Monday, September 14, 2009

Clinical Teaching

Models of Clinical Teaching:


• Traditional Model

• Clinical Teaching Associate Model

• Clinical Teaching Partnership Model

• Preceptor Model

The Effective Clinician/The Effective Preceptor

“To approach and manage a particular problem most effectively requires the following:

1. Detailed familiarity not only with the patient's specific complaint and his physical status but also with the patient as a person including, knowledge of family and of his life circumstances. This can be realized only if the clinician has acquired the great facility and knowledge in communicating with his patient, and in examining him, and also in communicating with his family as well. For it is only by means of such communication and physical examination that the basic clinical evidence is derived, and this is, after all, the essential stuff behind the clinician's thinking and action.

2. An organized, disciplined, structured method of analyzing the clinical evidence thus derived, so that no specifically treatable possibilities are overlooked in the clinician's diagnostic approach, and consequently in his plan of management.

3. Employment of wise principles of management, well tested through broad experience, that emphasize regard for the entire patient and not merely his illness, and even more, regard for the patient as part of a family and a community, not as an isolated being.

4. Securing patient compliance based upon effective communication with the patient (and his family), which aims to accomplish two main objectives: (a) understanding by the patient of the nature of his problem in terms which are positive and do not generate unnecessary anxiety; and (b) motivation to do whatever may be necessary for him in order to best meet his problem.”

These same principles can be distilled into what is required for the clinician to provide effective teaching to a learner:
1. Communication
2. Careful analysis
3. Skill in teaching and practice
4. Motivating the learner

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