Teaching in the Inpatient Setting

1. Teaching in the Inpatient Setting

2. Characteristics of Good Teachers • Enthusiastic • Ask Questions • Nonthreatening • Promote self learning • Recognize the needs of the learner • Knowledgable

3. Inpatient vs Ambulatory Education • Team Learning • Time for Advanced Preparation • Number of Learners • Less time/patient pressures • Speed of evaluations • Educational intimacy

4. Orient Your Team • Outline Expectations • Assess their needs • Organize the month • Assign responsibilities • Explain your teaching and evaluation style

5. Role Model • Be professional • Have a good attitude • Be on time • Pitch in/lead from the front • Treat everyone with respect

6. Create a Good Learning Environment • Show enthusiasm • Involve your learners • Be friendly • Be consistent • Ask questions in a non-threatening way

7. Put Forth an Effort • Take the time to teach! • Give assignments when things are busy • Get to the bedside

8. Teach What You Know/ What the learners need • Students need to know how to present, how to write orders, how to examine patients, how to read EKGs, how to replace K+, where the bathroom is, etc. • Recognize that different levels of learners will benefit from the same discussion • Get to the bedside!

9. Give Feedback • Let your team know what they are doing well and where they can improve • Feedback is absolutely crucial for improvement

10. Pitfalls in Clinical Teaching • Taking over the patient • Inappropriate lecturing • Insufficient “wait time” on questions • Leading questions -”Could this be a PE?” • Pushing Past Ability

11. Teacher Reasoning and Action • Diagnose the Patient • Diagnose the Learner 1. Get a commitment 2. Probe for evidence • Teach Teach general rules. Provide feedback. Correct mistakes.