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Please see Medical Teacher 2001, 23, 6, pp 610-612 for the fulltext version of this

paper.
http://www.tandf.co.uk/journals/tf/0142159x.html
Teaching in the medical setting: balancing teaching styles,
learning styles and teaching methods
Lisa Vaughn, Ph.D. and Raymond Baker, M.D.
Childrens Hospital Medical Center
Division of General and Community Pediatrics
Cincinnati, OH, USA
email: lisa.vaughn@chmcc.org
Summary
Effective teaching in medicine requires flexibility, energy, and commitment amidst a
busy background of clinical care. Successful medical teaching also requires that
teachers are able to address learners needs and understand the variations in learners
styles and approaches. Teachers can accomplish these requirements while creating an
optimal teaching-learning environment by utilizing a variety of teaching methods and
teaching styles. If teachers use a variety of teaching methods and styles, learners are
exposed to both familiar and unfamiliar ways of learning which provide both comfort and
tension during the process ultimately giving learners multiple ways to excel. As
Hemesath and colleagues have suggested (1997), new instructional methods are
critical as medical school curricula are changing. Others have mentioned the
importance of using a variety of creative, non-traditional teaching techniques and
strategies in clinical teaching (Handfield-Jones et al., 1993; DaRosa et al., 1997;
Wilkerson & Sarkin, 1998). Grasha (1996) suggests using varied teaching styles to
address the diversity of learner needs. Using a variety of teaching methods and styles
ultimately may encourage adaptability and lifelong learning in the teaching-learning
process. This paper, supplemented by a related website, will provide a conceptual
framework and an expanded compendium of teaching styles and teaching
methodologies which can be used in different clinical settings.
The website (www.medicalteacher.org) features descriptions of preceptor-teaching
styles, learning styles, and teaching and learning style clusters followed by a detailed
description of a variety of teaching methods which can be used in the medical setting.
The following tables are not included in the journal published version of the paper:
Table 1: Grashas Teaching Styles with description, advantages and disadvantages
Table 2: Grashas Learning Styles
Table 3. Teaching and Learning Style Clusters (Grasha, 1996)
Table 4: Teaching Methods
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A
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(
1
9
9
6
)
.


T
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1
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(
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1
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(
1
9
9
6
)
.


T
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(
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n

a
n
d

a

f
u
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t
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a
d
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s
c
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t
h
e
c
a
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e
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T
h
e

p
r
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c
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p
t
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r

m
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t
h
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n

f
o
c
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s

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n

a

s
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g
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p
o
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f
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l
e
a
r
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r
.
R
o
l
e

M
o
d
e
l
i
n
g
(
G
r
a
s
h
a
,

1
9
9
6
;
W
i
l
k
i
n
s
o
n
,

1
9
8
9
)
P
r
e
c
e
p
t
i
n
g

o
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e

o
r
m
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r
e
s
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s

a
n
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m
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d
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s
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c
l
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r

o
f
f
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t
t
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g
(
1
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)
R
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e

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g

m
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y

o
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c
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p
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d

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o
r

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y

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y

w
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h

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p
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a
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d

l
e
a
r
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e
r
.


P
r
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c
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p
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s
h
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d

d
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c
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d

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n
.
P
s
y
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i
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h
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s
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y
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g

a

p
a
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a
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m
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r

t
a
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s
;
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o
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a
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s
m
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s
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R
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P
l
a
y
s
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n
d
f
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d
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J
o
n
e
s
e
t

a
l
.
,

1
9
9
3
;
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r
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s
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a
,

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9
9
6
)
E
n
d

o
f

c
l
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c

s
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s
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M
e
d
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c
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(
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/
g
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p
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P
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d
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c
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l
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y

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n
s
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i
m
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t

t
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m
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r

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l
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y

(
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m
i
n
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s
)
,

p
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r
m
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l
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,

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m
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r

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t
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s
;
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d
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m
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G
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(
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g
,

1
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9
6
)
B
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r

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a
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s
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(
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P
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s
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d

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a

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n
.


A
l
l

g
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m
b
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s
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d

(
b
e

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d

t
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)

p
a
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t
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c
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p
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e
.


P
r
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c
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p
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m
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e

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.
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w
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a
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;
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n
f
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a
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c

m
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d
(
C
o
n
s
t
a
n
t
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n
o
u
,
1
9
9
4
)
P
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p
t
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g

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s
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d
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t
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s

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n

a

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(
1
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r

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a

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l

g
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(
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-
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)
P
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p
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a
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r

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.


Q
u
e
s
t
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g

s
h
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d

b
e

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n
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g

(
n
o
n
-

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m
p
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)

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.


E
.
g
.

W
h
a
t

a
r
e

s
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m
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s

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p
a
t
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n
t
?

D
o

y
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w

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y

O
T
C

m
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d
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c
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n
s

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m
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g
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t

s

n
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s
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l
c
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n
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e
s
t
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n
?

B
a
s
e
d

o
n

c
l
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n
i
c
a
l

c
a
s
e
s
;
b
a
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d

o
n

a
s
s
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m
e
d
k
n
o
w
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d
g
e

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r

a
s
s
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d
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e
a
d
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g
s
S
t
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d
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n
t

J
o
u
r
n
a
l
(
D
a
R
o
s
a

e
t

a
l
.
,
1
9
9
7
;

R
i
l
e
y
-
D
o
u
c
e
t

&

W
i
l
s
o
n
,
1
9
9
7
;
H
a
h
n
e
m
a
n
n
,
1
9
8
6
)
R
e
s
i
d
e
n
t

i
n

p
r
i
v
a
t
e
p
r
a
c
t
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c
e

c
o
n
t
i
n
u
i
t
y
s
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t
e
(
1
)
L
e
a
r
n
e
r

i
s

e
n
c
o
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r
a
g
e
d

t
o

k
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p

a

d
a
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y

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k
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j
o
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r
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l

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s
/
h
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r

e
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p
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s

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n

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d
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l

s
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u
a
t
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n
.


T
h
i
s

t
e
c
h
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q
u
e
f
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s
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r
s

c
r
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d

c
r
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a
t
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v
e

t
h
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n
k
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g

a
b
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p
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c
h
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c
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s
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c
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m
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d
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,

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w
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s
k
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a
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p
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s

t
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e
a
r
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e
r
a
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d

p
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p
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o
p
p
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r
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n
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t
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s

t
o

d
i
s
c
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s
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s
u
c
c
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,

f
a
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l
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s
,

a
n
d
p
r
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g
r
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s
s
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n

o
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e

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r

s

g
r
o
w
t
h
.
D
e
a
t
h

o
f

a

p
a
t
i
e
n
t
;
F
r
u
s
t
r
a
t
i
n
g

f
a
m
i
l
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e
s
;
d
i
f
f
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n
c
e

b
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t
w
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n

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n
n
e
r
c
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y

a
n
d

p
r
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v
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e

p
o
p
u
l
a
t
i
o
n
S
t
u
d
e
n
t

T
e
a
c
h
e
r
-
o
f
-
t
h
e
-
D
a
y
(
G
r
a
s
h
a
,

1
9
9
6
)
M
e
d
i
c
a
l

s
t
u
d
e
n
t
s

o
n
a
n

i
n
p
a
t
i
e
n
t

w
a
r
d
r
o
t
a
t
i
o
n
(
4
-
6
)
P
r
e
c
e
p
t
o
r

d
e
v
e
l
o
p
s

a

l
i
s
t

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f

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o
p
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c
s

a
b
o
u
t

w
h
i
c
h

t
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e

l
e
a
r
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e
r
s
w
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l

b
e

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s
p
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s
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e

f
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r

p
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m
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p
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g
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e

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t
h
e
r

m
e
m
b
e
r
s

o
f

t
h
e

g
r
o
u
p
.


P
r
e
c
e
p
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r

s
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r
v
e

a
s

a
n

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d
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r

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d

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e

p
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n
,

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n
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g

t
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f

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,

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,

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,

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s
,

t
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s
t
q
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s
t
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n
s
,

e
t
c
.


P
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c
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p
t
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r

t
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n

a
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n
d
s

a
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l

p
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t
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s
a
n
d

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n
c
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s

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p
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n

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c
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s
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n

w
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r

g
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m
b
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s
.
S
p
e
c
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f
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d
i
s
e
a
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e
;
p
h
a
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m
a
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