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Angie Busch MD, PhD Community Assistant Dean Assistant Professor of Pediatrics RESIDENTS AS TEACHERS EMBRACING YOUR EDUCATOR ROLE

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Page 1: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Angie Busch MD, PhDCommunity Assistant Dean

Assistant Professor of Pediatrics

RESIDENTS AS TEACHERSEMBRACING YOUR EDUCATOR ROLE

Page 2: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

1) Doctor2) Learner

3) Educator– Role Model - Observer– Didactic Teacher - Evaluator

PGY1 Job Description

See one, do one, teach one…

Presenter
Presentation Notes
Last month you were a medical student, now you are all highly capable learners, medical providers and teachers of medical education. In fact without your dedication to teaching, there would be no future generations of physicians.
Page 3: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• History of MSU CHM• Curriculum – past and present• Grand Rapids Campus• Educator responsibilities and

models of teaching

Objectives

Page 4: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

You are now a

on faculty atMichigan State University

College of Human Medicine.

Go Green / Go White!

Presenter
Presentation Notes
As a new faculty member, I cannot offer you free season football tickets, but I can offer you…
Page 5: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Access to MSU online library• Faculty development opportunities with

OMERAD• CV Boosters

– Opportunities for paid tutoring– Resident teaching awards– Student help with research projects and health advocacy

activities

Benefits

Page 6: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• 52 years old• Early community-based

medical school• Created in response to

Michigan’s increasing need for medical providers

The College of Human Medicine (CHM)

Presenter
Presentation Notes
As a faculty member, you should have a sense of pride and understanding of the history of MSU CHM.
Page 7: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Recognized nationally for:–Commitment to Primary Care–Patient-Centered Medicine– Innovative Medical Education

MSU CHM

Presenter
Presentation Notes
CHM is recognized nationally for its excellence in and commitment to primary care, patient-centered medicine and medical education
Page 8: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

200 students per entering class

MSU CHM- Block 1

Secchia Center in Grand Rapids100 students Fee Hall in East Lansing

100 students

Page 9: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Pre-clinical curriculum – Blocks 1 & 2

Physiology

Pathology

Anatomy

Neuroscience

HistologyMolecular Biology

Presenter
Presentation Notes
Using Problem based learning, flipped classroom, and team based learning techniques
Page 10: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Clinical Year 3- Community Campuses

Presenter
Presentation Notes
In the third year, students start clinical rotations in July. At this time they are offered the opportunity to remain in Grand Rapids, or transfer to another one of 7 community campuses around the state. Flint has a focus on public health while TC, Midland and the UP offer rural health opportunities. There are numerous clinical sites in each community. One of the challenges of having multiple community clinical sites is keeping everything comparable as required by the LCME. Things do not need to be “the same” but they must be comparable.
Page 11: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Block 3 - Grand Rapids Community Partners

Page 12: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Block 3• Pediatrics• Family Medicine• Junior Surgery• Internal Medicine• Ob/Gyn• Psychiatry

Block 4• Senior Surgery• Advanced Medicine

MSU Clinical Curriculum- Blocks 3 & 4

Presenter
Presentation Notes
No neurology in our curriculum, no EM rotation
Page 13: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• 12-16 students on each clerkship• Students rotate on a track• Rotate with the same students for

the entire third year

GR Nuts and Bolts

Presenter
Presentation Notes
Clerkships are 8 weeks with the exception of psychiatry which is 4 weeks offset by an elective.
Page 14: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Grades:– Honors, Pass, Conditional Pass, Fail

• Grades based on NBME exam, professionalism/clinical practice evaluations, additional requirements

GR Nuts and Bolts

Page 15: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Pre-round on own patients• Present patients at rounds• Attend any morning report, grand rounds

and multi-disciplinary conferences• Attend patient sign-out in am and pm• Any additional activities required within an

individual clerkship• Complete night float shift when assigned

BLOCK III EXPECTATIONS

Page 16: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• All third year students must be released from clerkships to attend: – Core Competency lectures

• 1-2 Wednesdays/month 3-5 pm– Clerkship Specific Lectures– Clerkship NBME Exams

BLOCK III REQUIREMENTS

Presenter
Presentation Notes
All third year students must be released from clerkships to attend these Content Therapeutics (antibiotics, acid/base, fluid management) Virtuous Physician (ethics, health policy, professionalism) Critical Appraisal/Analytic Medicine (CAAM) Career Development Program (CDP) DiffInE Occupational Health Health Disparities and Cultural Competencies
Page 17: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• All students may take 1 day off during a clerkship– They should notify you of this in

advance– Any additional time off must be

made up at the discretion of the clerkship director.

Block III requirements

Page 18: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Community Assistant Dean – Angie Busch MD, PhD.

• Community’s Chief Academic Officer• Responsible for curriculum delivery• Responsible for clerkship faculty support

COMMUNITY CAMPUS - CAD

Presenter
Presentation Notes
Structure of the community faculty/staff Community Associate Dean Chief academic officer for CHM in the community Responsible for overseeing delivery of the curriculum Responsible for clerkship faculty support
Page 19: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Community Administrators -Corey Madura and Holly Reed

• Responsible for student schedules and student life issues

• Contact for professional or academic performance issues in clerkships

COMMUNITY CAMPUS- CA

Presenter
Presentation Notes
Community Administrators — XX (Insert name and contact information) Responsible for oversight of student schedules and student life issues Supervises clerkship support staff Direct report to the Block III Director in East Lansing Contact for any issues arising in clerkships with regard to professional or academic performance
Page 20: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Community Clerkship Directors– First point of contact for residents who have

questions about student responsibilities and expectations, or concerns about anything to do with CHM students

• Community Clerkship Assistants– Schedules students, lectures and didactics

and distributes clerkship information and evaluation forms through New Innovation

CLERKSHIP DIRECTORS & ASSISTANTS

Presenter
Presentation Notes
Community Clerkship Directors First point of contact for residents who have questions about student responsibilities and expectations, or concerns about anything to do with CHM students Community Clerkship Assistants Schedules students, lectures and didactics and distributes clerkship information and evaluation forms through E-Value
Page 21: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Clerkship Directors and Assistants

Grand Rapids

CLERKSHIP CLERKSHIP DIRECTOR CLERKSHIP ASSISTANT

FAMILY MEDSteve DeLapp Deb Cleland

INTERNAL MED Andrew Jameson Mindy Nienhouse

ADVANCED MED Matthew Karulf Mindy Nienhouse

OB/GYN Lindsay Snyder Donna Maas

PEDIATRICS Abeba Berhane Julie Stoner

SURGERY Mike DeJong Mona Palladino

SENIOR SURGERY

David Scheeres Mindy Nienhouse

PSYCHIATRY Aaron Plattner Elizabeth Marsman

Presenter
Presentation Notes
XXXXX ADD Community Name and complete table.
Page 22: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• New curriculum beginning September.• Clinical experiences begin in their first two months.• Students will belong to one of four learning societies• Learning will be based on chief complaints instead of

basic science subjects• Clinical and Basic science will be taught together

** If you see medical students working with an MA in your clinic, these are students of

the new curriculum.**

New Shared Discovery Curriculum

Page 23: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Teaching responsibilities and methods

Page 24: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

How do you:• Teach effectively• Teach efficiently• Provide good quality care to patients

You are Teacher!

A new trainee arrives at your busy clinic, and you are asked to instruct the learner

Page 25: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Clarify goals and objectives• Find a balance between challenging and

safe• Admit your own limitations• Provide frequent feedback• Invite learners to share their opinions

BUILD MUTUAL TRUST

Create a safe learning environment

Page 26: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Students like to be Useful

• Students should have 2-3 patients• Look up evidence-based medicine

topics for you• Investigate lab details of cost• Call to follow up on labs or xrays• Check on your patients for you

You are a Teacher!- Hint #1

Presenter
Presentation Notes
Remember that patients should be relatively straightforward with common illnesses.
Page 27: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Scribing• If they watch you do the entire H&P for an

admission they can scribe for you• When they scribe a note, you can simply state

that you performed the entire evaluation and were involved in the assessment/plan; then co-sign their documentation.

• Students must specifically state that they are scribing for Dr….(your name).

• Give them feedback• Add an addendum to their note when needed

You are a Teacher- Hint #2

Page 28: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Students may perform and document– Past Medical/Surgical History– Family History– Social History– Review of Systems

• You can refer to student documentation

DOCUMENTATION RULES TO FOLLOW

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Presenter
Presentation Notes
Questions often arise about what students can and cannot do. Student may perform and document Past Medical/Surgical History Family History Social History Review of Systems You can refer to student documentation
Page 29: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• You must perform and document– History of Present Illness– Physical Examination– Medical Decision Making

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DOCUMENTATION RULES TO FOLLOW

Presenter
Presentation Notes
You must perform and document History of Present Illness Physical Examination Medical Decision Making
Page 30: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Resident teaching responsibilities

• Role Model• Didactic Teacher• Observer• Evaluator

Page 31: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Model your moral and ethical commitment to medicine (The Hidden Curriculum)

• Model your ability to work as part of a team

• Model your hard work ethic and commitment

• Model your love of medicine!

You are a role model!

Page 32: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Required course for 3rd year med students

• 8-10 students with a mentor• Topics include: Burn-out, LGBT,

The Hidden Curriculum, Affect of the Pharmaceutical Industry, Prejudice

Virtuous Physician Curriculum

Presenter
Presentation Notes
Ombundsperson
Page 33: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Shadow- let them watch you• Self-directed learning- ask them

to look something up and teach you the answer

• Pearls• Teach them something new that

you just learned• Recap the day and suggest a

reading assignment that night

You are a Teacher- Too Busy???

Page 34: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Active Demonstration• Active Observation• Structured Observation• Learning Script• One Minute Preceptor• DiffInE

Teaching Models

Page 35: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• A technique of role modeling• Use when learner is unfamiliar with case

presentation or when teacher has limited time

• Plan– Give learner specific assignment to observe during patient

interaction with teacher– After interaction ask learner to report on his/her observation– Discuss the observation with rationale/goals

Irby DM and Wilkerson L. Teaching when time is limited. BMJ 2008;336:384-7

Teaching ModelsActive Demonstration

Page 36: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Use at any level of learning or when unsure of learner’s level of knowledge

• Plan– Explain rationale for observation– Provide index card with three columns

labeled:

– Give feedback on observations

Teaching ModelsActive Observation

See Reaction WhyI noticed that you had child sit on mom’s lap for exam.

I was sur-prised that child sat still.

Why didn’t you perform exam on table?

Page 37: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Learner identifies own learning points• Takes little time from the teacher• Plan

– Learner performs H&P with or without you– After H&P, learner writes down 2-3 things on index

card that want to learn about the case– During presentation, teacher can discuss questions– Learner picks one thing to research further and report

on the next day.

Irby DM and Wilkerson L. Teaching when time is limited. BMJ 2008;336:384-7

Teaching ModelsLearning Script

Page 38: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Teacher can diagnose patient and learner’s level at the same time

• Can apply to any level of learner• Most studied of all models presented• Plan

– Get a commitment- “what do you think is going on?”– Probe for supporting evidence –”what findings make you

think that?”– Teach general rules– Reinforce what was done well– Correct mistakes

Teaching ModelsOne Minute Preceptor

Page 39: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

http://www.youtube.com/watch?v=P0XgABFzcgE

One Minute Preceptor

Page 40: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

DiffInE- Tool created at CHM

Page 41: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Feedback: One of your professional responsibilities

• Formative - weekly feedback (Feedback Friday); keep it short and simple.

• Summative - an email-generated Clinical Performance Evaluation (CPE) from New Innovations

You are an evaluator

Page 42: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Ask for learner’s self-assessment-”How do you think that went?

• Be observant but nonjudgmental• Give constructive feedback- both what they did well

and what they can work on• Feedback should be well-timed, limited, and in a

private place• Give real, specific examples on behaviors that are

changeable- write notes to yourself on a card in your pocket

• Watch for improvement over time

Keys to Effective Feedback

Page 43: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Unhelpful Feedback!

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•Failure to address deficits does not help the student improve. If you are uncomfortable giving constructive criticism, please talk with your senior or chief resident and the clerkship director ASAP.

Presenter
Presentation Notes
Address early so there is time for the student to improve.
Page 44: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

SCRIPT Competencies

• Service• Care of Patients – communication (oral and written) and

compassion• Rationality – using evidence-based medicine, incorporating

feedback• Integration – working as part of the team, understanding

costs• Professionalism – promptness, reliability, honesty• Transformation- application of knowledge

Clinical Performance Evaluations

Presenter
Presentation Notes
End of every 8 month rotation
Page 45: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

New Innovations

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Page 46: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

NI

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Page 47: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

NI

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Page 48: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

NI

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Page 49: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

NI

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NI

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Page 51: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• CPE Highlights:– Three grades with anchors available

• Below expectations• Met expectations • Exceeded expectations

– Comments are incredibly helpful– Professionalism marks require a comment– Evaluations are due within 2 weeks

CLINICAL PERFORMANCE EVALUATION

Presenter
Presentation Notes
“Below expectations, Met expectations, Exceeded expectations.” Anchors available Professionalism marks require a comment All comments are necessary and appreciated and should reflect your observations and descriptions of student performance Evaluations are due within 2 weeks of the end of the clerkship to be included in the grade.
Page 52: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

CLINICAL PERFORMANCE EVALUATION

Presenter
Presentation Notes
This is a sample of the CPE form. Notice the anchors I mentioned earlier.
Page 53: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Students may earn the following CPE grades:– Honors:

• 100% in “Met Expectations” or “Exceeded Expectations” with no marks of unprofessionalism

– Pass: • 80% in “Met” or “Exceeded” and fewer than 3

unprofessionalism notations– Conditional Pass:

• Greater than 20% and fewer than 40% “Below Expectations” or 3-4 unprofessionalism notations

– Fail: • More than 40% “Below” or more than 4 unprofessionalism

notations

CLINICAL PERFORMANCE EVALUATION

Presenter
Presentation Notes
The final cumulative clinical performance evaluation (CPE) grade represents an aggregation of all evaluations. Criteria for the four possible grades are: Honors: 100% of marks in “Met Expectations” or “Exceeded Expectations” with no marks of unprofessionalism. Pass: 80% of marks in “Met” or “Exceeded” and fewer than 3 unprofessionalism notations. Conditional Pass: Greater than 20% and fewer than 40% “Below Expectations” or 3-4 unprofessionalism notations. Fail: More than 40% “Below” or more than 4 unprofessionalism notations.
Page 54: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Documenting Unprofessionalism– Important to stop the behavior – More than four professionalism notations

results in a “Conditional Pass” and student must complete 4 weeks of the clerkship

– More professionalism notations may result in a “No Pass/Fail” and student must repeat the entire clerkship

CLINICAL PERFORMANCE EVALUATION

Presenter
Presentation Notes
It’s important to document unprofessionalism because students often repeat these behaviors on other clerkships, as residents, and as physicians. More than two professionalism notations on a clerkship results in a “Conditional Pass” grade. More than four professionalism notations results in a “No Pass” and student must repeat the clerkship.
Page 55: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• Should reflect first-hand information – Observe and describe

• “When we were on call together, [this student] did not respond to my pages,” NOT “Other residents reported this student was hard to find.”

– Provide specific examples• “The student did not accept feedback well. On

several occasions, I made suggestions for better presentations but she kept telling me she had her own way of doing things.”

• “Student did not show up for morning report on two occasions.”

SPECIFICS ABOUT COMMENTS

Presenter
Presentation Notes
Should reflect your own first-hand information. Residents are asked to observe and describe. “When we were on call together, [this student] did not respond to my pages,” NOT “Other residents reported this student was hard to find.” Specific examples are helpful. “The student did not accept feedback well. On several occasions, I made suggestions for better presentations but she kept telling me she had her own way of doing things.” “Student did not show up for morning report on two occasions.”
Page 56: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

WHAT CONSTITUTES PROFESSIONALISM?

- Instances of being unwilling to accept feedback - Repetitively being unprepared or unwilling to participate in discussions - Failure to recognize limitations and/or call upon assistance of others when needed - Lack of civility towards other students, faculty or staff - Failure to respect patient confidentiality - Comments related to sex, gender identity, race, sexual orientation, disability, religion or other identifying characteristics, which are harmful to professional relationships - Repetitively arriving late without notifying appropriate individuals - Repetitively being unavailable for required clinical responsibilities - Failure to meet deadlines or follow through in a timely manner - Failure to work effectively as part of a team - Failure to address the fear and suffering of patients and their families - Failure to consider important social factors that threaten the health of patients - Any instance of dishonesty

• Examples of Unprofessionalism

Page 57: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

• What are common concerns that residents have about teaching and evaluating?– It takes TIME during busy duty hours– Teaching doesn’t come naturally– Fear of retribution about comments in evaluations– Fear of being honest and then being challenged to

defend comments.• What are YOUR concerns?

RESIDENT CONCERNS

Presenter
Presentation Notes
XXXX I suggest adding content here. Intro to slide, purpose of having it, ask about their concerns? XXXX Fear of retribution about comments. Fear of being honest and having to respond to multiple inquiries.
Page 58: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

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There are many barriers to being a great teacher-• your own educational needs• clinical responsibilities• exhaustion

But without you, there will not be a next generation of

physicians.

Page 59: RESIDENTS AS TEACHERS - GRMEP Doctor 2) Learner 3) Educator – Role Model - Observer – Didactic Teacher - Evaluator PGY1 Job Description. See one, do one, teach one… Last month

Thank you sooooo much!

I use your wonderful, specific comments from the CPEs in the Dean’s Letter. I couldn’t write the letters without you!

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Presenter
Presentation Notes
There are many barriers to being a great teacher- not the least of your own educational needs, clinical responsibilities, exhaustion. But without you, there will not be a next generation of physicians.