SlideServe
Télécharger Obtenir Pro
Menu
Accueil Pro
Préférences
ApparenceLight Aide et commentaires
© SlideServe · v2026

Managing Reluctant Learners in Medical Training: Strategies for Effective Teaching

yukio avatar
yukio
19 diapositives · 383 Views · Aug 28, 2014

This case study outlines the challenges posed by a reluctant learner, an intern who exhibits a dismissive attitude towards patient care, particularly in diagnosing and managing an elderly patient with changing mental status. It highlights the importance of identifying reluctance as a learning issue and offers a structured approach to address it. By understanding the learner's attitude, skills, and knowledge gaps, educators can effectively engage reluctant learners, ensuring they grasp essential clinical competencies. It emphasizes the need for persistence and supportive intervention in fostering better learning outcomes.

Managing Reluctant Learners in Medical Training: Strategies for Effective Teaching - slide 1
01 / 19Managing Reluctant Learners in Medical Training: Strategies for Effective Teaching
1 / 17

Télécharger la présentation

Managing Reluctant Learners in Medical Training: Strategies for Effective Teaching
Une image / un lien ci-dessous est fourni (tel quel) pour télécharger la présentation

Politique de téléchargement : le contenu du site vous est fourni TEL QUEL pour votre information et votre usage personnel ; il ne peut être vendu, concédé sous licence ni partagé sur d’autres sites sans l’accord de son auteur.Le contenu vous est fourni TEL QUEL, pour votre information et votre usage personnel uniquement. Téléchargez la présentation en cliquant sur ce lien. Lors du téléchargement, si vous ne parvenez pas à télécharger une présentation, l’éditeur a peut-être supprimé le fichier de son serveur.Pendant le téléchargement, si vous ne parvenez pas à obtenir une présentation, le fichier a peut-être été supprimé par l’éditeur.

F I N

Plus de contenu associé

Transcription de la présentation

  1. Case • Your intern admitted an elderly patient from a nursing home with change in mental status and did a very cursory workup, and did not speak to the family at all. When you question her, she says : “I don’t have time for this. He is just demented. All these resources going to waste.”

  2. You point out the features suggestive of delirium, and discuss the importance of prompt dx and management. Your intern rolls her eyes.

  3. What is your working diagnosis?

  4. The Reluctant Learner Angela Jackson, MD Associate Director, Boston University Residency Program in Medicine

  5. Examples of reluctant learners…

  6. The Reluctant Learner • Definition: • A learner who appears not to be eager, willing and ready to learn what you want to teach

  7. Approach the reluctant learner as you would a “tough clinical case”

  8. STEP 1- Make the Diagnosis: “Take a History”

  9. Why the reluctance?

  10. The Learning Process TEACHER LEARNER CONTENT

  11. Remember to ASK

  12. ASK - Does the learner: • Have a problem with Attitude? - judgmental - “bleeding heart” who can’t set limits • Lack Skill? - unable to put knowledge to practical use - uncomfortable asking the questions • Lack Knowledge? - clinical relevance of material - missing some “background information”

  13. The Learning Process TEACHER LEARNER CONTENT

  14. STEP 2 – Treat the Problem: “The Therapeutic Trial” • It usually takes more than one try • Keep the focus on the behavior • Keep your goal realistic

  15. STEP 3 – Get a Consult: • Other Chief Residents • Program Director • Other faculty

  16. “Stages of Change” for the Reluctant Learner “This is not important for good patient care” “I already know all I need to” Denial “There may bean easier way to deal with this kind of problem, but I am doing fine” Contemplation Determination “There are some concrete skills that I can learn and use” “Mastering these skills will make me a better doctor”

  17. “I understand the importance of this skill to good patient care I can do this” “RECOVERY” • Fatigue • Burn out • Personal issues • Substance use RELAPSE

  18. Diagnosis and Treatment Options: • PROBLEM:____________________________________

  19. Take Home Points: • “Reluctance is in the eye of the beholder” • The same skills that work with challenging patients, work with challenging (reluctant) learners