• 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