Professionalism Lesson Plan FULL · 2019-02-25 · Bethany Lloyd, Year 5, University of Aberdeen...
Transcript of Professionalism Lesson Plan FULL · 2019-02-25 · Bethany Lloyd, Year 5, University of Aberdeen...
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
ProfessionalismLessonPlanDesignedtoberunbyanymedicaloralliedhealthprofessionalforgroupsofideallylessthan30medicalstudentstoallowforwholegroupdiscussion,althoughcanbeusedforlargergroups.Aim:Toengagemedicalstudentsinacreativeandfunactivity,approachingprofessionalismfromasimilarlyvulnerableperspectivetothatapatientmaybein.LearningPoints:1.Professionalismisimportanttobeagoodmedicalstudentordoctorandallaspectsofitshouldbeconsidered.2.Whatthe4domainsusedintheGMC’s“Achievinggoodmedicalpractice:guidanceformedicalstudents”are,andwhateachoftheseincludes.2.Begintohaveanawarenessofthe14subtopicsusedinthisguidance,andexploringpotentialpitfallsofneglectinganysingleoneoftheseareas.Overview:Astheleaderofthislesson,youwillguideparticipantsthroughascenariowhichencouragesthemtothinkthroughthequalitiesandcharacteristicstheywouldliketoseeinanytrustedprofessional,particularlythoseinhigh-risksituations.Itiskeythatyouinitiallydonotrelatethelessontomedicalpracticeatall.Thestudentswillbesplitintoteamsof4-6individuals,andinformedthattheyhavebeeninvitedtoaskydivingsession.Onarrivalatthe“skydivingcentre”,theteamisrequiredtocreateanexhaustivelistofthecharacteristicstheywouldliketheirinstructortohave,sothatjusttherightpersoncanbefound.TheyarethenencouragedtorelatethecharacteristicstheyhavecomeupwithtotheframeworkgivenintheGMC’s“Achievinggoodmedicalpractice:guidanceformedicalstudents”,andconsidertheimplicationoflackinganyspecificaspectsofprofessionalism,firstlyinthescenarioofskydiving,andsecondlyinmedicalpractice.Thefollowingscriptcanbeusedflexibly,withadditionalactivitiestodevelopthis15-minuteactivityintoanhour-longsessionifrequired.
Basicstructure:1. Introduction“story”withexamplefromthe“previousskydivingteam”2. Give15blankcardstowriterequirementsoftheirskydivinginstructor3. Sort15whitecardsintothe4DOMAINheadings,(ifthereareanyblankwhite
cardstheycancompletethemnow).4. Relatethisexercisetomedicine,givethe14SUBHEADINGcardsandmatch
themtothewhitecards5. ForanyunmatchedSUBHEADINGcardsturnthemoverandaskstudentstoread
the“consequence”intheirgroup.6. (Optional:addupa“score”basedonSUBHEADINGcardstheydid/didn’tmatch)7. DiscusstheSUBHEADINGcardstheydidnotmatchtoanywhitecards.What
wouldbeapossibleoutcomeoflackingthisinmedicalpractice?
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
PREPARATION:
• ReadtheGMC’s“Achievinggoodmedicalpractice:guidanceformedicalstudents”,andensurethatyouarefamiliarwiththesummaryshownbelow.
• Preparea“pack”foreachteam,includingo 15blankwhitecards(seeAppendix1,alternativelyblankbusinesscardscanbeused)o 1singlesidedreusableinvitationcard(seeAppendix2)o 4singlesidedreusableDOMAINcards(seeAppendix3)o 14doublesidedreusableSUBHEADINGcards(seeAppendix4)
• Preparetheroomwithseparatetablesforeachgroup,largeenoughtospreadthecardsouton,andanoptional“leadershipboard”fortheteamscores.
Summaryof“Achievinggoodmedicalpractice:guidanceformedicalstudents”forthislessonNB:forthepurposesofthislessonthe4mainheadingsarereferredtoasDOMAINSandthe14categoriesbeneaththesearereferredtoasSUBHEADINGSDomain1:Knowledge,skillsandperformance(3)
a) Developandmaintainprofessionalperformanceb) Applyknowledgeandexperienceinpracticec) Recordworkclearly,legiblyandaccurately
Domain2:Safetyandquality(3)a) Contributetoandcomplywithsystemstoprotectthepatientsyouareresponsibleforb) Respondtoriskstosafetyc) Protectpatientsandcolleaguesfromanyriskposedbyyourhealth
Domain3:Communication,partnershipandteamwork(4plusconfidentiality)a) Communicateeffectivelyb) Workcollaborativelywithcolleaguesc) Continuityandco-ordinationofcared) Establishandmaintainpartnershipswithpatients
Domain4:Maintainingtrust(4)a) Showrespectforpatientsb) Treatpatientsandcolleaguesfairlyandwithoutdiscriminationc) Actwithhonestyandintegrityd) Openaboutlegal/disciplinaryproceedings
NB:Mostoftheresourcesforthislesson(excludingtheblankwhitecards)canbelaminatedandre-usedtominimizewastage.Ifre-usingthecardsisnotfeasible,anotheralternativeistoremovethebackgroundcoloursfromAppendix3andAppendix4.
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
LESSONSCRIPT(anyboxesinpalegreyareadditionalexpansionactivitiesthatcanbeusedifmoretimeisavailable)Sectionslabeled“T”aretobedoneasawholegroup,eggroupdiscussions.Sectionslabeled“G”areforthesmallgroupandshouldhaveminimalinputfromthesessionleader.Time Items
neededActivity
1min Assignstudentstoteamsof4-6individualsatthestartofthelesson.Aimformixedteamsratherthangroupsoffriends.Directthemtothealreadysetouttables,eachofwhichshouldhavethe“invitation”cardonit,facedown.
Youcouldaskthewholegrouptolineupinorderofshoesize,birthday,furthestdistancetravelledthatday,etc,perhapsevenwithoutspeakingandthendivideintoteamsaccordingly.Thiswouldgivearandomselectionforeachteam,andwouldalsohelpthegroupasawholetorelaxandengagewithactivities.
(Whiteboardorflipchart)
Itmighthelpencouragegroupcommunicationatthisstagetodiscussasawholegroupwhatthestudents’expectationsareofa“lessononprofessionalism”.Ifyouhaveawhiteboard,youcouldwritedownsomewordstheywouldusetodescribeit.Trytoencouragehonestyratherthanthe“rightanswer”.Forexample,theymightsay“interesting”,“unnecessary”,“difficult”,“relevant”,“boring”or“practical”.Ifstudentsarereluctanttospeakup,youcouldtrygivingeachofthemapieceofpapertowritedownonewordtodescribetheirexpectationsandhaveallofthestudentsrevealtheircardssimultaneously.Itcouldhelprapportifyoushareyourexpectationstoo!Trytoalsoelicitwhattheythinktheyknowaboutprofessionalismsofar.AretheyawareoftheGMCguidanceformedicalstudents?Havetheyreadit?
2-3min
Invitationcard(scoreboard)
Explainbrieflytothewholegroupthattodayyouarelookingatprofessionalismandintroducethescenario.Itisimportanttotryandavoiddirectlyrelatingittomedicineatthispoint,astheaimistoengagetheteamsinlateralthinkingaboutprofessionalism.Forexample,youmightsay:Asyouknow,overthenext20minuteswearegoingtobethinkingaboutwhatprofessionalismmeans.Wehavesplityouintoteamsfortheactivitieswewillbedoing.Iwillexplainwhattodoaswegoalong.Youwilleachneedapen,butIwillprovideeverythingelse.[ifscoringpointsfortheteams,explainatthispointthattherewillbepoints(andpossiblyprizes!)basedonhowwellyourteamdoesintheactivities]Youmighthavenoticedthatthereisacardonyourtable.Pleaseturnitover!
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
[Giveafewsecondsforeveryoneintheteamtoreadit]IwouldliketoaddmycongratulationstothoseoftheNationalCommitteeforMedicalStudentAttire.Welldone!Eachofyourteamshaswontheopportunitytogoskydiving.Howexciting!UnfortunatelyIhavejustspokentothereceptionistattheskydivingcentre,andshehastoldmethatalloftheirusualinstructorsarecurrentlyunavailable.Sheismorethanhappytofindanewinstructorforyou,butneedsyoutospecifyEXACTLYwhatyouwantofthem.Sheissurethanshecanguaranteeanycharacteristicsyouaskfor,butanycharacteristicsthatyoudon’tmention,yourinstructorwon’thave.Thegroupbeforeyouaskedherforaninstructorwhowas“honestandreliable”butdidn’tsay“qualified”sosheemployedthelocalbakerandhasn’tseenthemsince.Iamgoingtogiveyou15whitecardstowritedownyourrequirementson.Youwillhave3minutestotryandthinkofasmanyasyoucan,butdon’tworryifyouhaven’tfinishedallofthewhitecards,therewillbeanopportunitytoaddtothemlater.
3-4min
15whitecards,pens
GivetheteamssometimetowritedowncharacteristicsKeepaneyeonhowmanyofthewhitecardseachteamhasfilledin.Tryandstopthemwhentheyhavedoneroughly10,orafter3-4minutes.
2-3min
4domaincards Explaintothewholegroupthatyouhavesomeheadings,which
coverdifferentareasofprofessionalismtheymightwanttothinkabout.Giveeachteamasetofthe4colouredDOMAINcards.Askthemtodividethewhitecardsbetweenthesecategories,andgivethemsometimetocompleteanyremainingwhitecards.
1-2min
Explaintothewholegroupthatwhenpeopleareskydiving,theyhavetotrusttheirinstructorwiththeirlife.Oftenwhenpeopleparticipateinactivitieslikeskydiving,theyhavelittleknowledgeofthespecificprocessesthatneedtobecompleted,althoughtheymayhavesomeideasaboutwhattoexpect.Theirideasmayprovetobecorrectorincorrect,buttheyneedtotrusttheresponsibleinstructortobehaveinasafe,professionalmanner.Thisissimilarinlotsofwaystomedicine,whereyouwillhavepatientspotentiallytrustingyouwiththeirlife,withoutnecessarilyknowingwhetherwhatyouaredoingissafeorcorrect.TheGMChaveproducedadocumentcalled“Achievinggoodmedicalpractice:guidanceformedicalstudents”,whichlaysouttheaspectsofprofessionalismtheyrequirefrommedicalstudents.Theysplitthese14aspectsinto4domains;theDOMAINcardsIgaveyouinthelastactivity.
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
2-4min
14attributecards
Nextgivetheteamsthe14SUBHEADINGcards,whichfitintothe4domains.WithoutturningtheseovertheyshouldmatchthewhitecardstotheSUBHEADINGcardsintheirteams.[Teamsmayneedsomehelptostartthisoff.Trytocirculatebetweentheteamstogiveextrainformationonanyofthesubheadingsifneeded.ThereissomeoverlapbetweentheSUBHEADINGcards.Theremaybesomethingstheyhavewrittendownthatdon’tfitintoanyofthesubheadingsordomains.Youmightwanttobringthisupinthediscussion]Itwilllooksomethinglikethis:(inthisexampletheyhave3unpairedSUBHEADINGcards)
1-2min
Askthegroup:DoyouhaveSUBHEADINGcardsleftoverthatyoudidn’tmatchanyofthewhitecardsto?AsktheminteamstoturnoveranyoftheSUBHEADINGcardswhichareunpairedandreadthe“consequences”oftheirinstructornotdemonstratingthataspectofprofessionalism.IftheyhavelotsofunpairedSUBHEADINGcards,theyshouldchoosejust2or3toreadtheconsequencesfor.Theconsequencesaredramaticexamplestomakeanimportantandmemorablepoint:thereispotentialforharmifANYaspectofprofessionalismisneglected.
Scoreboard,pens
Forscoring:+20pointsforanyoftheSUBHEADINGcardsthatarepaired.Forexampleifateamhaswritten“complieswithsafetyprocesses”they
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
wouldget+20pointsformatchingwithSUBHEADINGCard“Contributetoandcomplywithsystemstoprotecttheskydiversyouareresponsiblefor”.Iftheyhadalsowritten,“helpsdevelopsafetysystems”onanotherwhitecardtheywouldnotgetanyextrapointsasthisisalsocoveredbythesamesubheading.PointsaredeductedforeachoftheSUBHEADINGcardsthattheydidnotmatchanythingto,accordingtothescoresontheback.Addupatotalscoreperteam.
2-3min
Together:AsktheteamstochooseoneoftheirunpairedSUBHEADINGcards.Encouragediscussionasawholegroup(orinteamsifshortontime)aroundthequestionsinAppendix5.Ifyouareshortontime,focusonthequestionslistedhere(q1,q3).Aimtokeepthediscussionpracticalratherthantheoretical.1.Whydoyouthinkyoudidn’tconsiderthisaspectofprofessionalismwhenyouwerediscussingitasateam?3.Canyouthinkofsomeimplicationsofnothavingitifyouwereamedicalstudent?NB:akeypointintheusefulnessofthislessonasalearningexperienceisinrelatingtheseattributesbacktomedicalpractice,throughthelensofconsideringthemselvesan“injuredparty”.Theaimisthatstudentswillrememberindividualcharacteristicsmorereadily,particularlywiththememorable“consequences”onthecards.
YoucanrepeatthesequestionsforoneortwomoreoftheunpairedSUBHEADINGcards.Ifyouaredoingthis,youmightwanttoencourageteamstochoosesubheadingsfromdifferentdomainswherepossible.Ifyouhavelonger,youcouldgiveteamsonefulldomainfrom“Achievinggoodmedicalpractice:guidanceformedicalstudents”tolookoveranddiscussthepoints.Aimtokeepthediscussionpractical-dotheythinkthisguidanceisthingstheydoinpracticethemselves?Ifnot,whynot?Isthereanythingtheywouldadd?
1min SummarisewhattheyhavelearntandclosethesessionIfyouareshortontimeyoucanbrieflysummarise.Otherwiseyoucouldgoroundandhaveeachstudentsay1thingthattheyhavelearnt,or1thingtheyenjoyed/1thingtheywouldimprove.Ifyouhavekeptscores,announcethewinnersatthisstageandcongratulatethem.Ifyouhaveasmallprizeitcanmakethismorefun.Thankthestudentsandclosethesession
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
APPENDIX1:BLANKCARDSFORCHARACTERISTICSLISTTopreparecards-cutalongthedottedlines
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
APPENDIX2:INVITATION
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
APPENDIX3:DOMAINCARDSTopreparecards-cutalongthedottedlines
DOMAIN1:KNOWLEDGE,SKILLSANDPERFORMANCE
DOMAIN2:SAFETYANDQUALITY
DOMAIN3:COMMUNICATION,PARTNERSHIPANDTEAMWORK
DOMAIN4:MAINTAININGTRUST
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
APPENDIX4:SUBHEADINGCARDSTopreparecards-cutalongthedottedlines,thenfoldalongthecentraldoublelinetocreateadoublesidedcard. Attribute Consequence
Domain1
Know
ledge,Skillsand
Pe
rformance
Developandmaintainprofessionalperformance
- Acquireknowledgeandskillsasastudent(goodattendance,respondingtofeedback,reflecting)
- Maintain/improveasaprofessional.
Youfailtorequirethatyourinstructorisqualifiedorhasmaintainedtheirqualifications.Asaresult,thereceptionistcallsinthelocalbakerwhooncewentonaskydivein1963andthinkshecanmakeastabatit.Unfortunatelyhedoesn’treallyrememberitaswellashethoughtanddoesn’tpullthecorduntiltoolate.
Domain1
Know
ledge,Skillsand
Pe
rformance
Applyknowledgeandexperienceinpractice
- Workwithintheircompetence- Behaveprofessionallyegnotlate,
professionaldress- Gainingconsent
Youfailtorequirethatyourinstructorappliestheirknowledgeandskillsinaprofessionalmanner.Therefore,sheturnsup2hourslate,bywhichtimethepilothasleft.Shedecidestoflytheplaneherselfasalthoughnotqualifiedtodoso,sheisfriendswithapilotwhohastalkedherthroughitbefore.Itturnsoutshecantakeoff,butnotlandtheplane.
Domain1
Know
ledge,Skillsand
Pe
rformance
Recordworkclearlylegiblyandaccurately
- Goodcontinuity,goodteamwork,safehandoversfromoneprofessionaltoanother
Youfailtorequirethatyourinstructormakesarecordofanythingclearly.Assuch,althoughshecheckstheweatherreportbeforeyouleave,shewritesitdownonascrapofpapertotakewithher.Shortlybeforejumping,shelooksatitbutitunsurewhethershehaswrittenNWorNEforthewindspeed.Sheguesseswrongandyouareblown50milesoffcourse,outtosea.
Domain2
Safetyand
Quality
Contributetoandcomplywithsystemstoprotecttheskydiversyouareresponsiblefor
- complywithsystemsdiligently- seektoimprovesystems- openandhonestfollowing
significantevents
Youdonotrequirethatyourinstructorisdiligentincomplyingwithsafetysystems.Theinstructorcannotbebotheredfollowingallofthesafetychecksbeforeheleavesandsoforgetstochecktheparachute.Whenitopensonthedescentitisimmediatelyobviousthatithasalargeripinit,whichbecomesrapidlyworse.Unfortunatelyhealsodidn’treadtheinstructionsindicatingthatyoushouldalsohaveareserveparachute.
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
Do
main2
Safetyand
Quality
Respondtoriskstosafety
- responsibilityofthewholeteam- includesprotectingdignityand
comfort
Youfailtorequirethatyourinstructorwillrespondtosafetyrisks.Asyoutakeoff,younoticethattheplanedoorislooseandmentionthistotheinstructor.Sheshrugsandtellsyouthatthisisthepilot’sresponsibility,whoyoucannotcontactasheisinthecockpit.Therattlingbecomesworseandat10,000ftthedoorfallsoff.
Domain2
Safetyand
Quality
Protectskydiversandcolleaguesfromanyriskposedbyyourhealth
- Seekadvicefromsuitablecolleagues
- Includesimpactofstressoranxiety
- EngagewithOccupationalHealth
Youfailtorequirethatyourinstructorisdiligentaboutprotectingyouandhiscolleaguesfromrisksposedbyhisownhealth.Asaresult,thereceptionistemploysaninstructorwhohasrecentlyreturnedfromaskydivingexpeditioninTanzaniaandhasmalariawithafeverof410C.Ontheascentintheplanehebecomesdeliriousandonthefree-falllosesconsciousness.Youdonotknowhowtoactivateorsteertheparachute.
Domain3
Commun
ication,
Partne
rship,Teamwork
Communicateeffectively
- Clearcommunicationandlistening
- Takeintoaccountlanguageandotherbarrierstocommunication
Youdon’trequirethatyourinstructorhasgoodandclearcommunication,andsothereceptionistemploysafriendlyItalian.Unluckilyhedoesn’tspeakanyEnglishandyoucan’tspeakanyItalian.Whenyouhaveopenedthedooroftheplaneyouthinkhesays“go,I’mready”;hewasactuallysaying“wait,Ineedtheparachute”
Domain3
Commun
ication,
Partne
rship,Teamwork
Workcollaborativelywithcolleagues
- Adaptbehaviorasnecessarytoimproveteamworking
- Treatallmembersoftheteamwithrespect
Yourinstructorisnotrequiredtohavegoodinter-professionalworkingrelationships.Thereceptionistcontactsanoldinstructorwhowasaskedtoleaveafterpunchingthepilot.Thepilothasnotforgivenhim,andtellshimtojumpwhentheyareflyingoveranactivesurface-to-airmissiletestsite.
Domain3
Commun
ication,
Partne
rship,Teamwork
Continuityandco-ordinationofcare
- Safetransferbetweendifferentprofessionalsandsettings
- Sharerelevantinformation
Youdon’taskforaninstructorwiththeabilitytopassoninformationwell.Theinstructororganizestheparachutes,butaccidentallyleavesthembehind.HecallshisslightlydeafGrantopickthemup,whocallsherslightlyblindfriend,whopicksupthewrongbag.Youdon’trealizeuntilyouhavejumpedthatitonlyholdsdirtylaundry.
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
Domain3
Commun
ication,
Partne
rship,Teamwork
Establishandmaintainpartnershipswithskydivers
- Treatthemasindividuals- Listentothemandtreatthem
fairly,withrespect- Beclearaboutroles
Youdonotaskforaninstructorwhowantstoworkwithskydivers.Thereforewheneveryouoffertohelphesays,“Iamtheinstructor,Iknowbest.”Whenyouarereadytojump,youthinkyouseesomestormyweathercoming,butdon’tfeelcomfortablespeakingup.Itturnsouttobeahurricane,whichyoumeethalfwaydown.
Domain4
MaintainingTrust
Showrespectforskydivers
- notpursuingimproperorsexualrelationshipswithskydivers
- notexpressingpersonalbeliefsindistressingways
- honestyifsomethinghasgonewrong
Youdonotaskforaninstructorwhoshowsrespectforthoseintheircare.Yourinstructorbehavesoddlyontheflightup,askingwhichgirlsareinrelationships.Whenthedoorisopenedhedeclareshimselfa“Beyonceworshipper”andstateshewilloffer“singleladyhumansacrifices”.Heforcefullyaskswhowantstogooutthedoorfirst.
Domain4
MaintainingTrust
Treatskydiversandcolleaguesfairlyandwithoutdiscrimination
- donotdelayhelpbecauseyoubelievetheskydiverhascontributedtotheproblem
- awareofunconsciousbias
Youdonotrequirethatyouinstructortreatallskydiversfairly.Hejokesthatthewomenshould“stayonthegroundandmakesandwichesforwhentheygetback”.Itturnsoutthepilotisactuallyfemaletoo,andrefusestoflytheplane.Thereforenobodycangoskydiving.
Domain4
MaintainingTrust
Actwithhonestyandintegrity
- honestinallregards.Including:experience,qualifications,plagiarism,yourownhealth,communicationwithpatientsandcolleagues,finances,insurance.
Youdonotaskforaninstructorwhobehaveswithhonestyandintegrity.Sherealizesshortlyaftertakeoffthatsheforgottopackenoughparachutesforalltheparticipantsbutdoesn’twanttoadmitthemistake,sosheputsajumperintheemptybagtopaditout.Oneofyoupullstheripcordondescent,toreleaseonlyafluffypurplefleece
Domain4
MaintainingTrust
Openaboutlegal/disciplinaryproceedings
- honestduringlegalproceedings- informsemployersofany
convictionsorcautionsimmediately
- Withinandoutsidework
Youdidn’taskforaninstructorwhowasopenaboutlegalanddisciplinaryproceedings.Itturnsoutthatheisontherunfromthepolice,andwhenyouaskhisnameherepeatedlysays“JohnSmith”inaheavilyaccentedvoice.Theplaneseemstobetakinglongerthanyouwouldexpect,andwhenyoulandafterthedive,thetreeslooksuspiciouslytropical;thesandsuspiciouslywhite.
BethanyLloyd,Year5,UniversityofAberdeen([email protected])
APPENDIX5:Questionsfordiscussion
1. Whydoyouthinkyoudidn’tconsiderthisaspectofprofessionalismwhenyouwerediscussingitasateam?
2. Canyouthinkofatimewhenyousawthisbeingneglectedinmedicalpractice,maybebyafellowmedicalstudent,aconsultant,anFY,anurseoranyoneelse?Whathappened?
3. Whatmightbetheimplicationsofdisregardingthisaspectofprofessionalismasamedicalstudent?Orapracticingdoctor?
4. Whatcouldyoudotoensurethatyouputthisintopracticenowandinthefuture?
5. Howcomfortablewouldyoufeelchallengingsomeoneelseaboutthis?Whatiftheyweresignificantlymoresenioregyourconsultantorsupervisor?Whatiftheywereanothermemberofthemulti-professionalteamegaphysiotherapist,dietician,nurse?