1. UIUC College of Medicine: Teaching Curriculum
Developing a Strategy for Teaching Medical Students Effectively
Jennie Hsu-Lumetta, M.D.

2. “He teaches best who shows his students not what to think, but how to think…”
Alan Gregg

3. Become the best educator you can be
Mission (not impossible!):
Become the best educator you can be

4. ACGME General Competency:
Practice Based Learning and Improvement:
Facilitate the learning of students and other health care professionals

5. Teaching Skills Topics
1. Orienting a Learner
2. The Five Microskills
3. Setting Goals
4. Independent Learning
5. Feedback
6. Evaluation
7. Managing Learners at Different Levels
8. Bedside Teaching
9. Lecturing
10. The Problem Learner
11. Teaching with the Literature
12. Teaching with Time Constraints

6. So you have a medical student …
What do you do next?

7. “not so much what to teach, but how to teach…”
Sir William Osler, 1899

8. Assess
Plan
Reflect
Teach

9. Setting Goals for Learners:
Developing An Educational Plan for Medical Students
Jennie Hsu-Lumetta, M.D.

10. Strategy for Setting Learning Goals
Five considerations in setting reasonable and achievable goals:
1. Experience
2. Identification
3. Strategies
4. Time Lines
5. Review

11. Prior Experience a. Education (coursework; research) b. Professional
c. Previous medical experience
d. Previous clerkships
e. Experience/comfort with medical procedures
Some prompts:
ü Page 12 of clerkship manual: list of procedures
ü Procedure Log Book (optional activity)

12. Identify Appropriate Goals
Short term (e.g.: this rotation)
Long term (e.g.: entire Medicine I course)

13. Establishment of Goals
Define goals as learner behaviors
Prioritize goals
Re-establish goals (over time)

14. Establishment of Goals – Domains
Knowledge
Skills
Attitude

15. Expression of Goals State goals clearly and concisely
State goals as learner behaviors
State relevance of goals to learners
State expected level of competence
Repeat goals periodically

16. Negotiation of Goals Check out learner acceptance of teacher’s goals
Ask learners for their goals
Agree on goals

17. Strategies to Help Students Meet Their Goals
Seeing patients (best!)
Reading list in their clerkship manual
Answer questions relating to different systems in their clerkship manual
Supplemental readings you provide or suggest
Attend core lectures
Attend noon conferences
Participate in Teaching Attending Rounds
Discuss patients, findings, readings or conferences with your student

18. Set Time Lines
ü Realistic
ü Written
ü Involve accountability

19. Review the Plan ü Provide feedback on progress
ü Identify potential barriers
ü Adjust the plan as needed

20. Your Job as Teacher ü Initiate the conversation about learning goals
ü Help student make a plan that make sense
ü Make the student be accountable for the goals
he or she has set
ü Give feedback on reaching the goals
ü Have student adjust goals as needed

21. Teaching Techniques
ü Give responsibility to build student’s confidence
ü Be patient
ü Speak clearly at an appropriate level and pace
ü Write down information
ü Teach key concepts
ü Repeat as needed

22. The Microskills Model 1. Get a commitment
2. Probe for supporting evidence
3. Teach General Rules
4. Reinforce what was right
5. Correct Mistakes

23. 5 Microskills of Teaching
Call on= Commitment
(Ask, “What do you think is going on?”)
Sunday= Supporting evidence
(Ask, “How did you arrive at that conclusion?”)
Generates= General rules
(Teach general principles)
Rounds on= Right
(Commend what the student did right, give feedback)
Monday= Mistakes
(Correct mistakes)

24. The Student’s Role ü Become a Self-Directed Learner
ü Taking responsibility for his/her own learning

25. Program Resources 1. Electronic version of Medicine I Student Manual:
2. Goal-Setting Resources:

26. Case
You are the senior resident on the medicine service at the beginning of the rotation.
You have (choose 1):
3rd year medical student
4th year medical student
Intern
Establish, Express and Negotiate some Learning Goals based on Knowledge, Skills, and/or Attitudes