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BLOGBY STEPHANIE MOSS, MD

Residents as Teachers of Medical Students

Residents as Teachers: How to effectively mentor, teach, and evaluate medical students

What are the steps of Medical Education?

Know —> Knows How —> Shows How —> Does

What are the goals of accessing students?

To identify deficiencies in knowledge

To evaluate the competencies of a physician

To provide baseline medical knowledge so students can be prepared for residency

To improve knowledge of students

4 KEY Areas to Access Medical Students:

What is Clinical Competence?

Dedication to life long learning

Recognize that they never know everything -

The application of baseline scientific and medical knowledge acquired during preclinical

A developmental trait which develops over time - every month and every year in medical education one improves

Able to ask the right types of questions of patients to try to diagnose and evaluate needs

Ask for help when beyond scope of knowledge or skill

What are Inter-professional skills:

Collaborate and Work as a team

Mutual Support: Ask other’s if they need help —> provide help

Work well with team members of different backgrounds, occupations, and levels

Seeks information from all available sources (patients, family, care team)

What are Communication skills:

Clear, specific, and timely

Articulate problem and possible solutions (ex: treatments)

Notice need and alter communication style based on the other person’s unique need

Use of an interpreter if in another language

Communicate with caregiver

Use writing or typing if non verbal patient

Monitors environment for possible harm to patient and verbalizes altert

What are Professionalism Skills (not all inclusive & has many definitions)

Respect the dignity of all people

Hold self accountable for own actions

Takes initiative - does without being asked

Evaluating Medical Students

Be Consistent between students

Ask their experience and level

What rotations have they done?

How many months have they been in clinical (some start at different times because of leaves and own schedule)

Notice Improvement over time

Differences in Generations:

Current medical students are Mellenials and Gen z who value consistent feedback

Provide Feedback Daily or weekly!

Differences in Gendered Feedback (NOT A GOOD THING):

Usually are commented positively on the warmth, empathy (maternalistic skills), team work, getting along with othersUsually are commented negatively on their confidence, lack of knowledge

Usually are commented positively on their knowledge, skills, confidenceUsually are commented negatively on their empathy, emotions

Creating a Feedback Rich Environment

Residents openly giving feedback to each other

Demonstrating that no one is perfect or knows everything

Valuing honesty and openness

How to give effective feedback:

Provide EXPECTATIONS at beginning of working together

Separate for Learning feedback

1. Ask for their self-evaluation

2. State observation and describe objective facts

3. Ask for their thoughts

4. Develop a plan together on action steps to improve

5. Ask for feedback on own work

SELF —> OBSERVATION —> ACTION —> IMPROVE

FREE Residents as Teachers Training:

https://www.rosalindfranklin.edu/academics/chicago-medical-school/offices/academic-affairs/faculty-affairs-and-equity/faculty-development/residents-as-teachers-certificate/

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