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Clinical Teaching: Bedside vs. Classroom. Ronald D. Szyjkowski , MD, FACG Upstate Medical University SUNY Syracuse. “Learning is nothing but discovery that something is possible: To teach means to show a person that something is possible” Frederick Perls. What is Clinical Teaching?.
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Clinical Teaching:Bedside vs. Classroom Ronald D. Szyjkowski, MD, FACG Upstate Medical University SUNY Syracuse
“Learning is nothing but discovery that something is possible: To teach means to show a person that something is possible” Frederick Perls
What is Clinical Teaching? Knowledge base Basic clinical knowledge Core principles Skills development Example
“no teaching without a patient for a text, and the best teaching is that taught by the patient himself.” Osler, 1903
What is Clinical Teaching? Knowledge base Basic clinical knowledge Core principles Skills development Example It is what we do.
What is Clinical Teaching? Student ? Resident ? Fellow ? Ourselves ?
Introduction Do we all use the same constructs?
Clinical Teaching: How do we do it? Does the learner’s level of training matter? • Do we all use thesameconstructs?
“You can’t make someone learn so there is no reason to have any required learning.”
Clinical Teaching: How do we do it? Again, does the learner’s level of training matter?
The Difficulties What is your style? Bedside Classroom Box Groups
The Difficulties Which is better? Which is worse? Box Groups
Clinical Teaching: How do we do it? Apprenticeship Mentoring Role Modeling Bedside Classroom
Bedside Teaching the most important methods of teaching the most neglected and most deficient
ScopeBedside Teaching the most important methods of teaching the most neglected and most deficient
Classroom Teaching THE way for large group, standardized teaching the most stressed and the least effective
Bedside Teaching Patient focused Pertinent to learner, teacher and patient Required
Classroom Teaching Information focused Pertinence not obvious Required
Clinical Teaching A lesson plan?
ATTENTION You are know being taught!
Clinical Teaching Set your own objectives or plan
Clinical Teaching Set your own objectives or plan Provide a good teaching environment
Clinical Teaching Set your own objectives or plan Provide a good teaching environment Ensure good communication
Clinical Teaching Set your own objectives or plan Provide a good teaching environment Ensure good communication Set a good example (Role Modeling)
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
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
ATTENTION This is bedside teaching!
Clinical Teaching Agree on the ground rules
Clinical Teaching Punctuality Dress Respect Confidentiality How much time Clear expectations
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
Review Progress • “Where you were” • “Where you are” • “Where you are going” • “What you need to do to get there”
The Two-fers How can you get the most bang for your buck?
The Two-fers Mini-CSX Multiple Core Principles “This is bedside teaching!” My teacher spends time with me