nordic congress cph may09 holtedahl doctor = teacher teaching the teachers in general practice

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Nordic Congress Cph May09 Hol Nordic Congress Cph May09 Hol tedahl tedahl Doctor = Teacher Doctor = Teacher Teaching the teachers Teaching the teachers in general practice in general practice

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Page 1: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Doctor = TeacherDoctor = Teacher

Teaching the teachers in Teaching the teachers in general practicegeneral practice

Page 2: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Teaching commitments in GP Teaching commitments in GP DepartmentDepartment

Curriculum teaching at the universityCurriculum teaching at the university Practical teaching in surgeriesPractical teaching in surgeries

Page 3: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Two types of GP teachers, then:Two types of GP teachers, then:

GPs with academic qualificationsGPs with academic qualifications GPs (usually) without academic GPs (usually) without academic

qualifications, being mentors in a qualifications, being mentors in a Master-Apprentice relationship and Master-Apprentice relationship and participating in student group participating in student group teaching, sometimes in lecturing on teaching, sometimes in lecturing on practical clinical topicspractical clinical topics

Teaching must start not only where the student is, but also where the teacher is

Page 4: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Teaching the academic teachersTeaching the academic teachers

Basic pedagogical course, week-end Basic pedagogical course, week-end seminars. Emphasis on setting explicit seminars. Emphasis on setting explicit goals and on inter-active teachinggoals and on inter-active teaching

Intensive local seminars, tutoring related Intensive local seminars, tutoring related to upcoming teaching topics: to upcoming teaching topics: communication with evaluation of student-communication with evaluation of student-patient videos, practical skills excercises patient videos, practical skills excercises like clinical examination of joints, like clinical examination of joints, discussion of social security regulations, discussion of social security regulations, etc..etc..

Page 5: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Teaching Long-term Mentors (8 Teaching Long-term Mentors (8 weeks) weeks)

Regular contact with GP coordinator at the Regular contact with GP coordinator at the medical faculty medical faculty

An annual 2-day gathering with discussions An annual 2-day gathering with discussions about topics related to the master-apprentice about topics related to the master-apprentice situation situation

Written procedures for how the monitoring of Written procedures for how the monitoring of the student should be done, and what the the student should be done, and what the student is expected to learnstudent is expected to learn

Midway evaluation (after 4 weeks) as a joint Midway evaluation (after 4 weeks) as a joint discussion and document elaborated by GP and discussion and document elaborated by GP and student togetherstudent together

Final evaluation made separately by student Final evaluation made separately by student and by GPand by GP

Page 6: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Teaching Day-to-day MentorsTeaching Day-to-day Mentors

Two students at a time, 3 hour sessions Two students at a time, 3 hour sessions (4th year) or 2 hour sessions (6th year). (4th year) or 2 hour sessions (6th year). Students alternate being ”GP”Students alternate being ”GP”

Written instructions to GP teacher about Written instructions to GP teacher about expected procedure and feedback to expected procedure and feedback to student.student.

Participation in irregular reunions with Participation in irregular reunions with the academic GP staff, where questions the academic GP staff, where questions relating to student teaching are being relating to student teaching are being discussed discussed

Page 7: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Evaluating teachingEvaluating teaching

ProductProduct ProcessProcess

ActualActual

ImpressiImpressionon

EvalEv

Evaluation

Teaching

Lauvås & Maurud 1979

Page 8: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Evaluating teachingEvaluating teaching

ProductProduct ProcessProcess

ActualActual ExamExam Form of Form of teachingteaching

ImpressiImpressionon

Student Student evaluationevaluation

SeductionSeduction

EvalEv

Evaluation

Teaching

Lauvås & Maurud 1979

Page 9: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

Summing upSumming up

It is challenging but gratifying to practice It is challenging but gratifying to practice so many different forms of teaching, more so many different forms of teaching, more or less inter-active, in lectures, seminars, or less inter-active, in lectures, seminars, group work, skills practices including both group work, skills practices including both communication and clinical examination. communication and clinical examination.

Guiding principles are Guiding principles are goal-settinggoal-setting and and activating the studentsactivating the students. This is common to . This is common to academic teachers, GPs teaching students academic teachers, GPs teaching students in surgeries, and probably for all medical in surgeries, and probably for all medical teachers. teachers.

Page 10: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl

The Tromsø policyThe Tromsø policy

Every GP group practice in our region Every GP group practice in our region is a potential arena for student is a potential arena for student teaching!teaching!

Every student is a potential GP in our Every student is a potential GP in our region region

Students choosing other career Students choosing other career specialties should receive GP specialties should receive GP teaching that creates possibilities teaching that creates possibilities and a desire for future co-operationand a desire for future co-operation

Page 11: Nordic Congress Cph May09 Holtedahl Doctor = Teacher Teaching the teachers in general practice

Nordic Congress Cph May09 HoltedNordic Congress Cph May09 Holtedahlahl