Teaching in the ER: Evidence Based Tips and Tricks

Meira LouisPGY3

When I think of medical education, I feel most like...

A

B

C

D

Objectives

Adult Learners and why they are special

• Self Directed• Life Experience• Relevant• Problem Focused• Internal Drive

Bedside Teaching, v. 2.0

Play Clip

The One Minute Preceptor

4

Play Clip

• S: summarize• N: narrow• A: analyze• P: probe the teacher• P: plan• S: select an issue

Play Clip

• S: summarize• N: narrow• A: analyze• P: probe the teacher• P: plan• S: select an issue

Objectives

Procedural Skills: Beyond “See one, do one, teach one”

4

Feedback:Avoiding the

Crap Sandwich

Play Clip

A. I use the sandwich all the time. It works great!

B. I use the sandwich because I don’t have a better format. I guess its okay.

C. I have other methods of feedback that I use. The sandwich only makes it out on occasion.

D. I buy my learners coffee instead of giving them feedback. They can figure it out.

Bayer’s Grid

Continue.... Start, do more....

Consider... Stop, do less...

Pendleton

Pendleton

1.Review common goals2.Invite student to discuss what went

well.3.Invite student to tell you what could

have been better.4.Use questions to prompt the learner

into making their own solutions.5.Invite learner discussion.

Objectives

“A lecture has been well described as the process whereby the notes of the teacher become the notes of the student without passing through the mind of either.”

- Mortimer J. Adler.

B: Bridge O: ObjectivesP: Pre-

Assessment

P: Participatory Body

S: SummaryP: Post Assessment

BOPPPS

Which acronym was not used in this lecture?

A. SNAPPSB. UFOC. BOPPPSD. TSIMP

Who felt that this style of lecture was a fun way to do grand rounds?

A. Yup. Nice and light before the holidays.B. No way. Bring back the medical details.C. An interesting way to demonstrate the

principles.D. Whoops. Fell asleep.

Who felt that they learned a useable technique today?

• A. There was one or two things I could use.

• B. I knew all that stuff already.• C. Sign me up for TSIMP!

Learning objectivesWrite the lesson plan. Write your presenters

notes. Design the handout. And LAST, make your

slides.

Concept Activity Time

Adult learners and why they are special

10 minutes

Bedside teaching challenges

Pair and share re: difficulties of bedside teaching in the ED

10 minutes

The one minute preceptor/SNAPPS

Didactic. Then fishbowl.

15 minutes

Procedural Skills

10 minutes

Feedback at the end of shifts

Feedback grid, sandwich…

5 minutes

Lecturing/Grand rounds

BOPPS. Group review of the BOPPS of this talk.

5 minutes

Objectives

Questions?