Clinical Teaching: Bedside vs. Classroom

1. Clinical Teaching:Bedside vs. Classroom Ronald D. Szyjkowski, MD, FACG Upstate Medical University SUNY Syracuse

2. “Learning is nothing but discovery that something is possible: To teach means to show a person that something is possible” Frederick Perls

3. What is Clinical Teaching? Knowledge base Basic clinical knowledge Core principles Skills development Example

4. “no teaching without a patient for a text, and the best teaching is that taught by the patient himself.” Osler, 1903

5. What is Clinical Teaching? Knowledge base Basic clinical knowledge Core principles Skills development Example It is what we do.

6. What is Clinical Teaching? Student ? Resident ? Fellow ? Ourselves ?

7. Introduction Do we all use the same constructs?

8. Clinical Teaching: How do we do it?

9. Clinical Teaching: How do we do it? Does the learner’s level of training matter? • Do we all use thesameconstructs?

10. “There are as many ways to teach as there are to learn.”

11. “Visual learning is the only way anyone learns.”

12. “You can’t make someone learn so there is no reason to have any required learning.”

13. Clinical Teaching: How do we do it? Again, does the learner’s level of training matter?

14. The Difficulties What is your style? Bedside Classroom Box Groups

15. The Difficulties Which is better? Which is worse? Box Groups

16. Clinical Teaching: How do we do it? Apprenticeship Mentoring Role Modeling Bedside Classroom

17. Bedside Teaching the most important methods of teaching the most neglected and most deficient

18. ScopeBedside Teaching the most important methods of teaching the most neglected and most deficient

19. Classroom Teaching THE way for large group, standardized teaching the most stressed and the least effective

20. Bedside Teaching Patient focused Pertinent to learner, teacher and patient Required

21. Classroom Teaching Information focused Pertinence not obvious Required

22. Clinical Teaching:Bedside vs. Classroom

23. Clinical Teaching:Bedside AND Classroom

24. Clinical Teaching A lesson plan?

25. ATTENTION You are know being taught!

26. Clinical Teaching Set your own objectives or plan

27. Clinical Teaching Set your own objectives or plan Provide a good teaching environment

28. Clinical Teaching Set your own objectives or plan Provide a good teaching environment Ensure good communication

29. Clinical Teaching Set your own objectives or plan Provide a good teaching environment Ensure good communication Set a good example (Role Modeling)

30. Clinical Teaching Set your own objectives or plan Provide a good teaching environment Ensure good communication Set a good example (Role Modeling) Involve the learner

31. Clinical Teaching Set your own objectives or plan Provide a good teaching environment Ensure good communication Set a good example (Role Modeling) Involve the learner Observe the student

32. ATTENTION This is bedside teaching!

33. Clinical Teaching Agree on the ground rules

34. Clinical Teaching Punctuality Dress Respect Confidentiality How much time Clear expectations

35. Educational Golden Rule: The teacher should treat the student as the teacher would have the student treat the patient. Jennifer L. Peel, Ph.D. UTHSCSA

37. Review Progress • “Where you were” • “Where you are” • “Where you are going” • “What you need to do to get there”

38. The Two-fers How can you get the most bang for your buck?

39. The Two-fers Mini-CSX Multiple Core Principles “This is bedside teaching!” My teacher spends time with me