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Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Microskill #7 - Encourage Reflection and Integration
In adults, enduring learning takes place by a synergistic process of reflecting on experiences and melding them with previous knowledge and beliefs. Have you experienced this, perhaps on the drive home from the hospital after seeing a particularly challenging admission? Lunchtime, travelling time between sites, and particularly the end of the day offer what may be the most important opportunities for medical students and residents to learn from preceptors. Taking time to "debrief" on the day’s cases enable the learner to do some critical thinking and analysis. By encouraging the learner to articulate "what did not make sense" or "made me uneasy" each day, the preceptor can provide direct teaching or indicate appropriate areas of study for the learner. This reflecting and integrating process also provides opportunities again to reinforce positives from the day’s experiences and can guide the planning of future learning, including the resetting of goals. The process is best initiated by open-ended questions such as "How did things go today from your perspective?" Again, some of the most powerful teaching is done by silence! The preceptor who can encourage the learner to talk through and work out things for themselves is extremely effective. Conversely, real life experiences and stories are powerful ways to teach both medical content and the realities of life as a physician. |
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Community-Based
Teaching Benefits - Strategies for Teaching in a Busy
Practice Page last updated:
February 24, 2003
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