Residents as Teachers

1. Residents as Teachers Loyola University Medical Center Stritch School of Medicine Graduate Medical Education Session 4

2. Teaching in the Operating Room

3. What not to do… • 3rd year student in the OR

4. Why do we need to teach in the OR? • Our clerkship is a reflection on our field • Commitment to medical student education • Commitment to the future of our field • Goal for students to gain appreciation of the scope of surgeons • If they love it and choose our field, that’s a bonus!

5. Benefits of good operative teaching • Students learn what they need to learn • Engagement • Participation • Respect • Reputation • 360 evals • Foster interest

6. Influence • Residents are the primary teaching source • Faculty and residents underestimate their influence1 • Can be paramount in a student’s decision to pursue a surgical field • Residents who are effective educators influence medical students to pursue surgical careers2 1Journal of Surgical Research, 177 (2012)201-206. 2J Am Coll Surg 20077:204 164-167

7. Effective OR Teaching • Remember the medical student perspective • Introduce them to the team • Understand their learning needs • Facilitate participation • Answer questions • Provide feedback

8. Student Perspective • Negotiate the physical environment of the OR, cope with emotional impact • Figure out what exactly they can learn from a case • Figure out the social aspect of being a member of the operating team Lyon et al. Medical Education, 2003: 37; 680-688

9. Effective OR Teaching • Remember the medical student perspective • Introduce them to the team • Understand their learning needs • Facilitate participation • Answer questions • Provide feedback

10. Introduce Them to the Team

11. Make Use of the White Board

12. Effective OR Teaching • Remember the medical student perspective • Introduce them to the team • Understand their learning needs • Facilitate participation • Answer questions • Provide feedback

13. Understanding Learning Needs • Anatomy • Pathology • Management • Takes 30 seconds

14. Effective OR Teaching • Remember the medical student perspective • Introduce them to the team • Understand their learning needs • Facilitate participation • Answer questions • Provide feedback

15. Student Involvement • Students feel more fulfilled when viewed as a necessary part of the team • Laparoscopic camera driving • Palpation and visualization of normal anatomy • Make sure they can see!

16. J American Coll Surg 2008: 207; 793-800

17. Effective OR Teaching • Remember the medical student perspective • Introduce them to the team • Understand their learning needs • Facilitate participation • Ask and answer questions • Provide feedback

18. Questioning in the OR • Student Appropriate • SHELF exam • Relevant to reading • Pimping • Obscure facts • “Think about how you would educate a referring PCP in the Operating Room”

19. Effective OR Teaching • Remember the medical student perspective • Introduce them to the team • Understand their learning needs • Facilitate participation • Ask and answer questions • Provide feedback

20. Provide Feedback • Debrief • Can be beneficial for all members of the team

21. Back to the video • Environment? • Attitude of teachers? • Attitude of student • Before the case? • At the end?

22. Your own teaching moments • What made it you feel good about this encounter? • What made it stand out? • How did you feel? The student? • Environment? • Can it be reproduced?

23. The ideal… • Residents as Teachers

24. The ideal… • It’s impossible to do this every time you operate • Getting in the habit of incorporating students into our operative flow is half the battle

25. Questions?