supreeya wongtra-ngan,md.,mhped
DESCRIPTION
Principle of Clinical Teaching. Supreeya Wongtra-ngan,MD.,MHPEd. CLINICAL COMPETENCIES. Factual Knowledge Technical Skill Problem Solving Skill Communication Skill Manners & Etiquette. ผู้เรียนของเราคือใคร. Principles of learning. Learning climate Internal motivation - PowerPoint PPT PresentationTRANSCRIPT
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Supreeya Wongtra-ngan,MD.,MHPEd
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CLINICAL COMPETENCIES
Factual Knowledge
Technical Skill
Problem Solving Skill
Communication Skill
Manners & Etiquette
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ผู้��เรี�ยนของเรีาคื�อใคืรี
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Principles of learning
Learning climateInternal motivationMeaningful learningLearning objectiveIdentify resourcesPracticeReinforcement
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• Bedside teaching• OPD, OR, LR• Ward rounds• Independent patient contact• Simulation, Role play• Case discussion• Home visit• etc
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Clear understanding of the task
Supervised practiceDirect experienceRepetitionPersistence
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ผู้��ป่�วยน��นสำ�าคื�ญไฉน???
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In what may be called the natural method of teaching the student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end.
Sir William Osler,1904
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Be on timeInsist that students arrive on timePlan the clinical teaching session
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Involve the patientsInform the charge nurseInvolve all the studentsInsist on a standard format
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Use a problem –solving approachConduct discussion away from the patientDo not try to do too much
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การีเตรี�ยมพรี�อม
ป่รีะเม�นผู้ล การีทดลองฝึ$กป่ฏิ�บั�ต�
สำรี'ป่ข�อสำ�าคื�ญหล�งพบัผู้��ป่�วย สำรี'ป่ข�อสำ�าคื�ญก)อนนศ.พบัผู้ป่.
(Debriefing)(Briefing)
ช่)วงพบัผู้��ป่�วย
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Clinical learning cycle
Briefing Briefing patient students
Debriefing Clinical
session practice
Including
the Patient
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Briefing the patient Explaining the purpose Seeking co-operation Negotiating roles Preparing patient
Briefing students Providing a framework Generating ideas
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Clinical practice Modelling appropriate
behaviors Using questions
Debriefing Analysis discoveries Discussing insights
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• Informed consent
• Confidentiality
• Truth telling
• Maternal-fetal conflict
• Quality end of life care
• Conflict of interest
• etc
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Risk factorsDisease preventionLife styleEnvironmentFamily healthOccupational healthetc
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• Multiple choice question• Modified essay question• Short/ Long case• Case report• Structured oral exam• Objective Structured Clinical Examination (OSCE)• OSLER• Direct observation: check list, rating scale• Standardized patient
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CLINICAL COMPETENCIES
Factual Knowledge
Technical Skill
Problem Solving Skill
Communication Skill
Manners & Etiquette
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To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all
Osler 1903