Maximizing clinical training

opportunities

Sameh Shehata

Alexandria

Egypt

“Clinical skills education in the undergraduate medical curriculum is

fundamental to the development of basic clinical method and the lifelong

achievement of excellence in clinical practice”

Where do we stand ?

• What are the objectives and expectations

of clinical training ? (learning outcome?

• How to improve (modify) the curriculum

regarding the contents and availability and

implementation of “standard check-lists”

• What are the appropriate clinical teaching

methods ?

• How to improve the workplace

environment for clinical training ?

• How to maximize the use of the clinical

skill lab?

• What is the clinical teacher’s role ?

• Do we need “Staff development programs”

concerning medical education (teaching /

learning)?

• How to maximize participation of the

students (medical officers) in patient care?

• How to overcome the increasing number

of students and non-availability of

patients?

Student/Patient

• Tianjin Medical University had built a

20,000 sq. ft. simulation hospital in 2008.

Skill lab

• Medrills apps for iOS and Android

teach basic clinical skills to Army

Medics

USMLE

Recommendations

• Consistent .

• Reproducible.

• Reliable .

• Measurable.

STRUCTURED !

Task Force

• Clinical skills curriculum .

Recommendations

• Define objectives .

• Define clinical skills required for each dept.

• Describe skill clearly .

• Define level of skill acquisition

– Miller

– Dreyfus

Miller

Dreyfus

• Announced to student and teacher .

• Teacher orientation .

• TDP

– Tutorial

– Demonstration

– Performance

Assess /feedback

• Assess ( OSCE )

• Feed back

– Student

– Teacher

Student/patient

• Learning environment :

Solution Student/patient

• Simulated patient .

• Skill lab .

• Training Software .

• Educational Videos.

Thank you !