Tips and tricks for clinical teaching

อารยะ ไข่�มุกด์ 6 กมุภาพั�นธ์ 2556

รพั.นครพั�งค

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

Clinical teaching

•Teaching outside “CLASSROOM”

•Everywhere is our “CLASSROOM”

Challenges of clinical teachingปั�ญหาข่อง clinical teaching

buzz group or brainstorming

18

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

18

Problems with clinical teaching

Spencer, 2003

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

•Mini-lecture

•One way communication

•No interaction (observe only)

Common pitfall

Common pitfall

•Time limit/ Workload

• เสี�ยโอกาสี ‘Clinical Setting’

•Active teaching = Active learning

• “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

clinical teaching model

Constructivism

เสีา = ความุร� เก�าห�วง = ความุร� ที่�"ใสี�เข่ าไปั

คนโยนห�วง = คร�

Technique for Teaching in clinical settingSETDIALOGUECLOSURE

Peyton, 1998

Set

Dialogue

Closure

SETIdentify the learner’s needs

Ask questionsConduct a two-minute observation

ตี�กรอบ วางแผน ตีระเตีร�ยมุ

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

42

อย�าลื+มุเน น

“CLINICAL REASONING”

42

อย�าก�งวลืก�บ Factual knowledge มุากน�ก

ClosureReflectionProvide feedbackConclusionที่บที่วนปัระสีบการณ์ ให ค)าแนะน)า สีรปั

เตีร�ยมุสี)าหร�บการเร�ยนการสีอนคร�-งตี�อไปั

51

Thank you

51

Don’t forget to “COMMUNICATE”.