Teaching Clinical Skills Post-PCE

Credits: 2.00 CREDITS (Non-Clinical Elective)
Directors: Ogur, Barbara; Pazo, Valeria Cristina
Prerequisites: Completion of PCE Year
Offered: Longitudinal from Sept-March
Open to Exclerks: No (HMS only)
The didactic portion of the course will consist of 7 two-hour evening training sessions on pedagogical principles, including adult learning theory, observing and providing feedback on medical interviewing and physical examination skills, defining clinical questions, identifying appropriate resources to obtain answers, using evidence effectively in teaching, engaging learners, and group teaching using the flipped classroom technique

Each participant will be assigned a “practicum” site to teach within the Practice of Medicine course, either in the Foundational Continuity Clinic or in the Physical Diagnosis and Reasoning section. They will observe and provide feedback to first-year students on at least 6 occasions

End-of-year Student assignment – Preparation of Small or Large Group Didactics
Each participant will work in a small group, to choose and prepare either:
1. A case-based conference on a clinical topic relevant to the patients they have seen.
2. A case-based small group, interprofessional teaching session in conjunction with students at the Harvard Dental School.
Learning Goals:
1) To learn and practice teaching basic clinical skills (history, physical diagnosis, and basic diagnostic reasoning) in small groups and at the bedside
2) To learn and practice near-peer teaching, observation and feedback in the ambulatory setting
3) To learn and practice incorporating best medical evidence into clinical teaching, including in the ambulatory setting and in group didactics
4)To learn and practice effective group teaching in several formats: formal lecture presentations, case-based group didactics, and flipped classroom settings.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Students will learn how to incorporate basic science content that first-year students are learning concurrently with their clinical sessions into their clinical precepting. They will learn how to identify clinical questions with their preceptees and how to teach their preceptees to use best evidence to answer these questions.
Students will be evaluated by direct observation of their teaching by their preceptors, on the quality of their end-of-year assignment, and with an Objective Structured Teaching Exam (OSTE).
Grade Criteria:
High Honors: Evaluation from preceptors and by faculty raters of end-of-year presentation
Honors: Evaluation from preceptors and by faculty raters of end-of-year presentation
Satisfactory: Evaluation from preceptors and by faculty raters of end-of-year presentation
Unsatisfactory: Student fails to attend required sessions or fails to complete the required presentation
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