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“Teaching 101”A Handful of Best Practices for When you are Asked to
Teach a Community Group… Just Because you are a Doctor!!!
Michael P. Goldman, MDSandhya S. Brachio, MD
In interest of full disclosure:
◦ Took last year’s pilot data to improve this talk.
◦ This year everyone receiving surveys are consented so please fill them out!!!!!
◦ We are evaluating to uncover a need and then seeing if this training makes any difference.
Some Business First...
OK, Let’s Get Going…1. Our Rules
2. Why are We Here Today?3. Objectives of the Day
4. Assessing the Audience with the “Do Now”
If your ASCOM rings…
Respect each other’s inputs
Learn from each other
Have some fun with us
Always Start with RULES!
So you Went to MEDICAL School…
…But all you really do is TEACH.
AND
….Nobody taught you HOW to teach, RIGHT?
What is this Teaching 101???Why are we here today???
• I LOVE WIKIPEDIA!!!
• The origin of the word Doctor comes from the Latin word “Doceo” (Pronounced Do.ke.o)
• “Doceo” = I teach, instruct; tell, inform; show, demonstrate.
Teacher = Doctor
Just think of the ones you know…
I won’t name names, nor do I play favorites…
Aren’t The Best Doctors You Know Also the Best Teachers???
YOU
The Way I Think About It…
Issue #1 – Trainees & Colleagues
Thankfully, we have Andrew and now Steve
They model finding time to teach on the busy wards, meeting students where they are at, finding that teachable moment and…
Our favorite topic… The Feedback Sandwich!!!
Issue #1 – Drs. Mutnick & Paik
The Way I Think About It…
OUR DAY JOB!◦Ex: Asthma Action Plan, Weight Loss
Strategies, Carb Correcting, What is a Milk Protein Allergy, etc...
Non-compliance & Non-adherence… ◦We need to own this better◦Better Teaching = Less Morbidity
Issue #2 – Patients and Families
The Way I Think About It…
Why we are here today!!! You have required community teaching
opportunities… …AND… …We think these opportunities are a great
way to refine your overall teaching skills!
Issue #3 – The Community
Just because you are an MD people assume you are fully capable of standing in front of a classroom and teaching…
Is this a fair expectation???
BUT… The Problem with Issue #3
C – CHONY R – Residents W – Will B – Be A – Able T - To
Today’s Objectives
1. Learn about the current opportunities you will have to teach in our community during your time at CHONY. (8 mins)◦ Focusing on Lang / Doctors in Training
2. Understand our desire to standardize lesson plan formats despite changing resident teachers. (5 mins)
3. Approach their community teaching experience with little anxiety to ensure a successful session for you and your learners. (2 mins)
CRWBAT…
4. Appreciate some of the many hands-on strategies we use to teach and assess student understanding. (15 mins)
5. Apply understanding of above by reviewing an Actual DIT lesson. (5 mins)
6. Use this lesson as a foundation AND a reference tool to make your community teaching session and future teaching opportunities more successful. (2 mins)
CRWBAT…
Objective #1 – Community Teaching
LangNY Foundling
Healthy Schools / Healthy Families
Lang “Doctors in Training”
Background – ◦ 6 years (7-12th graders)◦ Local Community scholars◦ Educational support (SAT prep, mock
interviews…)◦ Extracurricular activities (DIT, College visits…) ◦ Mentorship (NYP Staff, Med Students, Peers…)◦ All with the goal towards fostering a career in
health sciences and / or community leadership.
DIT Audience – ◦ 12-14 HIGHLY MOTIVATED, Bright, 7th graders
What is the Lang Program???
Program started 3 years ago as CP Project
Last year the curriculum was revamped to make it more hands on and push the scholars to answer the question – What would you do if you were the MD…
This year’s curriculum has been further improved based on quant & qual pilot data from prior resident volunteers, Lang scholars and most of all… SANDHYA!!!!!
Lang “Doctors in Training”
All PGY2’s will have opportunity to participate, some are “required!!!”
Our Expectations– ◦ Review the material ◦ Communicate w/ MG or SB ◦ Practice your teaching skills◦ Increase comfort level with teenagers◦ …and HAVE FUN!***
What is Your Role???
…Almost Final ScheduleDate Lesson Title Presenters Notes Thread
Oct 17 - 2012 (Block 5)
The Asthma Attack
Alicia Chang, Danis Copenhaver, Zoya Treyster
Community Health Issues
Nov 14 - 2012 (Block 6)
Healthy Eating / Into to
Motivational Interviewing
ElShadey Bekele, Caitlin Haxel
Community Health Issues
Dec 12 - 2012 (Block 7)
Managing a Diabetic
Edna Akoto, Nina Dadlez, Christina Fernandez, Anna
Hayes, Community
Health Issues
J an 9 - 2013 (Block 8)
Talking About Puberty /
Growth CurvesArash Salavitabar
* * * Will email all PGY2's who miss "required" lang slots to volunteer (n=7)
Adolescent Topics
Feb 6 - 2013 (Block 9)
Body Image/ Mental health /
Motivational Interviewing
J amie Harrington, Erin Paul Adolescent Topics
March 6 - 2013 (Block 10)
What it Takes to Become a
DoctorPamela Fazzio, Daniel Yu Career
DevelopmentApril 3 - 2013
(Block 11)Radiology Case
SessionSerine Avagyan, Sarah Fleet, Laura Peretta, Miscelaneous
May 1 - 2013 (Block 12)
Health Care Professional
PanelKatherine Offer
* * * Only one O.P. resident so put this panel talk here as we only want
1 MD
Career Development
DIT 2012-13 Schedule
Objective #2 – Standardizing our Lessons
DisciplineUsing Objectives
Timers
Respect
Confidentiality / Trust
Raise your Hands
Listen and Learn from Each other = Teamwork!
It All Starts With Discipline
Serves Two Major Purposes.
◦ Tells the audience what you are going to tell them. A roadmap with a timer!
◦ Helps build from factual knowledge application of knowledge = promoting higher order thinking. Build excitement for where your map ends.
Always Post Your OBJECTIVES
1. Share anecdotes about DM. (5 mins)2. Understand the basic difference between
Type 1 and Type 2 DM. (7 mins)3. Understand some long term
consequences of both types of DM. (7 mins)
4. DIT Task - Apply understanding of T1DM management to carb correct and DS correct using online carbohydrate counters. (20 mins)
An Ex. From the Lang DM LectureLang Scholars Will Be Able To… LSWBAT
The Time will Fly!
Objective #3 – Reduce Resident
AnxietyBe Prepared…
Preparedness… A Personal Anecdote
Review your session ahead of time.
Collect supplies from Michael or Sandhya.
Practice your questions and activities
Reference this PowerPoint!
The Antidote to Teaching Anxiety
Objectives #4 – Some Best Practices
Rules, Assessing your Audience, Objectives, Timers, Prepare!
Starting a Lesson with “Do Now” Questioning Techniques
Demonstrating Understanding with Fun ActivitiesInfusing Cultural Competency
Bringing it All to a Close
Today we are learning about teaching… SO…
DO NOW!!!!!!
2 Definite Do’s and 2 Definite Don’ts when Teaching???
After Rules & Objectives BUT Before Teaching Content…
Always Know Your Audience!!!
Two Goals:◦ Catch the Audience’s Attention◦ Assess where your audience is at
Three Examples We Often Use:◦ What I know… What I think I know… What I want
to know◦ Sharing Anecdotes – Friends / family with Asthma
or Diabetes◦ Case Based!
How to Start a Lesson? – Do Now!!!
Works for us, right?
Here is way to phrase a case scenario when teaching a community group.
◦ You are walking in the park with your friend who you know has asthma. Suddenly she looks as if she is having trouble breathing…
◦ What do think you should do first?
Open with a Case!!!
Put simply… AREN’T YOU GUYS SICK OF MY VOICE YET???
Question Ping Pong does not mean YOU always have to hit the ball back!◦ Ask the audience to answer the question
Dr. Mutnick has skills in this! “What do you think of what she said?”
Questioning Techniques“Less is More”
1. The question you’ve already answered…
2. The thought provoking question…
“Less is More”Examples of Ping-Pong Questioning Technique
…And TEACHING Should be FUN Too! In our lessons we encourage ways to
demonstrate understanding of our lessons via fun, hands-on activities.
Assessment does NOT equal test! ◦But assessment IS always necessary to see
what needs reinforcement before moving on to the next objective
Learning Should be FUN!
Two examples for RESIDENTS today…
◦ Think… Pair… Share…
◦ Response Cards
Demonstrating Knowledge through Having FUN
Helps stimulate both independent thought and allows students to work together.
Set a time limit for each step!
Assign one student to be the scribe to record the “shared” ideas.
Think… Pair… Share…
Case Presentation: You are working in the ED and your first
patient is a 6-month-old girl, no PMH, who presents with one week of increased work of breathing, poor feeding, and seems fussy to the mother.
Think: What differential diagnosis are you creating in your head as you walk to the exam room?
Think...Pair…ShareAn example for Residents
Think: 1 minuteWrite down your differential, be complete!
Pair: 1 minuteTurn to your neighbor and discuss your DDx.
Share: 2 minutesCall on a few groups to share.
Think…Pair…Share
Everyone gets two colored cards
The cards have opposite meanings (Y/N, T/F)
Ask pre-thought out Q’s with one word A’s
This assessment activity is GOOD for:◦ Getting shy learners involved!◦ Discussing Sensitive subjects◦ Encouraging discourse◦ Utilizing audience’s competitive side
RESPONSE CARDS
Question 1:The best treatment for a human bite, where skin is broken, is amoxicillin. True (green) or false (red)
Question 2:The best rotation of intern year at CHONY is cardiology. True (green) or false (red)
Jeopardy & Scategories
Role playing – we have the Lang kids practice managing the acute asthmatic in teams.
Journal entries – Writing prompts
Optional E-mail Homework / Discussions
Others Assessment Tools We Use…
This can be a lesson in itself, but keep this in mind when working with Lang.
We always try to weave CC into our lessons:◦ As you all well know, different cultures have
interesting and often differing ideas about the topics we cover… Healthy diets Body image Relationship / Trust with the medical field Stigma of mental health issues Higher education
Infuse Cultural Competency
Objectives #5 – Review An Actual
Lesson“The Asthma Attack”
What you will be provided with, what you will need to prepare
“The Asthma Attack”
“The Asthma Attack”
“The Asthma Attack” Visuals
Review lesson’s objectives
Review your intro activity
Always leave room for questions
Leave your contact info if you want
Bringing it All to a Close
1. CRWBAT – Lang / DIT and others
2. CRWBAT – Standardizing our lessons
3. CRWBAT – Decrease resident anxiety
4. CRWBAT – Appreciate some Best Practices
5. CRWBAT – Review an actual lesson
6. CRWBAT – Lay a foundation, reference tool
Check Out What we Covered!
Review the Intro ActivityDo’s and Don'ts of Teaching???
How did we do?
Marina Catallozzi, MD & Ms. Monica Hidalgo
Sandhya Brachio, MD, Lauran Sanlorenzo, MD & Danny Stephens, MD
K / G / T – Our Rockstar Chiefs
Andrew Mutnick, MD and Steve Paik, MD
All of you!!!!!
Sincere Thanks!
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