Creating a Positive Learning Climate and other thoughts on teaching

1. Creating a Positive Learning Climate and other thoughts on teaching Elizabeth Stuart March 28, 2008

2. …teachers possess the power to create conditions that can help students learn a great deal – or keep them from learning much at all. Parker Palmer, The Courage to Teach

3. Research Project • What do students want from residents?

4. Themes • Attention • Balance between challenge and support • Role Modeling • Meaningful participation and roles

5. Student- centered learning Patient- centered, team-based learning The Shift to Doctoring

6. EARLY EDUCATION Focus on concepts, subjects Goal is student learning Student as recipient, customer LATER EDUCATION Focus on patients, problems Goals include student learning, team functioning, patient care Student as part of a service team The Shift to Doctoring

7. Support-Challenge HIGH Challenge Risk Responsibility LOW LOWSupportHIGH

8. Flow HIGH Challenge Risk Responsibility LOW LOWSkillHIGH

9. Stanford Students Residency Match 2008

10. Residency Match 2008

11. Role Models • Kaplowitz, 1996 • 11 medical schools • 1135 students • Survey – pre vs. post clerkship • Proportion of students with a strong interest in pediatrics increased from 6.7% to 15.2%.

12. Role Models Correlation between student ratings of aspects of the pediatrics clerkship and change in interest in a career in pediatrics

13. Students need to feel that they are: Student Roles: Bottom Line LEARNING or HELPING or BOTH

14. Questions • What do students want from residents? • What gets in the way?

15. 2008 Clerkship Themes • Welcome to pediatrics • Tell us a story • No student left behind