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Principle of Clinical Teaching. Supreeya Wongtra-ngan,MD.,MHPEd. CLINICAL COMPETENCIES. Factual Knowledge Technical Skill Problem Solving Skill Communication Skill Manners & Etiquette. ผู้เรียนของเราคือใคร. Principles of learning. Learning climate Internal motivation
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Principle of Clinical Teaching Supreeya Wongtra-ngan,MD.,MHPEd
CLINICAL COMPETENCIES • Factual Knowledge • Technical Skill • Problem Solving Skill • Communication Skill • Manners & Etiquette
Principles of learning • Learning climate • Internal motivation • Meaningful learning • Learning objective • Identify resources • Practice • Reinforcement
Instruction methods • Bedside teaching • OPD, OR, LR • Ward rounds • Independent patient contact • Simulation, Role play • Case discussion • Home visit • etc
Teaching the physical examination skill • Clear understanding of the task • Supervised practice • Direct experience • Repetition • Persistence
In what may be called the naturalmethod of teaching the student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end. Sir William Osler,1904
Teaching clinical skills in the hospital setting Teaching clinical skills in the hospital setting • Be on time • Insist that students arrive on time • Plan the clinical teaching session
Teaching clinical skills in the hospital setting • Involve the patients • Inform the charge nurse • Involve all the students • Insist on a standard format
Teaching clinical skills in the hospital setting • Use a problem –solving approach • Conduct discussion away from the patient • Do not try to do too much
วงจรการสอนทางคลินิก การเตรียมพร้อม ประเมินผลการทดลองฝึกปฏิบัติ สรุปข้อสำคัญหลังพบผู้ป่วยสรุปข้อสำคัญก่อนนศ.พบผป. (Debriefing) (Briefing) ช่วงพบผู้ป่วย
Clinical learning cycle BriefingBriefing patient students DebriefingClinical sessionpractice Including the Patient
Briefing the patient • Explaining the purpose • Seeking co-operation • Negotiating roles • Preparing patient Briefing students • Providing a framework • Generating ideas
Clinical practice • Modelling appropriate behaviors • Using questions Debriefing • Analysis discoveries • Discussing insights
Bioethics • Informed consent • Confidentiality • Truth telling • Maternal-fetal conflict • Quality end of life care • Conflict of interest • etc
Health Promotion • Risk factors • Disease prevention • Life style • Environment • Family health • Occupational health • etc
Student evaluation • Multiple choice question • Modified essay question • Short/ Long case • Case report • Structured oral exam • Objective Structured Clinical Examination (OSCE) • OSLER • Direct observation: check list, rating scale • Standardized patient
CLINICAL COMPETENCIES • Factual Knowledge • Technical Skill • Problem Solving Skill • Communication Skill • Manners & Etiquette
To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all Osler 1903