Supreeya Wongtra-ngan,MD.,MHPEd

CLINICAL COMPETENCIES

Factual Knowledge

Technical Skill

Problem Solving Skill

Communication Skill

Manners & Etiquette

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Principles of learning

Learning climateInternal motivationMeaningful learningLearning objectiveIdentify resourcesPracticeReinforcement

• Bedside teaching• OPD, OR, LR• Ward rounds• Independent patient contact• Simulation, Role play• Case discussion• Home visit• etc

Clear understanding of the task

Supervised practiceDirect experienceRepetitionPersistence

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In what may be called the natural method of teaching the student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end.

Sir William Osler,1904

Be on timeInsist that students arrive on timePlan the clinical teaching session

Involve the patientsInform the charge nurseInvolve all the studentsInsist on a standard format

Use a problem –solving approachConduct discussion away from the patientDo not try to do too much

 

  การีเตรี�ยมพรี�อม 

ป่รีะเม�นผู้ล การีทดลองฝึ$กป่ฏิ�บั�ต� 

สำรี'ป่ข�อสำ�าคื�ญหล�งพบัผู้��ป่�วย สำรี'ป่ข�อสำ�าคื�ญก)อนนศ.พบัผู้ป่.

(Debriefing)(Briefing) 

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Clinical learning cycle

Briefing Briefing patient students

Debriefing Clinical

session practice

Including

the Patient

Briefing the patient Explaining the purpose Seeking co-operation Negotiating roles Preparing patient

Briefing students Providing a framework Generating ideas

Clinical practice Modelling appropriate

behaviors Using questions

Debriefing Analysis discoveries Discussing insights

• Informed consent

• Confidentiality

• Truth telling

• Maternal-fetal conflict

• Quality end of life care

• Conflict of interest

• etc

Risk factorsDisease preventionLife styleEnvironmentFamily healthOccupational healthetc

• Multiple choice question• Modified essay question• Short/ Long case• Case report• Structured oral exam• Objective Structured Clinical Examination (OSCE)• OSLER• Direct observation: check list, rating scale• Standardized patient

CLINICAL COMPETENCIES

Factual Knowledge

Technical Skill

Problem Solving Skill

Communication Skill

Manners & Etiquette

To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all

Osler 1903