Clinical Teaching: Bedside vs. Classroom
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Transcript of Clinical Teaching: Bedside vs. Classroom
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Clinical Teaching:Bedside vs. ClassroomRonald D. Szyjkowski, MD, FACG
Upstate Medical UniversitySUNY Syracuse
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“Learning is nothing but discovery that something is possible: To teach
means to show a person that something is possible”
Frederick Perls
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What is Clinical Teaching?
• Knowledge base• Basic clinical knowledge• Core principles• Skills development• Example
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“no teaching without a patient for a text, and the best teaching
is that taught by the patient himself.”
Osler, 1903
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What is Clinical Teaching?
• Knowledge base• Basic clinical knowledge• Core principles• Skills development• Example
It is what we do.
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What is Clinical Teaching?
• Student ?• Resident ?• Fellow ?• Ourselves ?
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Introduction
• Do we all use the same constructs?
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Clinical Teaching: How do we do it?
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Clinical Teaching: How do we do it?
Does the learner’s level of training
matter?
Do we all use the same constructs?
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“There are as many ways to teach as there are to learn.”
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“Visual learning is the only way anyone learns.”
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“You can’t make someone learn so there is no reason to have any
required learning.”
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Clinical Teaching: How do we do it?
Again, does the learner’s level of training matter?
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The Difficulties• What is your style?– Bedside– Classroom
• Box Groups
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The Difficulties• Which is better?• Which is worse?
• Box Groups
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Clinical Teaching: How do we do it?
ApprenticeshipMentoring
Role ModelingBedside
Classroom
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Bedside Teaching
• the most important methods of teaching
• the most neglected and
• most deficient
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ScopeBedside Teaching
• the most important methods of teaching
• the most neglected and
• most deficient
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Classroom Teaching
• THE way for large group, standardized teaching
• the most stressed and
• the least effective
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Bedside Teaching
• Patient focused• Pertinent to learner, teacher and patient• Required
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Classroom Teaching
• Information focused• Pertinence not obvious• Required
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Clinical Teaching:Bedside vs. Classroom
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Clinical Teaching:Bedside AND Classroom
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Clinical Teaching
• A lesson plan?
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ATTENTIONYou are know being
taught!
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Clinical Teaching
• Set your own objectives or plan
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Clinical Teaching
• Set your own objectives or plan• Provide a good teaching environment
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Clinical Teaching
• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication
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Clinical Teaching
• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication• Set a good example (Role Modeling)
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Clinical Teaching
• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication• Set a good example (Role Modeling)• Involve the learner
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Clinical Teaching
• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication• Set a good example (Role Modeling)• Involve the learner• Observe the student
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ATTENTIONThis is bedside
teaching!
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Clinical Teaching• Agree on the ground rules
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Clinical Teaching• Punctuality• Dress• Respect• Confidentiality• How much time• Clear expectations
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Educational Golden Rule:
The teacher should treat the student as the teacher would have the student treat the patient.
Jennifer L. Peel, Ph.D. UTHSCSA
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Review Progress
• “Where you were”• “Where you are”• “Where you are going”• “What you need to do to get there”
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The Two-fers
• How can you get the most bang for your buck?
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The Two-fers
• Mini-CSX• Multiple Core Principles• “This is bedside teaching!”• My teacher spends time with me