Teaching Residents in the Office and Or

An overview of  how you can prepare yourself for teaching

Deirdre Bonnycastle

College of Medicine

March 2010

ObjectivesUpon completion of this session, you will be

able to:• Describe the relationship between CanMeds Roles

and rotation objectives

• Use a model to determine which teaching techniques to use

• Use a model to determine which type of feedback to give students

• Identify strengths and weaknesses in your knowledge of teaching.  

Roles

The Role of Objectives

Definitions

A competency is what a person can

do upon completion of training.

An objective is what a student should

be able to do at the end of a single

learning experience.

Roles Objectives

Turning competencies into rotation objectives

Health Advocate

OBGYNSpecialty

Identify opportunities for advocacy,

health promotion and disease

prevention

Turning competencies into rotation objectives

Health Advocate

OBGYN Specialty PGY1

Identify opportunities for

health promotion with newly

pregnant women.

Turning competencies into rotation objectives

Health Advocate

OBGYN Specialty PGY1 Rotation

Identify organizations that

promote health for newly

pregnant women in Regina.

The Role of Objectives

Problem: lack of awareness of objectives

Or objectives that are unattainable

Determine Teaching Technique

Awareness

TeachingPractice& Feedback

New Challenges

Stage Teaching Technique

Awareness VideoIllness ScriptsOrientation

Teaching 5 step process for teaching skills/proceduresQuestionsSelf directed learningSeminarsIllness ScriptsCase Studies

SupervisedPractice

SNAPPS1 minute preceptorPresenting at roundsStructured feedback sessionSimulationsSimulated patientsDirect observation

Challenge Research projectTeaching others

http://medicaleducation.wetpaint.com/page/Clinical+Teaching+Techniques

Determine which type of feedback

• Always begin by asking the person a variation of:– What do you think you did well?– What did you find difficult?– What would you like to learn more about?

• This information will tell you which stage they are at

Determine which type of feedback

Need Feedback

Awareness Video360 Degree FeedbackSanctions (extreme case)

Teaching QuestionsPractice OSCEInformal quiz with answers

Practice Encouragement and support after errorsPeer assessment1minute preceptorSNAPPSDirect observation field notesWeekly feedback session

Challenge Conference presentationsPublication reviewStudent feedback

Expert teachers deliberately practice the art

and skill of teaching by:

• assessing the impact of their initial efforts on student learning

• reflecting on their experience

• asking for assistance from others

• drawing on relevant research

• adjusting teaching accordingly.

Higher Order Questions

I have no id

ea what

this

is

I’ve heard

of this

I use

this

tech

nique

33% 33%33%1. I have no idea what this is

2. I’ve heard of this

3. I use this technique

Case Studies

I have no id

ea what

this

is

I’ve heard

the te

rm

I use

this

tech

nique

33% 33%33%1. I have no idea what this is

2. I’ve heard the term

3. I use this technique

SNAPPS

I have no id

ea what

this.

..

I’ve heard

about this

I use

this

tech

nique

33% 33%33%1. I have no idea what this means

2. I’ve heard about this

3. I use this technique

1 Minute Preceptor

I have no id

ea what

this

is

I’ve heard

the te

rm

I use

this

tech

nique

33% 33%33%1. I have no idea what this is

2. I’ve heard the term

3. I use this technique

Illness Scripts

I have no id

ea what

this

is

I’ve heard

the te

rm

I use

this

tech

nique

33% 33%33%1. I have no idea what this is

2. I’ve heard the term

3. I use this technique

Direct Observation Field Notes

I have no id

ea what

this

is

I’ve heard

the te

rm

I use

this

tech

nique

33% 33%33%1. I have no idea what this is

2. I’ve heard the term

3. I use this technique

Resources

• Medical Education Wikihttp://medicaleducation.wetpaint.com/page/Clinical+Teaching+Techniques

• Clinical Teaching Journal

• Educational Support and Development

Next Sessions

March 4th

Difficult Teaching Situations

April 8th

Teaching with Videoconferencing