02.03 - Model for ORIENTing the Learner

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临床技能的教学和评估

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University of Michigan

临床技能的教学和评估

122 個評分

The purpose of this course is to improve feedback, clinical teaching, and assessment of clinical skills.

從本節課中

UNIT 2 - ORIENTING THE LEARNER

The objectives for this module are that after you actively engage in the activities, you will be able to 1: Describe the importance of orienting learners. 2: Implement an effective orientation for your learners

02.00 - Unit 2 Introduction1:01

02.01 - Orienting Your Learner 1:15

02.02 - Orienting the Learner - Student Perception 4:45

02.03 - Model for ORIENTing the Learner 3:28

02.04 - Vignette: Orientation to Clinic 1 1:25

02.05 - Debrief of Orientation 1 2:18

02.06 - Vignette: Orientation to Clinic 2 4:50

02.07 - Debrief of Orientation 2 2:45

與講師見面

Sally Santen, M.D., Ph.D.
Associate Professor - Emergency Medicine
University of Michigan Medical School

All right, you've just taken a moment to think about what an orientation might be

like in your clinic and the importance of that.

Now we're going to have you watch two clips.

First we have medical student Morgan who's going to talk about what happened when

she had a really good orientation.

Then Morgan's going to take a moment to talk about what happened when she

didn't have a good orientation.

There's nobody that can explain that frustration better than a medical

student whose just been through it.

After you listen to those two tapes, I want you take a minute and

think about your setting.

Do you remember the very first time that you were in that setting,

where there was a new job for you?

What would it be like if you had a new medical student or

a new resident walk in to your setting?

Well, what would confuse them?

What do you think is important to orient them to?

Let's take a moment and have you think about that.

>> One of the general medicine clinics

doctors oriented me to the clinic from day one.

She sat me down, she told me how her clinic ran.

She went through the list of patients and

picked out several that she thought would be good learning experiences for me.

Gave me ideas of sort of what their course had been like in the past.

And what questions to specifically make sure I covered in the interview.

And physical exam manuevers that she wanted done during the visit.

She then told me kind of how long or how detailed she wanted the presentations and

gave me feedback right on the spot about how I was doing and

progressing in her clinic.

It made me feel like she valued my education, and that I knew what was

expected from me, I knew how to perform well, how to do well for the patient.

And how to make sure that her clinic ran smoothly.

As a medical student on outpatient rotation we can go to many different

clinics in one week.

Sometimes that's the first time we've ever been in that sub specialty clinic and

often it feels, we don't know what we're supposed to be doing.

We don't know necessarily all the problems that they tend to see.

What the expectation of each specific doctor we're working with that day is.

I've had some specialty clinics where I walk in, they've known nothing about me

besides my name and they tell me to see their first new patient.

While I appreciate the opportunity to see patients on my own.

I've, it's hard to know, you know, what questions to ask.

How detailed they want the history, what exam manuevers they want, and

how detailed they what the presentations.

And, every attending wants it differently, and so, it's, it feels like you're

juggling multiple expectations without really knowing what they are.

>> As a student I've found that it can be really stressful jumping into a new

rotation and not knowing what the expectations are for the student, for

me, and net rotation and, and how the, everybody works on that service.

For me it's really helpful when somebody will sit me down in the beginning and

go over expectations for me as a student, providing examples for

what I can be doing, and then set up times to go over feedback and,

and review what I've been doing well and haven't been doing well.

When that happens at the beginning, I feel like I'm a part of

the team from the start, and I really feel more comfortable overall.

I did an away rotation where,

I didn't have any expectations provided to me at the start of the rotation, and

it was very uncomfortable for me because I didn't know what I was supposed to do in,

in the room when I had entered the room with the patient.

And it also felt like the patient didn't know what I was doing either.

So it created a very uncomfortable situation for all of us.

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