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Teaching in Clinical Settings Dental Faculty, March 16, 2011. Kathryn Plank, PhD Sorabh Khandelwal, MD Cynthia Ledford, MD. What is EXCELLENT teaching?. Patient care Teaching. Efficiency Effective delegation Development of management and teaching skills. Complexity of Clinical Settings.
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Teaching in Clinical SettingsDental Faculty, March 16, 2011 Kathryn Plank, PhD Sorabh Khandelwal, MD Cynthia Ledford, MD
Patient care Teaching Efficiency Effective delegation Development of management and teaching skills Complexity of Clinical Settings
Challenges • Many different levels of learners • Rapid pace • Simultaneously diagnosing patient and learner
Teaching skills used in clinical settings • Create an effective learning climate • Communicate expectations • Observe performance • Give feedback
Goals of Session Enhance versatility Improve ability to understand clinical teaching using an educational framework Provide forum for collegial exchange
Learning Climate • Do I want to be here?
What influences it? T L C
Teacher Behaviors • Stimulation • Learner Involvement • Respect and Comfort • Admission of Limitations
Stimulation Show enthusiasm for topic and learners Show interest through body language Use animated voice Provide conducive physical environment Learner involvement Look at learners Listen to learners Encourage learners to participate Avoid monopolizing the discussion
Respect and comfort Use learner’s names Acknowledge learners problems/situations Invite learners to express opinions State respect for divergent opinions Avoid ridicule, intimidation, interruption Admission of limitations Acknowledge learner limitations Invite learners to bring up problems Admit own errors or limitations Avoid being dogmatic
Stimulation Learner Involvement Respect & comfort Admission of limitations Learning coma incontinence Anxiety
Communication of Goals • “ If you don’t know where you are going, …you might not get there.” • Yogi Berra
Goal Setting Agree on goals Know what good looks like See what the learner does The first secret Set them up to succeed!
Types of Goals • Process v Product • Means goals (process) • Ends goals (product) • Knowledge, Skills, Attitudes
Establish Goals Define as learner behaviors Prioritize goals Re-establish goals (define over time) Negotiation of Goals Check out learner acceptance of goals Ask learners for their goals Agree on goals Expression of Goals State clearly and concisely State as behaviors State relevance to learners State expected level of competence Repeat goals periodically Defining what to expect
Evaluation • Types: • Formative (coach) = assess, observe • Summative (judge) = grade
Coaching Instructing, training person/people toward a goal
Establish role as Coach • Common goal of student’s success • Practice • Opportunity to practice skills • Make it safe
Evaluation- how? • Observation • Questioning • Type of Q (open/closed) • Wait time • Level of question • Recall • Analysis/synthesis • Application • Fostering Self Assessment
Observations • With patients, team • Performing interview or exam, counseling, procedures • Progress notes, admit notes • Oral presentations Give clear expectations Make opportunities to observe
Learning climate Communication of Goals Evaluation FEED BACK
FeedbackThe Breakfast of Champions David Walton Earle
Specific Timely Frequent Reinforcing/ Corrective Learner Reaction Action Plan BEST Feedback (Coaching)
Praising Praise immediately Tell them what they did right specifically Reinforce why its so important Encourage them to continue Tell them upfront you are going to coach (give feedback) Help People Reach their Full Potential Catch them doing something right
Basic behavioral feedback Explain to learners why he/she was correct or incorrect. Offer learners suggestions for improvement. Interactive feedback Give feedback on self-assessment Obtain learner reaction Develop action plan with learner Feedback
One minute Goal Setting Agree on goals Know what good looks like See what the learner does
One minute Praising Praise immediately Tell them what they did right specifically Reinforce why its so important Encourage them to continue Tell them upfront you are going to give feedback Help People Reach their Full Potential Catch them doing something right
Goal Setting The next step for you….Now you are ready to …..
Wrap up What is your take home point