Practical Teaching in Emergency Medicine

Practical Teaching in Emergency Medicine

von: Robert L. Rogers, Amal Mattu, Michael E. Winters, Joseph P. Martinez, Terrence Mulligan

Wiley-Blackwell, 2012

ISBN: 9781118469828 , 400 Seiten

2. Auflage

Format: PDF, OL

Kopierschutz: DRM

Windows PC,Mac OSX Apple iPad, Android Tablet PC's Online-Lesen für: Windows PC,Mac OSX,Linux

Preis: 63,60 EUR

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Practical Teaching in Emergency Medicine


 

Practical Teaching in Emergency Medicine??????????????????????????????????????????????????????????????????????????????????????????????

3

Contents??????????????????????????????

9

Editors and Contributors??????????????????????????????????????????????????????????????

13

Preface????????????????????????????

23

Section 1 Background/Introduction

25

Chapter 1 Adult learners in the emergency department??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

27

Learning theories

27

Learning as a child

28

Learning as an adult

28

Learning as an adult—Malcolm Knowles’ theories and the arguments against them

29

Educating adults

30

Adult learning in the emergency department

31

Conclusion

37

References

37

Chapter 2 Obstacles to teaching in the emergency department????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

39

Obstacles inherent in the emergency department

39

Conclusion

46

References

47

Chapter 3 Teaching and patient care in emergency medicine????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

49

Introduction

49

Motivation for teaching emergency medicine

49

The beginning educator

50

The seasoned veteran

50

The master educator

51

The benefits of teaching in emergency medicine

51

Improving patient care and safety

54

Conclusion

55

References

56

Chapter 4 Mentoring in emergency medicine????????????????????????????????????????????????????????????????????????????????????????????????

59

Mentor and mentoring defined

59

Why mentoring is important

60

Benefits of mentorship

61

The mentoring process

62

Successful mentors and pitfalls of mentoring

65

Role of mentoring in medical education

66

Goals of mentoring

72

Career guidance

72

Summary

76

References

77

Section 2 Teaching in the Emergency Department and Beyond

81

Chapter 5 Bedside teaching in the emergency department??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

83

What is holding us back: barriers to bedside teaching

84

The basics: characteristics of effective bedside teachers

85

The framework: the experience versus explanation cycle

87

Implementation: the art of bedside questioning

89

Closure: effective feedback as it relates to bedside teaching

91

Summary

93

References

94

Chapter 6 Teaching invasive medical procedures??????????????????????????????????????????????????????????????????????????????????????????????????????????

96

Prepare to teach and learn

96

The process of learning

99

Putting theory into practice

102

Creating a procedural education elective for preclinical medical students

105

Assessing competence

106

References

108

Chapter 7 Providing feedback in the emergency department??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

109

Guidelines for providing effective feedback

110

Additional feedback methods and tools

117

Feedback and the accreditation process

119

Faculty/trainee development

119

Conclusion

120

References

120

Chapter 8 The computer as a teaching tool????????????????????????????????????????????????????????????????????????????????????????????????

122

Improving patient care by locating and implementing evidence-based clinical guidelines

124

Performing an effective and efficient evidence-based medicine literature search for clinically meaningful answers during a busy shift

124

Improving use and interpretation of diagnostic imaging

126

Enhancing systematic interpretation of electrocardiograms

129

Enhancing understanding of drug toxicity, interactions, and treatment

130

Introducing a systematic approach to describing skin lesions

132

Enhancing the neurologic examination, understanding the NIH Stroke Scale, and knowing the indications/contraindications for tissue plasminogen activator for stroke

132

Enhancing the student’s use of scoring systems, calculators, and decision rules to provide the basis for and documentation of care

133

Preventing medical error

134

Improving the student’s understanding of normal changes in pregnancy, pregnancy complications, radiation risks in pregnancy, and contraindications to medications in pregnancy

135

Reinforcing the importance of clear communication and use of fluent translators for non-English-speaking patients

136

Understanding uncertainty in medicine

136

Using online video in emergency medicine

138

Online spaced education

138

Summary

139

References

140

Chapter 9 Educational technology: Web 2.0????????????????????????????????????????????????????????????????????????????????????????????????

142

Introduction

142

‘‘Really Simple Syndication’’ or ‘‘Rich Site Summary’’

144

Wikis

145

Blogs

147

Microblogging

148

Podcasts

149

Social networking

150

Learning management systems

152

Web-based applications

153

Social media risks

154

Conclusions

157

Recommended reading

157

References

158

Chapter 10 Teaching the intangibles: professionalism and interpersonal skills/communication????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

161

Communication and professionalism

161

Recommendation 1: Establish and evaluate explicit standards, beginning with the selection process

163

Recommendation 2: Discuss the benefits of professionalism

163

Recommendation 3: Promote openness to continual growth through feedback

164

Recommendation 4: Observe and discuss negative encounters

165

Recommendation 5: Outline key components of a patient encounter, including the initial introduction, patient-centered interview, and concluding the visit

167

Recommendation 6: Promote effective leadership through positive communication with all members of the health care team

170

Recommendation 7: Communicating clearly, respectfully, and confidently with consultants

171

Recommendation 12: Be the role model of professionalism

171

Remediation of learners having difficulty with professionalism and communication

172

Conclusion

173

References

173

Chapter 11 Teaching lifelong learning skills: journal club and beyond????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

175

Incorporation of research-enhanced practice into graduate medical education

175

Worldwide access to biomedical information via the Internet

176

Characteristics of poor evidence-based medicine/journal club curricula

177

Attributes of the successful evidence-based medicine curriculum and journal club

178

Conclusions

182

References

184

Chapter 12 Medical podcasting 101????????????????????????????????????????????????????????????????????????????????

187

Summary

200

Further reading

200

Chapter 13 Use of simulation in emergency department education??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

201

History of simulation in education

201

Why use simulation?

202

Basic simulation tools

203

How to set up a simulation program

204

Debriefing

206

Assessment

206

Challenges to simulation

207

Conclusion

208

References

208

Suggested websites

210

Section 3 Teaching Specific Groups

211

Chapter 14 Teaching medical students??????????????????????????????????????????????????????????????????????????????????????

213

Reasons to teach medical students

213

Unique educational experiences during an emergency medicine rotation

214

Qualities of an effective teacher

216

Adult learner themes

217

Educational curricular components

219

Clinical teaching

221

Techniques for overwhelmed students

223

References

225

Chapter 15 Teaching residents from other services in the emergency department????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

227

Introduction

227

Advantages of having off-service residents in the emergency department

228

Suggested educational goals

229

Models for teaching off-service residents

229

Practical tips to improve models of teaching

233

Conclusion

237

References

238

Chapter 16 The education of resident physicians in emergency medicine????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

240

Emergency medicine residency infrastructure and support

240

The core competencies

244

Paradigms for teaching residents

248

Tailoring the individual resident experience

253

International considerations

256

Conclusion

258

References

258

Chapter 17 Teaching residents how to teach??????????????????????????????????????????????????????????????????????????????????????????????????

261

Starting the shift: expectations and enthusiasm

262

Assessment

268

Capturing observations and organizing patient care as a teacher

269

Conclusion

270

References

270

Chapter 18 Teaching to an international audience??????????????????????????????????????????????????????????????????????????????????????????????????????????????

272

Background

272

Technical considerations for teaching international audience

273

Style considerations

280

Thematic considerations

283

Context and content considerations

286

References

290

Chapter 19 The emergency department consultation: teaching physician-physician communication to improve patient outcomes??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

292

Introduction

292

Importance of consultations

293

Taxonomy of consultation

294

Barriers to successful consultations and communication

296

Improving communication in the emergency department

297

Approaches to consultations in the emergency department

299

Future of consultations

301

References

303

Section 4 Improving as an Educator in Emergency Medicine

307

Chapter 20 Characteristics of great teachers??????????????????????????????????????????????????????????????????????????????????????????????????????

309

What do learners want from their teachers?

310

What do medical educators believe are the characteristics of great teachers?

311

What styles and strategies do great teachers use?

312

What are the barriers to (and the solutions for) successful teaching?

315

Conclusion

316

References

317

Chapter 21 Effective presentation skills??????????????????????????????????????????????????????????????????????????????????????????????

319

Introduction

319

10 Principles for becoming a memorable speaker

320

Now that you have got it all together: practice, practice, practice

328

Conclusion

329

References

330

Chapter 22 Small-group discussion skills??????????????????????????????????????????????????????????????????????????????????????????????

331

Opportunities for use of small groups

332

Types of small groups

333

Characteristics and techniques of a good facilitator

335

Starting a small-group discussion

337

Challenges of small-group discussions and their solutions

339

Assessing the discussion

340

Conclusion

341

References

341

Chapter 23 Faculty development as a guide to becoming a better teacher??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

343

Definitions of faculty development

344

Practicing in an academic setting

345

Necessary knowledge and skills

346

Clinicians as teachers

347

Process for faculty development

348

Developing a customized program

349

Finding resources

350

Promotion

357

Conclusions

358

References

358

Section 5 Teaching Techniques and Strategies

361

Chapter 24 Strategies for effective clinical emergency department teaching??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

363

Introduction

363

Strategies versus traits

363

Models to guide emergency department teaching

364

Diagnosing the learner

369

Summary

374

References

375

Chapter 25 Pearls and pitfalls in teaching: what works, what does not???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

376

Introduction

376

Teach for the right reasons

377

Keep it simple

377

Clarify expectations

378

Learn what they need to learn

378

Teach, do not taunt

379

Practice safe learning

379

Engage your learners

380

A little autonomy goes a long way

380

What are you thinking?

381

Food for thought

382

Conclusion

382

Index????????????????????????

385