Practical Didactic, Bedside, and Office Teaching Skills
摘要
Clinical teaching is a critical task required of all family medicine faculty in a residency program, with the goal of transforming novice first-year residents into practicing family physicians capable of providing competent care autonomously. Faculty are responsible for teaching both the art and science of clinical medicine. This frequently presents several challenges. Faculty often will simultaneously teach learners at various levels of experience, from beginning medical students to senior residents. Patients often present issues that are complex, undifferentiated, and unpredictable which precludes preparation for teaching. Faculty require a wide variety of teaching styles from providing a lecture to a large audience to bedside teaching in a small group setting to Socratic dialogue in a one-to-one teaching encounter. Finally, faculty have the responsibility for not only teaching but also ensuring excellent, safe, quality patient care occurs. In this chapter we lay the groundwork for learning in the clinical environment, characteristics of residents as adult learners, traits of outstanding clinical teachers, various teaching styles, and the skill of providing feedback. We will then focus on three major teaching environments: (1) large group (delivering a dynamic presentation), (2) small group (team rounding in the hospital setting), and one on one (ambulatory precepting in the office).