1. ©2004 Community Faculty Development Center Teaching Styles As Needs Assessment

2. ©2004 Community Faculty Development Center u Goals u Needs u Objectives u Methods u Evaluation GNOME

3. ©2004 Community Faculty Development Center Determining Learner’s Needs Educated guess Questioning (History) Observe (Exam) Questioning and observation parallel History & Physical

4. ©2004 Community Faculty Development Center Needs Assessment Learner’s Potential Needs Knowledge Skills Attitudes

5. ©2004 Community Faculty Development Center Needs Assessment In order to accomplish the learning goals what does the learner need to: a.know? b.do? c.feel?

6. ©2004 Community Faculty Development Center Collaborative Needs Assessment Prioritize if multiple needs Share and verify your findings with the learner Develop a common perception of need (may include accepting learner’s perception) Focus here will be on the use of questions to establish learner needs

7. ©2004 Community Faculty Development Center Characteristics of Teaching Styles Reliance on Teacher Reliance on Learner

8. ©2004 Community Faculty Development Center Assessing Needs Using Questions Associated with Different Teaching Styles What questions would you ask to characterize a headache? Type of Question: Reflective Teaching Style: Assertive Suggestive Collaborative Facilitative Examples: Under what circumstances would you order an MRI? What do you think is going on? How comfortable are you assessing a patient’s level of stress? FocusedLeadingOpen

9. ©2004 Community Faculty Development Center Assessing Knowledge, Skills and Attitudes Using Questions Associated with Different Teaching Styles AssertiveSuggestiveCollaborativeFacilitative ReflectiveFocusedLeadingOpen Type of Question

10. ©2004 Community Faculty Development Center Assessing Knowledge, Skills and Attitudes Using Questions Associated with Different Teaching Styles AssertiveSuggestiveCollaborativeFacilitative ReflectiveFocusedLeadingOpen Type of Question Knowledge

11. ©2004 Community Faculty Development Center Assessing Knowledge, Skills and Attitudes Using Questions Associated with Different Teaching Styles AssertiveSuggestiveCollaborativeFacilitative ReflectiveFocusedLeadingOpen Type of Question Knowledge Skills

12. ©2004 Community Faculty Development Center Assessing Knowledge, Skills and Attitudes Using Questions Associated with Different Teaching Styles AssertiveSuggestiveCollaborativeFacilitative ReflectiveFocusedLeadingOpen Type of Question Knowledge Skills Attitude’

13. ©2004 Community Faculty Development Center Comparing Teaching Styles Assertive Style Lectures, gives or asks for information ExamplesWhat is first line medicine for HTN? Examples What is first line medicine for HTN? Who’s workingTeacher gives/asks for info Who’s working Teacher gives/asks for info Deals with Deals with Facts Questions to ask Questions to ask What is first line medicine for HTN?

14. ©2004 Community Faculty Development Center Comparing Teaching Styles Facilitative Style Asks open, reflective, Facilitative Style Asks open, reflective, emotive questions emotive questions Examples How do you feel caring for someone who doesn’t take their medications? Examples How do you feel caring for someone who doesn’t take their medications? Deals withEmotions/attitudes Deals withEmotions/attitudes Questions to askHow do you feel about? Questions to askHow do you feel about? Is it difficult for you to ask? Who’s workingTeacher facilitates, Who’s workingTeacher facilitates, learner reflects

15. ©2004 Community Faculty Development Center Comparing Teaching Styles Suggestive Style Leading questions Suggestive Style Leading questions ExamplesWhat are classes of drugs used to treat HTN? ExamplesWhat are classes of drugs used to treat HTN? Coexisting medical conditions for an ACE Inhibitor over other meds? Who’s workingLeading student down a path Who’s working Leading student down a path Deals withOpinion/uncertainty/clinical Deals withOpinion/uncertainty/clinicalreasoning Questions to askWhat classes of drugs for HTN Questions to askWhat classes of drugs for HTN would you use in diabetics?

16. ©2004 Community Faculty Development Center Comparing Teaching Styles Collaborative Style Open/Exploratory?’s Collaborative Style Open/Exploratory ?’s ExamplesWhat do you think is ExamplesWhat do you think is going on? How would you choose medicine for HTN? Who’s workingLearner organizes Who’s workingLearner organizes How would you put Questions to askHow would you put this case together?

17. ©2004 Community Faculty Development Center Assumptions about Teaching Styles No style is unqualifiedly better or worse than another In any interaction we use many behaviors associated with more than one style Each of us has a predominant style or two. The goal is to become more flexible in the use of different teaching styles

18. ©2004 Community Faculty Development Center Rules for Role Play Page 11

19. ©2004 Community Faculty Development Center If a physician attempts to define a problem or develop a differential diagnosis 100% of the time in a problem-oriented interview, how often should the teacher attempt to assess needs in an educational interaction?