Teaching in the Inpatient Setting

Characteristics of Good Teachers Enthusiastic Enthusiastic Ask Questions Ask Questions Nonthreatening Nonthreatening Promote self learning Promote self learning Recognize the needs of the learner Recognize the needs of the learner Knowledgable Knowledgable

Inpatient vs Ambulatory Education Team Learning Team Learning Time for Advanced Preparation Time for Advanced Preparation Number of Learners Number of Learners Less time/patient pressures Less time/patient pressures Speed of evaluations Speed of evaluations Educational intimacy Educational intimacy

Orient Your Team Outline Expectations Outline Expectations Assess their needs Assess their needs Organize the month Organize the month Assign responsibilities Assign responsibilities Explain your teaching and evaluation style Explain your teaching and evaluation style

Role Model Be professional Be professional Have a good attitude Have a good attitude Be on time Be on time Pitch in/lead from the front Pitch in/lead from the front Treat everyone with respect Treat everyone with respect

Create a Good Learning Environment Show enthusiasm Show enthusiasm Involve your learners Involve your learners Be friendly Be friendly Be consistent Be consistent Ask questions in a non-threatening way Ask questions in a non-threatening way

Put Forth an Effort Take the time to teach! Take the time to teach! Give assignments when things are busy Give assignments when things are busy Get to the bedside Get to the bedside

Teach What You Know/ What the learners need Students need to know how to present, how to write orders, how to examine patients, how to read EKGs, how to replace K+, where the bathroom is, etc. Students need to know how to present, how to write orders, how to examine patients, how to read EKGs, how to replace K+, where the bathroom is, etc. Recognize that different levels of learners will benefit from the same discussion Recognize that different levels of learners will benefit from the same discussion Get to the bedside! Get to the bedside!

Give Feedback Let your team know what they are doing well and where they can improve Let your team know what they are doing well and where they can improve Feedback is absolutely crucial for improvement Feedback is absolutely crucial for improvement

Pitfalls in Clinical Teaching Taking over the patient Taking over the patient Inappropriate lecturing Inappropriate lecturing Insufficient “wait time” on questions Insufficient “wait time” on questions Leading questions Leading questions -”Could this be a PE?” Pushing Past Ability Pushing Past Ability

Teacher Reasoning and Action Diagnose the Patient Diagnose the Patient Diagnose the Learner Diagnose the Learner 1. Get a commitment 2. Probe for evidence Teach Teach Teach general rules. Provide feedback. Correct mistakes.