Structure: Teaching Case

Casebank Combined
1

Smile Please it is a happy station

  1. Introduction:
    – My name is ( :x: No titles Please :x: ).
    – (Do not address yourself as Dr. eg. I am X, One of your FY2
    colleagues here).

  2. ID check:
    – Met before/ weren’t introduced properly (:x: No titles :x: ).

  3. Build rapport and acknowledge: ( try to stand out and choose your own words here to be unique :star: ).
    – How’s work/ Study/ Rotations/ Encourage/ Wish Luck for exams. (A maximum of three questions).
    – It is important not to build excessive rapport with your colleague and at the same time, no rapport building at the beginning will affect the conversation flow.

  4. Acknowledge:
    – “I really appreciate that you came to me to learn about xxxx. You are going to be a great Dr one day. (choose your own words, stand out).

  5. Golden Statement: ( Safety Net In case you run out of time :hourglass: )
    – I might get bleeped in the middle of this conversation so please do bear with me and I will arrange another session again if that happens.
    – If I cannot finish this in one go, please do bear with me. I am happy to arrange another session for you, maybe go a bit deeper next time. I will also give you NHS link to this (topic) so that you could read it again at home. What do you think?

  6. Open invitation:
    – Please come back if want to learn again/ and for example, in case of EpiPen teaching remind proper dangers to look out for.

  7. Main Concern:
    – I have been told you have some concerns; if it’s a patient or relative coming to learn something (Praise for the interest to learn).
    – If what the student wishes to learn has already been written in the stem (99% of the time), don’t start with ( how can I help you ? ).

  8. Assess Knowledge (4 W ):frowning: How much they know about it and what they want to learn ).
    – What do you know about it? (Past).
    – What do you want to know? (Future).
    – Why do you want to know? (Pt. Reason).
    – When and why we do it? (Brainstorming).

  9. +/- Patient Safety:
    – PMH/ Drug/Allergies/Jabs/Social.
    – Or if the colleague brings any teaching material ask where did you get this sample from/ how is that pt. doing/ did you take consent, etc.

  10. Teach the station: (:star: Only teach what he/she requested​:star: )
    – Before: the procedure: (Tell them)
    1. Gather Materials
    2. Checklist
    – Do and show: Teach Procedure or Examination, DO AND SHOW.
    1. Don’t forget to take the colleague with you to the mannequin or anywhere you go to teach them.
    2. Always remember that anything provided inside the cubicle is for a reason and for you to use it while Showing the colleague. EX: Pen and Paper.
    – After: the procedure/ What to do next.
    1. What to do after.
    2. Any other concerns.

:1st_place_medal: Golden TIPs​:1st_place_medal: that you should apply at all stations.

  • Don’t ever teach wrong medical information or try to fabricate or invent information ( be simple and safe ).
  • Don’t over teach or under teach.
  • Don’t ask complicated questions that you wouldn’t be able to answer.
  • Always assess understanding, and ask the student if you are going fast or not, or if they want you to repeat anything.
  • Always involve the student in the teaching and ask him to repeat or perform the procedure after showing it to him if needed.
  • Some of the stations that will be explained here come in the exam as teaching and as combined examination, so always be ready to tackle them with both approaches.
  • Always have your own way of teaching, and avoid repeating fixed phrases as much as you can ( as we always say try to stand out and impress the examiner ).
  • You can use medical terms as you are dealing with medical professional, but at the same time try to simplify things as much as you can.

IPS in Teaching

  • Check understanding:
    – pick on the non-verbal cues.
    – It is never about knowledge, It is about the way you teach.
  • Doctor/Nurse/Medical Student: Eye contact, nuances of the voice, body movements, body orientation, facial expressions.
  • Patient: Physical details of Pt, position and movement of facial expressions.
  • TIP 1: It is really important not to teach the colleague too much or too little. You have to teach them on precisely what they want to learn. But it is also important to ask what specific things they want to learn now and what they want to learn next.
  • TIP 2: In procedure or examination (especially speculum), it is really important to complete teaching the procedure that the colleague wishes to learn. But never skip Intro, ID check, Rapport, Safety Net.
  • TIP 3: Teaching station is all about being interactive and having a style of your own in teaching. Never teach in presentation style teaching.
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