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Supreeya Wongtra-ngan,MD.,MHPEd

Principle of Clinical Teaching. Supreeya Wongtra-ngan,MD.,MHPEd. CLINICAL COMPETENCIES. Factual Knowledge Technical Skill Problem Solving Skill Communication Skill Manners & Etiquette. ผู้เรียนของเราคือใคร. Principles of learning. Learning climate Internal motivation

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Supreeya Wongtra-ngan,MD.,MHPEd

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  1. Principle of Clinical Teaching Supreeya Wongtra-ngan,MD.,MHPEd

  2. CLINICAL COMPETENCIES • Factual Knowledge • Technical Skill • Problem Solving Skill • Communication Skill • Manners & Etiquette

  3. ผู้เรียนของเราคือใคร

  4. Principles of learning • Learning climate • Internal motivation • Meaningful learning • Learning objective • Identify resources • Practice • Reinforcement

  5. Instruction methods • Bedside teaching • OPD, OR, LR • Ward rounds • Independent patient contact • Simulation, Role play • Case discussion • Home visit • etc

  6. Teaching the physical examination skill • Clear understanding of the task • Supervised practice • Direct experience • Repetition • Persistence

  7. ผู้ป่วยนั้นสำคัญไฉน???

  8. In what may be called the naturalmethod of teaching the student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end. Sir William Osler,1904

  9. Teaching clinical skills in the hospital setting Teaching clinical skills in the hospital setting • Be on time • Insist that students arrive on time • Plan the clinical teaching session

  10. Teaching clinical skills in the hospital setting • Involve the patients • Inform the charge nurse • Involve all the students • Insist on a standard format

  11. Teaching clinical skills in the hospital setting • Use a problem –solving approach • Conduct discussion away from the patient • Do not try to do too much

  12. วงจรการสอนทางคลินิก การเตรียมพร้อม ประเมินผลการทดลองฝึกปฏิบัติ สรุปข้อสำคัญหลังพบผู้ป่วยสรุปข้อสำคัญก่อนนศ.พบผป. (Debriefing) (Briefing) ช่วงพบผู้ป่วย

  13. Clinical learning cycle BriefingBriefing patient students DebriefingClinical sessionpractice Including the Patient

  14. Briefing the patient • Explaining the purpose • Seeking co-operation • Negotiating roles • Preparing patient Briefing students • Providing a framework • Generating ideas

  15. Clinical practice • Modelling appropriate behaviors • Using questions Debriefing • Analysis discoveries • Discussing insights

  16. Bioethics • Informed consent • Confidentiality • Truth telling • Maternal-fetal conflict • Quality end of life care • Conflict of interest • etc

  17. Health Promotion • Risk factors • Disease prevention • Life style • Environment • Family health • Occupational health • etc

  18. Student evaluation • Multiple choice question • Modified essay question • Short/ Long case • Case report • Structured oral exam • Objective Structured Clinical Examination (OSCE) • OSLER • Direct observation: check list, rating scale • Standardized patient

  19. CLINICAL COMPETENCIES • Factual Knowledge • Technical Skill • Problem Solving Skill • Communication Skill • Manners & Etiquette

  20. To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all Osler 1903

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