Residents as Teachers Loyola University Medical Center Stritch School of Medicine Graduate Medical Education Session 4
Teaching in the Operating Room
What not to do… 3rd year student in the OR
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!
Benefits of good operative teaching Students learn what they need to learn Engagement Participation Respect Reputation 360 evals Foster interest
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) J Am Coll Surg 20077:
Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback
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;
Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback
Introduce Them to the Team
Make Use of the White Board
Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback
Understanding Learning Needs Anatomy Pathology Management Takes 30 seconds
Effective OR Teaching Remember the medical student perspective Introduce them to the team Understand their learning needs Facilitate participation Answer questions Provide feedback
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!
J American Coll Surg 2008: 207;
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
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”
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
Provide Feedback Debrief Can be beneficial for all members of the team
Back to the video Environment? Attitude of teachers? Attitude of student Before the case? At the end?
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?
The ideal… Residents as Teachers
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
Questions?