1. Residents as Teachers Loyola University Medical Center Stritch School of Medicine Graduate Medical Education Session 4

2. Teaching in the Operating Room

3. What not to do… 3rd year student in the OR

4. Why do we need to teach in the OR? Our clerkship is a reflection on our field Commitment to medical student education Commitment to the future of our field Goal for students to gain appreciation of the scope of surgeons If they love it and choose our field, that’s a bonus!

5. Benefits of good operative teaching Students learn what they need to learn Engagement Participation Respect Reputation 360 evals Foster interest

6. Influence Residents are the primary teaching source Faculty and residents underestimate their influence 1 Can be paramount in a student’s decision to pursue a surgical field Residents who are effective educators influence medical students to pursue surgical careers 2 1 Journal of Surgical Research, 177 (2012)201-206. 2 J Am Coll Surg 20077:204 164-167

7. Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback

8. Student Perspective Negotiate the physical environment of the OR, cope with emotional impact Figure out what exactly they can learn from a case Figure out the social aspect of being a member of the operating team Lyon et al. Medical Education, 2003: 37; 680-688

9. Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback

10. Introduce Them to the Team

11. Make Use of the White Board

12. Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback

13. Understanding Learning Needs Anatomy Pathology Management Takes 30 seconds

14. Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback

15. Student Involvement Students feel more fulfilled when viewed as a necessary part of the team Laparoscopic camera driving Palpation and visualization of normal anatomy Make sure they can see!

16. J American Coll Surg 2008: 207; 793-800

17. Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Ask and answer questions Provide feedback

18. Questioning in the OR Student Appropriate SHELF exam Relevant to reading Pimping Obscure facts “Think about how you would educate a referring PCP in the Operating Room”

19. Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Ask and answer questions Provide feedback

20. Provide Feedback Debrief Can be beneficial for all members of the team

21. Back to the video Environment? Attitude of teachers? Attitude of student Before the case? At the end?

22. Your own teaching moments What made it you feel good about this encounter? What made it stand out? How did you feel? The student? Environment? Can it be reproduced?

23. The ideal… Residents as Teachers

24. The ideal… It’s impossible to do this every time you operate Getting in the habit of incorporating students into our operative flow is half the battle

25. Questions?