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Continuous Adult Learning
Robert K. Schneider, MD
Departments of Psychiatry, Internal Medicine and Family Practice
The Medical College of Virginia at
the Virginia Commonwealth University
Richmond, Virginia
Continuous Adult Learning• Continuous
– Information that influences regular behaviors– NOT short term learning (cramming for tests) – Half-life of information is short
• Adult– “Can’t teach old dogs new tricks”– Windows of learning
• Learning– Information and Evidence– Skills and Behaviors
UNCONSCIOUS COMPETENCE
CONSCIOUS COMPETENCE
CONSCIOUS INCOMPETENCE
UNCONSCIOUS INCOMPETENCE
Active Learning• Uncomfortable• Self Assessment• Individual Learning Plan• Multimodal/Multisensory Learning
Passive Learning• Comfortable• External Assessment• External Requirements• Lectures/Highly Structured CME
Passive Learning
Active Learning
Why bother?
• You’re going to spend the time anyway?
• It’s good for your patients
• It’s fun
…well most of the time
Goals for this morning
• Don’t drool
• Individualized Learning Plan
• Teachers–YODAs
–Coach-Mentors
• Personal Libraries
Individualized Learning Plan• Self Assessment–Conscious Incompetence
–Unconscious Incompetence
• Resource Assessment–Written (paper vs eletronic)
–Conferences
Self Assessment• Conscious Incompetence–Patient question
–Clinical problem
• Unconscious Incompetence–Written assessment: MKSAP
–Evaluations
–Observed examinations
Resource Assessment• Written (paper vs eletronic)–Paper: textbooks, journals
–Electronic: Internet, CD ROMs
• Conferences–Local, State, National
–General vs. Specialized
Teachers
• YODAs
• Coach-Mentors
Your Own Data Analyst
• YODAs–Evidence in the literature is complex
–Filtering through it is difficult
–Find someone who has already done this
–Usually a specialist or someone with that area of interest
Coach-Mentors
Coach-Mentors• Peers/Colleagues– Journal Clubs
– “Peer supervision”
• Senior Leaders– Senior partner in a group
– Author of an article
• Teacher/Educators– Program directors
– Supervisors
– Project partners
Personal Libraries
• Organizational Matrix–Needs
–Use of information
–Type of information
• Format–Paper
–Electronic
Schneider’s Library