with Clinical Teaching
• Lack of clear objectives and expectations• Focus on factual recall rather than on
development of problem solving skills and attitudes
• Teaching pitched at the wrong level• Passive observation rather than active
participation of learners• Inadequate supervision and feedback
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Common Problems with Clinical Teaching
• Little opportunities for reflection and discussion
• More teaching in in-patient and tertiary-care setting
• Over-expectation on student competencies• Teaching by humiliation• Large number of students• Lack of preparation
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Common Problems with Clinical Teaching
• Inadequate role models• Informed consent not sought from patients• Lack of respect for privacy and dignity of
patients• Patient safety• Incentives to patients
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Outcomes of Clinical Education
1. Clinical knowledge2. Clinical skill3. Communication skill4. Clinical reasoning5. Practical procedures6. Patient investigation7. Data interpretation and retrieval
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Outcomes of Clinical Education
8. Patient management 9. Health promotion and disease
prevention10. Professional skill11. Self-directed learning 12. Attitude and ethics
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Common teaching methods in the hospital settings
1. Bedside teaching2. Logbook and Portfolio3. Task-based learning4. Problem-based learning5. Study guides6. Grand rounds7. Business ward round
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8. Teaching ward round 9. Clinical conference10. Apprenticeship model11. Patients-centered model12. Shadowing a junior doctor13. Medical record writing14. Workshop
Common teaching methods in the hospital settings
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Learning Environment in Clinical Settings
• Autonomy• Supervision• Social support• Workload• Role clarity• Variety• Orientation to learning and teaching• Orientation to general practice
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Clinical Learning Cycle
Preparatory
Explanatory-Reflection-Feedback-Working knowledge
Experiential-Briefing-Clinical practice-Debriefing
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Improvement of Clinical Teaching - PSU
• Improvement of bedside teaching – faculty development
• More movement to ambulatory settings• Extension of affiliated hospital• Patients bank• Clinical skill training center• Logbook vs portfolio• How to link PBL to clinical education
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Improvement of Clinical Teaching - PSU
• QA – subject audit, not department ?Narrative report Quality improvement – what,
how ?Link O-L-E PDCA
Standard, indicators TQA, WFME model
P D
CA
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“The Best is an Enemy of Quality”
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