Teaching

in the Outpa.ent Se0ng

David Narita, MD

Objec.ves
Discuss the challenges of teaching in the outpa.ent se0ng (OPD) Explore ways to teach specically in the outpa.ent se0ng Share together whats worked well for us in outpa.ent teaching

What are the challenges of outpa.ent teaching?

What are the challenges of outpa.ent teaching?

Some ways to make our teaching be#er

A0tude
Good teaching starts with us The best clinical teachers are described as:
Enthusias.c Clear and organized Interact well with students

The focus shouldnt be on us. Listen more, talk less.

A0tude

Orient them
Tell your juniors what you want to see from them
What you want them to examine How to present a pa.ent How to write a progress note How many to see and how many to present to you

Orient them

Role Model
See the pa.ent together (one-on-one or in a group)

Especially with new doctors Saves .me Teaches much more than just talking alone Learning as a group can be less threatening and provides accountability (everyone knows what is expected)

Role Model

Dont get stuck in a rut

Dont do the same thing over and over again just because thats how youve always done it. Some.mes the way things are always done isnt the best way

Dont get stuck in a rut

Lobotomy
Division of the prefrontal cortex connec.ons for mental illness anxiety, depression, schizophrenia, bi-polar disorder Dr. Antonio Moniz won the Nobel prize for medicine in 1949 Over 70,000 procedures done in 20+ years

Dont get stuck in a rut

Lobotomy
Division of the prefrontal cortex connec.ons for mental illness anxiety, depression, schizophrenia, bi-polar disorder Dr. Antonio chlorpromazine Moniz won the Nobel prize for medicine in 1949 Over 70,000 procedures done in 20+ years

Give Feedback
Posi.ve and nega.ve You did a great job on this chart because you developed a clear problem list Next .me, take a lidle more .me explaining how to take the medicines properly.

Give Feedback
Be .mely Be specic Be construc.ve Allow the student to respond Focus on the posi.ve

Making our teaching beder

A0tude Orient them Role model Dont get stuck in a rut Give feedback

What are ways to teach that have worked for you?

Thank you!