Page 1
“Don’t Be a Pimp!” Pearls for Outstanding Clinical Educators
J. Scott Wieters, M.D. Assistant Professor Texas A&M HSC College of Medicine
Clerkship Course Director Eternal Medical Student of the year....Forever
Baylor Scott & White Memorial Hospital
“Don’t forget to teach the medical students!” :) -jsw
Twitter @jscottwieters
Page 2
QR code for copies of slides
https://www.slideshare.net/slideshow/embed_code/key/2YDdhzTQdzy8e
Page 3
Will work for
Conflict Of interest
Page 5
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 6
Remember Being a Med Student?
Page 7
7 San Antonio, TX Circa 1997
Page 8
Go Teach Students!!!
Page 9
It’s Not About You…
Page 10
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 11
Get out your Cell phone
• Text a message to 37607 as the recipient
• To join the session, type in “Wieters”
WietersWieters
Page 13
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 14
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 15
2007 World Championship Gold
Page 16
Bejing Olympics 2008
Page 17
Connect Your
Audience
Page 20
DiagnoseYour Learner
Page 23
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 24
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 25
Information, Knowledge, Skills
Promote Knowledge Transfer
Page 26
Sniper? or Shotgun?
Page 29
Four is the new Seven
Page 32
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP [email protected]
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
Page 33
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP [email protected]
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
Page 34
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP [email protected]
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
Page 35
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP [email protected]
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
Page 36
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP [email protected]
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
Page 37
Stories?Facts?
OR
Page 38
Stories?Facts?
OR
Page 46
Embrace Technology
Page 50
SIM“It’s ok if you make mistakes and Kill me….”
Page 51
Bring SIM to the Student
Page 52
Ultrasound Selfie?
Page 54
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 55
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 56
Which one are You?
Page 57
Praise Outcomes
Praise Process
OR
Page 58
Praise Outcomes
Praise Process
OR
Page 60
“You must be smart…”
“You must have worked really hard…”
OR
Page 61
Which test? Challenging?
or Easy?
Page 62
”Must be smart” = Easy test
”worked hard” = Challenging test
Page 63
Later Given the Same difficulty test
“smart” = 20% decrease
”worked hard” = 30% increase
Page 65
Look smart
Praise Answers?
Page 66
Look smart
Praise Answers?
Word Associate
Page 67
Look smart
Praise Answers?
Hide Learning GapsWord Associate
Page 68
Look smart
Praise Answers?
Avoid RisksHide Learning Gaps
Word Associate
Page 69
Look smart
Praise Answers?
Avoid RisksHide Learning Gaps
Exacerbate Discouragement
Word Associate
Page 71
Value Concepts
Praise Process
Page 72
Value Concepts
Praise Process
DeeperUnderstanding
Page 73
Value Concepts
Praise Process
Power of Perseverance
DeeperUnderstanding
Page 74
Value Concepts
Praise Process
Power of Perseverance
DeeperUnderstanding
Take Chances
Page 75
Value Concepts
Praise Process
Power of Perseverance
DeeperUnderstanding
Life-Long LearnerTake Chances
Page 76
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 77
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 81
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 82
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 86
Can you believe they pay us to do this?
Page 88
cid:1B7FEB36-2916-47C5-8542-06C8E1182F76
Page 90
Break for
Questions?
Page 92
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Page 96
Twitter Email@jscottwieters [email protected]
Page 97
Twitter Email@jscottwieters [email protected]