teaching clinical skills -guideline preparation- zekeriya aktürk, prof. dr. 21 january 2013...
TRANSCRIPT
Teaching Clinical SkillsTeaching Clinical Skills
-guideline preparation--guideline preparation-
Zekeriya Aktürk, Prof. Dr.
21 January [email protected]
http://aile.atauni.edu.tr
Student Assessment CourseUniversity of Science and Technology
/ 211
Objectives
• By the end of this module you should be able to;– Discuss the importance of skills training in medical
education
– Discuss the relation of coaching to skills training
– Describe a method for coaching
– Describe guidelines and their importance in coaching
/ 212
• ‘Observe, record, tabulate, communicate. Use your five senses… Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you can become expert’
Sir William Osler (1849–1919)/ 213
What teaching methods to use?
• See one, do one, teach one
• Skills teaching on manikins
• Skills teaching on simulated patients
• Skills teaching on real patients
/ 214
Selecting the Best Method
Knowl Attitude Problem s. Commun. Skills
Classroom teach 7 3 4 2 0
Discussion 8 9 6 7 2
Audiovisual lect 6 3 4 1 4
Simulation 4 8 8 8 3
Case studies 5 7 9 3 4
COACHING 5 6 8 7 9
Demonstration 6 4 7 4 9
/ 215
Sousa, D. A. How the brain learns: A classroom teacher's guide. 2nd ed. Thousand Oaks. Corwin Press: CA USA; 2001. p. 95
Why Skills Teaching?
/ 216
COACH Approach
• Clear performance
• Openness to learn
• Assess performance
• Communication
• Help and follow-up
/ 217
COACH• Clear performance
• Openness to learn
• Assess performance
• Communication
• Help and follow-up
What kind of role model?
• Expert
• Allows observation
• Standards of practice are clear/ 218
COACH
• Clear performance
• Openness to learn
• Assess performance
• Communication
• Help and follow-up
• Motivating/positive
• Secure
• Pyschologic and social support
• External resources enough
What kind of learning env.?
/ 219
COACH
• Clear performance
• Openness to learn
• Assess performance
• Communication
• Help and follow-up
• Contiuous, esp. formative
• Measuring target outcomes
• Feedback
• Clear competency level
What kind of assessment?
/ 2110
COACH
• Clear performance
• Openness to learn
• Assess performance
• Communication
• Help and follow-up
• Intended to understand
• Effective listening
• Empathy
• Asking questions
What kind of communication?
/ 2111
COACH
• Clear performance
• Openness to learn
• Assess performance
• Communication
• Help and follow-up
• For complete learning
• During education
• After education
• Plan-apply-follow up
What kind of help?/ 2112
Five-Steps Approach
1. Overview
2. Demonstration
3. Describe each step
4. Students talk through the skill
5. The students perform the skill
John H. George, Frank X. Doto, Fam Med 2001;33(8):577-8
/ 2113
Examples of Clinical Skills Guidelines
and OSCE Steps
/ 2114
http://www.scionpublishing.com/shop/ProductImages/OSCES%20Mock%20Marking%20Scheme.pdf
/ 2115
/ 2116
https://www.fammed.wisc.edu/sites/default/files//webfm-uploads/documents/med-student/pcc/practice-osce-scenarios.pdf
/ 2117
/ 2118
/ 2119
How do you assess the learning of these skills?
• ‘Examinations are formidable even to the best prepared, for the greatest fool may ask more than the wisest man can answer’– The long case– The short case– Objective structured clinical examination (OSCE)
– Workplace-based assessment
Charles Caleb Colton (1780–1832)/ 2120
Summary
• What is the best method of teaching psychomotor skills?
• What are the steps in teaching clinical skills?
• How would you develop steps for clinical skills guidelines?
/ 2121