Upload
oke
View
49
Download
1
Embed Size (px)
DESCRIPTION
Training Implications of Deliberate Practice. John Pelley, PhD Texas Tech University HSC School of Medicine www.ttuhsc.edu/SOM/success. What Is Involved In Training?. Instruction: Provides information on goals and objectives of a procedure - PowerPoint PPT Presentation
Citation preview
Training Implications of Deliberate Practice
John Pelley, PhDTexas Tech University HSC School of
Medicinewww.ttuhsc.edu/SOM/success
What Is Involved In Training?
• Instruction: Provides information on goals and objectives of a procedure
• Demonstration (teacher): Provides information on achieving objectives
• Application (learner): Provides information on limitations
• Deliberate Practice: Provides practice focused on limitation in skill
Deliberate Practice Characteristics• Discovered in human performance research• Evaluated factors that contribute to expert skill– Not correlated with IQ! …with work experience– Always correlated with Deliberate Practice
• Applied to limitation in skill; seeking superior skill• Not aimed at minimum standards– Self-actualization is the standard
• Expert skill = Performance x Professionalism– If either is zero, it’s all zero– Professionalism – unrelenting desire for DP skill
3
Deliberate Practice Characteristics• Can be repeated a lot– Feedback continuously available– Most effective with experienced teacher
• Not work, not play – focused effort; demanding– Need to avoid automated behavior– Not much fun; motivation critical
• Mentally highly demanding; tiring• 10 years, 10,000 hours – Gladwell, “Outliers”
4
Questions/Comments?
6
Mindset Comparison
Fixed Mindset• Success based on
innate ability• Failure is dreaded,
feared.• Least likely to
succeed
Growth Mindset• Success based on
hard work and learning
• Failure is a challenge to adapt.
• Most likely to succeed
7
Growth MindsetThrough Deliberate Practice
• Designed specifically to improve performance– Myth: “Practice makes perfect.”– Reality: “Perfect practice makes perfect.”– Reality: “Deliberate practice is perfect practice.”
• Deliberate Practice: Practice correcting weaknesses.– Deliberate practice requires self-awareness … and
self-acceptance.– No fear!
(K. Anders Erickson, “Deliberate Practice and the Acquisition and Maintenance of Expert Performance in Medicine and Related Domains.” Academic Medicine, 2004;79:October Suppl.70-S81.)
Counteracting AutomaticityCognitive learning followed by experiencein application (“associative”)
Is Learning A Skill?• Learning style as a preference• Learning style as a component of experiential
learning• Experiential learning as critical thinking• Experiential learning as whole brain learning• Whole brain learning as multiple skill
application• Question/case analysis is complete whole
brain learning
9
Sense-Integrate-Act
10Zull, 2002, The Art of Changing the Brain
Thinking Skills
Memory Skills
Sensory SkillsSome Motor Skills
11
Speaking and Hearing Roles
Clinical Skill = Learning Skill
• Any part of the brain can grow more intelligent– Sensory (history and physical, other data)– Recognition (meaning of patient data)– Creativity (differential diagnosis)– Analysis (diagnosis, taking certification exams)– Motor function (physical exam, medical procedures)– Emotion (communication, values for you and others)
12
Importance of Continued TrainingWorking with known diagnosticor procedural outcomes