Tan Colin Jingxian, Lim Chee Yeong
Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
Singapore Med J. 2018 Dec;59(12):619-621. doi: 10.11622/smedj.2018144.
Radiology is a unique medical specialty that focuses on image interpretation and report generation with limited patient contact. Resident read-out sessions with teaching are a quintessential part of reporting workflow practices in teaching institutions. However, most radiologist-educators do not have formal training in teaching and learning experiences vary. The five-step 'microskills' model ('one-minute preceptor' technique) developed by Neher is an easily adopted teaching model that complements the workflow of the typical read-out session, and can be utilised by radiologists of varied teaching experience and seniority. The steps are: (a) get a commitment; (b) probe for supporting evidence; (c) teach general rules; (d) reinforce what was done right; and (e) correct mistakes. Feedback is important to the model and accounts for two out of five microskills. The teaching model emphasises knowledge application and establishing relevance, which is useful in engaging the millennial resident. It is easily assimilated and applied by radiologist-educators.
放射学是一门独特的医学专业,专注于图像解读和报告生成,与患者的接触有限。带教学的住院医师读片环节是教学机构报告工作流程的一个典型部分。然而,大多数放射科教育工作者没有接受过正式的教学培训,教学经验也各不相同。内尔提出的五步“微技能”模型(“一分钟指导教师”技术)是一种易于采用的教学模型,它补充了典型读片环节的工作流程,不同教学经验和资历的放射科医生都可以使用。步骤如下:(a) 获得承诺;(b) 探寻支持证据;(c) 讲授一般规则;(d) 强化正确做法;(e) 纠正错误。反馈对该模型很重要,占五个微技能中的两个。该教学模型强调知识应用和建立相关性,这对吸引千禧一代住院医师很有用。放射科教育工作者很容易吸收和应用它。