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Excellence in Clinical Teaching. Your Name Here Your Organization. Objectives. Recognized characteristics of an excellent clinical teacher Identified barriers and solutions to achieving teaching excellence at our organization Performed a self-assessment of our clinical teaching abilities
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Excellence in Clinical Teaching Your Name Here Your Organization
Objectives • Recognized characteristics of an excellent clinical teacher • Identified barriers and solutions to achieving teaching excellence at our organization • Performed a self-assessment of our clinical teaching abilities • Explored peer-review methods as a tool for improving our clinical teaching abilities • Discussed important issues specific to this group
Take-Home Points • Clinical teaching is unique and demanding • We have experienced both excellent and poor clinical teaching- Embrace the good • Learner reviews, self-assessments, and peer-reviews can improve our clinical teaching • Fostering a culture of honest and specific feedback is the key to improvement
Clinical Teaching • How is it different? Settings Time constraints Learners levels Topics unpredictable Patient care
Excellent Clinical Teachers • Activity One • Think back to your medical school or residency experience • In groups, discuss the characteristics of your best clinical teacher • Write responses on your white board
Excellent Clinical Teachers • Accessible to their residents • Enthusiastic about teaching • Knowledgeable, good clinical skills • Well organized • Respectful • Communicate clearly • Present goals logically • Set goals and provide feedback
Ineffective Clinical Teachers • Activity Two • Think back to your medical school or residency experience • In pairs, discuss the characteristics of your worst clinical teacher • Write responses on your white board
Ineffective Clinical Teachers • Negative attitude, intimidating • Poor feedback skills • Inaccessible • Limited knowledge • Fail to recognize extra effort • Poor communication skills • Fail to adhere to schedule
Subjective Assessments • Assessment of clinical teaching abilities often subjective • Does excellent clinical teaching “rating” really matter?
Proven Outcomes • Prospective cohort study • 502 third-year medical students • Good, mediocre and poor faculty • Significantly higher USMLE scores for students of good clinical teachers • Subjective assessment of clinical teaching correlates to outcome Griffith, Charles H., Georgesen, John C., Wilson, John F.: Six-Year documentation of the association between excellent clinical teaching and improved student examination performance. Academic Medicine. 75:62-64, 2000
Self-Assessment • Activity Three • Achieving excellence in clinical teaching begins with you • Reflect on your experience as a clinical teacher • Complete the Faculty Self-Assessment
Barriers to Excellence • Activity Four • What are some barriers to individual and collective excellence in clinical teaching at our organization? • Discuss this question your group and list barriers on your white board.
Potential Barriers • Limited feedback from learners and peers • Vague or unhelpful feedback • Ego or self-misperception • Organization culture
Solutions to Barriers • Activity Five • Now that we know a little more about our own strengths and weakness, lets turn our attention to those barriers • Discuss potential solutions with your group and write them on your white board
Peer-Reviews • Tool to provide additional information • Ask for specific and actionable feedback • Use feedback constructively • General overview or event related
Objective Analysis • Reviewing a peer may be difficult outside of the “heat of the moment” • Consider an OSCE-like evaluation of your clinical teaching • Some studies have attempted to identify specific objective metrics but failed • May be used as a mentorship tool
Integration Task • Peer-reviews included in your handout • Similar to your self-assessment • Give to two colleagues over the next week • Consider the OSCE-like evaluation during your next clinical teaching experience
Help Line • Many of you posed great questions for discussion on the faculty LRNA • Let’s form a circle and discuss some of these questions as a group
Our Concerns • How do I get better at clinical teaching? • How do I make time for teaching? • Can active learning be combined with the 5-minute preceptor effectively?
Take-Home Points • Clinical teaching is unique and demanding • We have experienced both excellent and poor clinical teaching- Embrace the good • Learner reviews, self-assessments, and peer-reviews can improve our clinical teaching • Fostering a culture of honest and specific feedback is the key to improvement