Session 5: Clinical Teaching Skills Basics of Clinical Mentoring.
Clinical teaching nkp2
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Tips and tricks for clinical teaching
อารยะ ไข่�มุกด์ 6 กมุภาพั�นธ์ 2556
รพั.นครพั�งค
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What is “Clinical Teaching”?
•Clinical teaching is ...
• teaching which takes place in a clinical context.
• It usually involves patients and clinical procedures, and as such, necessitates sensitivity, confidentiality and discretion.
U of Queensland
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Clinical teaching
•Teaching outside “CLASSROOM”
•Everywhere is our “CLASSROOM”
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Challenges of clinical teachingปั�ญหาข่อง clinical teaching
buzz group or brainstorming
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Lack of clear objectives and expectations
teaching pitched at the wrong level
focus on recall of facts rather than problem solving
lack of active participation by learners
inadequate direct observation of learners and feedback
insufficient time for reflection and discussion
lackof congruence with the rest of the curriculum
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Problems with clinical teaching
Spencer, 2003
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Traditional Teaching of Clinical Medicine
• I teach the same way as I was taught.
• If you know the material, you can teach it.
•See one, do one, teach one
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•Mini-lecture
•One way communication
•No interaction (observe only)
Common pitfall
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Common pitfall
•Time limit/ Workload
• เสี�ยโอกาสี ‘Clinical Setting’
•Active teaching = Active learning
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• “A primary goal of education is to promote long-term knowledge storage and retrieval, and not just memories that decay quickly after a given lecture or conference.”
Raman et, al, 2010
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clinical teaching model
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Constructivism
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เสีา = ความุร� เก�าห�วง = ความุร� ที่�"ใสี�เข่ าไปั
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คนโยนห�วง = คร�
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Technique for Teaching in clinical settingSETDIALOGUECLOSURE
Peyton, 1998
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Set
Dialogue
Closure
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SETIdentify the learner’s needs
Ask questionsConduct a two-minute observation
ตี�กรอบ วางแผน ตีระเตีร�ยมุ
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DialogueTeaching moment = ช่�วงสีอน, ด์)าเน�นการWhen time is limited
The “one minute preceptor” modelThe Aunt Minnie modelThe SNAPPS model “Activated” demonstrationsCase presentations at the bedside
Irby, Wilkerson, 2008
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อย�าลื+มุเน น
“CLINICAL REASONING”
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อย�าก�งวลืก�บ Factual knowledge มุากน�ก
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ClosureReflectionProvide feedbackConclusionที่บที่วนปัระสีบการณ์ ให ค)าแนะน)า สีรปั
เตีร�ยมุสี)าหร�บการเร�ยนการสีอนคร�-งตี�อไปั
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Thank you
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Don’t forget to “COMMUNICATE”.