Outpatient Teaching Slides

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Teaching
 in
 the
  Outpa.ent
 Se0ng
 
David
 Narita,
 MD
 

Objec.ves
 
•  Discuss
 the
 challenges
 of
 teaching
 in
 the
  outpa.ent
 se0ng
 (OPD)
  •  Explore
 ways
 to
 teach
 specifically
 in
 the
  outpa.ent
 se0ng
  •  Share
 together
 what’s
 worked
 well
 for
 us
 in
  outpa.ent
 teaching
 

What
 are
 the
 challenges
  of
 outpa.ent
 teaching?
 

What
 are
 the
 challenges
  of
 outpa.ent
 teaching?
 

Some
 ways
 to
 make
  our
 teaching
 be#er
 

A0tude
 
•  Good
 teaching
 starts
 with
 us
  •  The
 best
 clinical
 teachers
 are
  described
 as:
 
– Enthusias.c
  – Clear
 and
 organized
  – Interact
 well
 with
 students
 

•  The
 focus
 shouldn’t
 be
 on
 us.
 
  Listen
 more,
 talk
 less.
 

A0tude
 

Orient
 them
 
•  Tell
 your
 juniors
 what
 you
 want
  to
 see
 from
 them
 
– What
 you
 want
 them
 to
 examine
  – How
 to
 present
 a
 pa.ent
  – How
 to
 write
 a
 progress
 note
  – How
 many
 to
 see
 and
 how
 many
  to
 present
 to
 you
 

Orient
 them
 

Role
 Model
 
•  See
 the
 pa.ent
 together
 
 
 
 
 
  (one-­‐on-­‐one
 or
 in
 a
 group)
 

– Especially
 with
 new
 doctors
  – Saves
 .me
  – Teaches
 much
 more
 than
 just
  talking
 alone
  – Learning
 as
 a
 group
 can
 be
 less
  threatening
 and
 provides
  accountability
 (everyone
 knows
  what
 is
 expected)
 

Role
 Model
 

Don’t
 get
 stuck
 in
 a
 rut
 
•  Don’t
 do
 the
 same
 thing
 over
  and
 over
 again
 just
 because
  that’s
 how
 you’ve
 always
 done
  it.
  •  Some.mes
 the
 way
 things
 are
  “always
 done”
 isn’t
 the
 best
  way…
 

Don’t
 get
 stuck
 in
 a
 rut
 
•  Lobotomy
 
– Division
 of
 the
 prefrontal
 cortex
  connec.ons
 for
 mental
 illness
 –
  anxiety,
 depression,
  schizophrenia,
 bi-­‐polar
 disorder
  – Dr.
 Antonio
 Moniz
 won
 the
 Nobel
  prize
 for
 medicine
 in
 1949
  – Over
 70,000
 procedures
 done
 in
  20+
 years
 

Don’t
 get
 stuck
 in
 a
 rut
 
•  Lobotomy
 
– Division
 of
 the
 prefrontal
 cortex
  connec.ons
 for
 mental
 illness
 –
  anxiety,
 depression,
  schizophrenia,
 bi-­‐polar
 disorder
  – Dr.
 Antonio
  chlorpromazine
  Moniz
 won
 the
 Nobel
  prize
 for
 medicine
 in
 1949
  – Over
 70,000
 procedures
 done
 in
  20+
 years
 

X

Give
 Feedback
 
•  Posi.ve
 and
 nega.ve
  •  “You
 did
 a
 great
 job
 on
 this
  chart
 because
 you
 developed
 a
  clear
 problem
 list”
  •  “Next
 .me,
 take
 a
 lidle
 more
  .me
 explaining
 how
 to
 take
 the
  medicines
 properly.”
 

Give
 Feedback
 
•  Be
 .mely
  •  Be
 specific
  •  Be
 construc.ve
  •  Allow
 the
 student
 to
 respond
  •  Focus
 on
 the
 posi.ve
 

Making
 our
 teaching
 beder
 
•  A0tude
  •  Orient
 them
 
  •  Role
 model
  •  Don’t
 get
 stuck
 in
 a
 rut
  •  Give
 feedback
 
 

What
 are
 ways
 to
 teach
  that
 have
 worked
 for
 you?
 

Thank
 you!
 

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