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如何将优秀医生培养成优秀教师:一门支持忙碌临床医生提高教学技能的短期课程。

How we make good doctors into good teachers: a short course to support busy clinicians to improve their teaching skills.

机构信息

University of Sydney, Australia.

出版信息

Med Teach. 2013;35(1):4-7. doi: 10.3109/0142159X.2012.731098. Epub 2012 Oct 26.

Abstract

BACKGROUND

Doctors are expected to teach but many are reluctant through lack of training. Busy clinicians have little time to attend faculty development initiatives. We wanted to increase clinical teaching capacity locally. WHAT WE DID: In response to requests from doctors lacking confidence in their teaching skills, we developed a programme tailored to the needs of working clinical teachers. The emphasis is on teaching effectively in a busy clinical environment. There are five 90 min modules: bedside teaching, effective supervision and feedback, teaching physical examination and procedures, effective lectures and facilitating development of clinical reasoning skills. The course is practical, interactive and takes place in a supportive learning environment adjacent to the workplace. A total of 81 clinicians participated in the course.

EVALUATION

The main outcomes were increased confidence in bedside teaching, teaching more effectively on ward rounds and reduction in need for support with teaching. Participants reported a better understanding of basic educational theory and its relevance to clinical teaching. There is increased activity in clinical teaching among past participants.

CONCLUSIONS

All clinical teachers require guidance and encouragement in developing their teaching skills. An accessible, practical focused teaching course run locally by colleagues with education expertise can improve clinicians' skills and motivation to teach.

摘要

背景

医生应该教授知识,但由于缺乏培训,许多医生都不愿意教授。忙碌的临床医生几乎没有时间参加教师发展计划。我们希望在当地提高临床教学能力。

我们所做的

为了满足那些对自己教学技能缺乏信心的医生的需求,我们开发了一个针对在职临床教师需求的计划。重点是在繁忙的临床环境中有效地进行教学。共有五个 90 分钟的模块:床边教学、有效监督和反馈、教授体格检查和程序、有效讲座和促进临床推理技能的发展。该课程注重实践、互动,并在与工作场所相邻的支持性学习环境中进行。共有 81 名临床医生参加了该课程。

评估

主要结果是在床边教学方面增加了信心,在病房轮训中教学效果更好,减少了对教学支持的需求。参与者报告说,他们对基本教育理论及其与临床教学的相关性有了更好的理解。过去的参与者在临床教学方面的活动有所增加。

结论

所有临床教师都需要在发展教学技能方面得到指导和鼓励。由具有教育专业知识的同事在当地开设的易于获取且注重实践的教学课程,可以提高临床医生的技能和教学积极性。

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