Thinking like a PhysicianThis is a featured page


Many of the daily problems of practice act as opportunities for learning;
spending time to reflect on these moments can lead to informed and intentional changes to practice.


Underlying all of the following techniques is the need to actively engage student's minds, hearts and bodies in the learning process. The 13 most useful clinical teaching techniques in medicine that help students develop their clinical reasoning skills are:



Thinking like a Physician - Medical EducationUsing Questions to Stimulate Thinking
Picking questions that match the level of thinking you expect from students and residents is an important skill for medical faculty.

Teaching Issues of Diversity When Diagnosing and Treating Patients - A Podcast.

Bedside Teaching
This module covers several aspects of hospital-based teaching.
And another that uses BEDSIDE as a Mnemonic.

Intentional Role Modeling
Demonstrating how you think about a patient issue, helps students understand the process.

SNAPPS
SNAPPS is a case presentation method that, when taught to students and junior residents, helps them be more self directed. Adding the NHS Evidence Search tool makes this more interesting.

Precepting Using Microskills
Also known as the 1 minute preceptor, this technique is very useful for evaluating how students are making decisions about a diagnosis. For a shorter version or to watch a video of this technique, go to Practical Prof.

Chart Stimulated Recall
This is a technique primarily for use with senior residents who work fairly independently, but may also be used to teach charting skills with junior residents.

Clinical Decision Analysis is the application of explicit, quantitative methods to analyze decisions under conditions of uncertainty. Decision analysis allows clinicians to compare the expected consequences of pursuing different strategies.

Illness Scripts
Expert physicians have thousands of illness patterns stored in their memory. This technique will help students and residents develop their own patterns.

Ambulatory Teaching of Clerks/Jursi's - a presentation by Dr. Gill White. A podcast is available here.

Discovery Based Learning is a Socratic technique of using questions to help students make connections/learn patterns.

Preparing Clinical Vignettes The American College of Physicians preparation checklist

Microteaching
A quick technique for teaching in a classroom type situation

Feedback
We usually think of feedback as an end result of teaching, but it can also be used as part of the learning process.

Teaching Clinical Observation Skills.

How To Help Students See When Their Knowledge is Superficial or Incomplete

Other Resources


The top 5 OSCE medical student mistakes for Clinical History and Examination

CanMeds START

The Health Advocate Role: A Practical Plan for Teaching and Assessment from CanMeds.

Confidentiality A BMJ learning Module

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DeirdreB
DeirdreB
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