Thinking about Clinical TeachingThis is a featured page

Some Issues about Clinical Teaching to Reflect On

Common problems with clinical teaching
  • Lack of clear objectives and expectations
  • Focus on factual recall rather than on development of problem solving skills and attitudes
  • Teaching pitched at the wrong level (usually too high)
  • Passive observation rather than active participation of learners
  • Inadequate supervision and provision of feedback
  • Little opportunity for reflection and discussion
  • "Teaching by humiliation"
  • Informed consent not sought from patients
  • Lack of respect for privacy and dignity of patients
  • Lack of congruence or continuity with the rest of the curriculum

Challenges of clinical teaching
  • Time pressures
  • Competing demands---clinical (especially when needs of patients and students conflict); administrative; research
  • Often opportunistic---makes planning more difficult
  • Increasing numbers of students
  • Fewer patients (shorter hospital stays; patients too ill or frail; more patients refusing consent)
  • Often under-resourced
  • Clinical environment not "teaching friendly" (for example, hospital ward)
  • Rewards and recognition for teachers poor

From the Clinical review -ABC of learning and teaching in medicine




DeirdreB
DeirdreB
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