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Innovative Teaching Teaching using an index card Attending rounds in your pocket Adam Segal, MD.

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Presentation on theme: "Innovative Teaching Teaching using an index card Attending rounds in your pocket Adam Segal, MD."— Presentation transcript:

1 Innovative Teaching Teaching using an index card Attending rounds in your pocket Adam Segal, MD

2 My last medicine block Typical team: – 3 rd year resident – 2 interns – Sub-I – 2 3 rd year medical students – Me

3 Initial teaching session Discussion of case with the team DISASTER!

4 My teaching goals Make it fun/ engaging Show the magic Teach clinical reasoning 1.Triggers = provide distinguishing/ differentiating information 2.Generate a broad differential and work-up 3.Understand why

5 Index card Index card with 3-4 details given to the learner – Review during down time – Generate a complete differential and work-up – Present to the group the next day – Most likely diagnosis – Show how they solved the problem

6 76M Acute renal failure Carotid bruit BP 104/78 Lisinopril Renal US: 8cm Left kidney ; 11cm Right kidney

7

8 72M Recent falls Orthostatic hypotension 4+ proteinuria

9 18F Obese Hypertension Seizure

10 44F Nigerian SOB Pulmonary edema PMI not displaced EKG only significant for LAH

11 34M Chronic diarrhea Kidney stones Hyperparathyroidism

12 48F K 2.8 HCO3 32 BP 112/74 Concerned about her weight Aldosterone level elevated Renin level elevated

13 The result Transformed teaching experience Medical students engaged Enthusiasm of the students infectious Challenged all learners irrespective of their level Goal Achieved: – Fun – Clinical Reasoning taught Generated broad differentials Identified clinical triggers Addressed Why

14 I loved the index card problems. It was much more fun to ponder the connection between 8cm kidney," "12 cm kidney," "normal BP," "lisinopril," and "PVD," than to just read about renal artery stenosis in a textbook. (And 3 months later, I still remember what I learned!) I think this also provides students with positive reinforcement, which is very encouraging since we are still in the learning stage. The format is also fun because it turns research into a very useful and high-yield game. D, A and I really did like figuring these out. Thank you for making my first couple of weeks on Medicine fun. :)

15 Some important teaching principles: 1. If what youre doing isnt working, stop doing it and experiment 2. Enthusiasm is infectious…. 3. Learners should be actively involved 4. Receive immediate feedback


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