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AoTrauma Regional Hand Course. Running a practical exercie. A N Moharram MD, FRCSEd. Professor of Orthopedic Surgeon, Cairo University Egypt. Precourse meeting. Dubai UAE October 10, 2011. What is a practical exercise?. « I hear and I forget. I see and I remember. I do and I underestand»
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AoTrauma Regional Hand Course • Running a practical exercie A N Moharram MD, FRCSEd Professor of Orthopedic Surgeon, Cairo University Egypt Precourse meeting Dubai UAE October 10, 2011
What is a practical exercise? • « I hear and I forget. I see and I remember. I do and I underestand» Confucius (551 BC- 497 BC)
What is a practical ? • Structured and interactive learning • Demonstration of new skill • Explanation of the steps • Talking through procedure • Practicing new skill • Reflection on performance • Feedback & support
Who is Practical Director? • Planning of the session • Preparing effective and stimulating session • Following the A,B,C of learning • Focusing on learning outcomes • Communication with participants
What does table instructor do? • Works with the director • One-on-one instruction and support • Delivers constructive support • Works within assigned group • Observe and interact with all group members
How people learn? Cognitive Affective Psychomotor
Key points • Skill is not reflex action • Complex movements require practice • Reinforced practice • Environmental factors • Feedback
Before the session • Sufficient numbers of artificial bones, Instruments, and implants • Review all the video/DVD • Preview the video(table instructors) • Flip chart (key steps) • Has enough time been allocated • Time for supervised practice • Time for feedback • Time for evaluation
Structuring the practical • Set • Dialogue • Closure
Set • Room temperature, light, and quietness • Does all the equipment work? Do you know how to use them? • Welcome the participants • Keep the introduction brief and to the point
Dialogue • Keep in mind that adult learners need to know the application of what you want them to learn or to do
Dialogue • Divide the content into short manageable section • Do you have the attention of the all learners • Consider the safety issues • Apply the four-step approach
Closure • Reflect on outcomes and key learning points • Address questions • Summarize main points • Deliver a final “take-home” message
Four-step approach Video CCTV Practical director • 1- Silent demonstration • 2- Demonstration with explanation • 3-Learner talks through the task (faculty performs the task) • 4- Learner perform the task (50% time of the session) Table instructor
Closure • Show the finished result • Summarize the key points • Invite questions • Strong positive “take home message”
Role of the table instructor • Reinforcement of the correct procedure and give constructive feedback • Explain the steps • Discuss the principles involved before the hand-on practice
Faculty Pitfalls • Lecturing at the work station • Faculty doing the skill • Disinterested faculty • “ I-don’t-use-this-implant” attitude • Unfamiliarity with equipment & instruments • Telling learners that you have better way of performing the skill
Student Pitfalls • Talking through the demonstration • Taking pictures or video instead of doing the exercise • Experimenting with unsolicited or untaught techniques • A general lack of interest • Not interacting with other participants • Inappropriate level of participation: • Monopolizing • Rushing ahead • Too complacent
Some advices Dealing with some personalities • Beware alternate agendas • Direct disruptive or monopolizing learners • Silence the chatterboxes • Engage the silent learners
“Excellence is an art won by training and habituation” Aristole (384 BC-322BC)
Table Instructor Checklist • Internalize the four-step approach • Familiarize yourself with exercise procedure • Get to know the learners at your table • Reinforce the demonstration before hands-on • Stick to the script – don’t show off • Be aware of time • Deliver constructive feedback • Provide positive reinforcement and lots of praise