The ambulatory block offers several opportunities for residents to hone their teaching skills. On the OPD2 senior rotation, you will be given several blocks of time to work alongside faculty teaching students and interns. You will also be expected to independently lead didactic sessions. Prior to starting the rotation please review the attached curriculum, go thru some of the teaching videos and read the assigned articles.
1. Clinic Teaching (“PIC” on schedule)- During this activity, residents will work alongside clinic preceptors. Start your session in Room 224 or 231 PIC room, look at the room assignments schedule to locate the module with the most PGY1s. Find an open computer station, introduce yourself and let your preceptor know that you are the teaching senior of the day. At the start of the session there is always some downtime, use this time to go into the exam rooms with one intern (ideally new pt) and hear them obtain a history and physical. Use the laminated packet (in each exam and PIC room) and use the ABIM Framework (Information gathering history checklist) so you can offer helpful feedback on both H&P skills later. After the in-room observation, ask that intern to present the case to you as if you were never there. Your PIC will listen along, but will not speak until you are done reviewing the case with the intern. As you hear other cases in the afternoon, go into exam rooms to review/demonstrate H&P findings. Follow another intern into the room after presentation to see how he/she engage and educate pts on starting medication, teaching. Again use the laminated packet checklists, think about how you will offer coaching and feedback afterwards. If there is dearth of intern patients, hang out in the walk-in clinic to help answer clinical questions with relevant literature search.
o Prior to your session please complete assignment online and submit a copy of your
videos from Resident as Teacher from Thomas Jefferson University Kane, Gregory C. MD; Caruso,
John W. MD; McCormack, Meredith MD; Claves, Jennifer MD; and Mangione, Salvatore MD, "Act 1: Bedside
Interaction" (2001). Paper 5.
· Act I Bedside Interaction –watch video and think about ways you would improve the teaching interaction at the bedside, videos following Act I demonstrates methods
§ Video on One Minute Preceptor from Ben Schwartz – from the Apgar Academy on med student teaching
§ Other Readings
· Shaping the Teaching Conversation-Jon O. Neher, MD; Nancy G. Stevens , MD (Fam Med 2003;35(6):391-3.)
· Teaching in the Outpatient Clinic McGee, Irby JGIM Volume 12, April (supplement 2) 1997
2. Chief Rounds-In this activity, the teaching resident will be expected to conduct a small group didactic teaching session for the medical students. The teaching session occur from 12:15 to 1pm in the morning report room on Tuesday and Thursdays. It can be conducted with a case presentations in the conference room, you can also take students to the bedside to demonstrate findings. Scheduled Tres time allows you to prepare for the talk. Click here for info from the chiefs.
3. Physical Diagnosis Teaching (Thu 2-5pm) – Teaching Residents will join Dr. Gowda’s Foundations of Clinical Medicine Class from Sep to May. This class introduces medical students to the physical exam, history-taking, and case presentation and synthesis. You will be working with a group of 4 students and a preceptor. Dr. Gowda will be emailing you in advance with more information. Take this opportunity to review your own physical exam skills by reviewing exam maneuvers in textbooks and videos.