PROFESSIONAL DEVELOPMENT October 3, 2013 Dr. V. Antao MD, CCFP FCFP, MHSc, Dr. G. Mand MBBS, CCFP, Dr. J. McCabe, MD, CCFP, Dr. Yves Talbot and Dr. Yee-Ling Chang were involved in the creation of this session. STRATEGIES FOR EFFECTIVE TEACHING IN AMBULATORY CARE
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PROFESSIONAL DEVELOPMENT October 3, 2013 Dr. V. Antao MD, CCFP FCFP, MHSc, Dr. G. Mand MBBS, CCFP, Dr. J. McCabe, MD, CCFP, Dr. Yves Talbot and Dr. Yee-Ling.
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PROFESSIONAL DEVELOPMENTOctober 3, 2013
Dr. V. Antao MD, CCFP FCFP, MHSc, Dr. G. Mand MBBS, CCFP, Dr. J. McCabe, MD, CCFP, Dr.
Yves Talbot and Dr. Yee-Ling Chang were involved in the creation of this session.
STRATEGIES FOR EFFECTIVE TEACHING IN AMBULATORY CARE
• This set of slides is adapted for DFCM Open. You can download these slides at www.dfcmopen.com/item/basics-effective-teaching.
• Orientation of learner to pt. and tasks before entering room 1-2 min
1. Tasks
2. Attending role
3. Patient
4. Product
TEACHING IN THE PATIENT’S PRESENCE
• Learner presents findings to preceptor in front of patient– Increases preceptor time with patient– Enables direct verification of history/findings– Enables direct observation– Saves time
LIMITING TEACHING POINTS
• Focus on a few main points, less teaching, more learning
• General rules more memorable, more transferable
• At end of clinic, address other issue in more detail
• At next session review unresolved issues
CONCLUSIONS/SUMMARY
• There are numerous challenges associated with clinical teaching
• Effective teaching strategies may be used in ambulatory care
• A learner centred model of teaching is the One-Minute Preceptor (OMP)
REFLECTIVE EXERCISE
• Implement a Method/Strategy• -consider using the sample LOG
– Why did you chose this method?– Why was approach effective/ineffective?– What would you do differently next time? and
why?
TEACHING LOG
This is a teaching log created by Dr. Helen Batty and used in the Academic Fellowship Program.
EFFECTIVENESS OF TEACHING IMPROVEMENT INTERVENTIONS
Effective Teaching Interventions:
• Workshops• Teaching Evaluations with Consultation• Faculty development fellowship programs
• Wilkerson L et al., Strategies for Improving Teaching practices: A Comprehensive Approach to Faculty Development. Academic Medicine1998
RESOURCES
• Local undergrad/postgrad/PD representatives• Rubenstein W, Talbot Y. Medical Teaching in Ambulatory
Care, 2003• Neher J et al., A five Step Microskills Model of Clinical
Teaching. J. Am. Board. of Fam. Prac. 5:419-421,1992• Aagard E et al., Effectiveness of the One minute
Preceptor Model for Diagnosing the Patient and Learner: Proof of Comcept. Academic medicine 79:42-49,2004
TEACHING STRATEGIES
• Case discussion• Case review• Direct observation• Chart review• Chart stimulated recall• Criterion chart review• Role play• Short didactic presentation
Rubenstein W, Talbot Y Medical Teaching in Ambulatory Care
2003
“ If you have knowledge, let others light their candle at it.”