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The Microskills Teaching Model
The microskills teaching model consists of...
Precepting pearls on using microskill
techniques...
- Negotiate up to five specific objectives the learner can achieve
during the time with you in addition to the formal objectives of the
rotation.
- Make
it clear from the beginning what you expect from the learner in each
patient encounter and what it is reasonable for them to expect from
you.
- Include time in your expectations. Learners must have sufficient
time to do a good job but must gain a realistic perspective of the
pace of
patient care expected in practice.
- Allow, or even force, the learner,
to present the patient situation without interruption.
- Force a commitment
and the articulation of supporting evidence before critiquing the
presentation.
- Teaching includes indicating references and study materials as well
as telling the answers.
- It’s okay for either preceptor or learner
to say "I don’t
know", as long as the next step is to actively address the problem
(e.g. by seeking the missing knowledge, re-analyzing the situation)
and actively learning from the situation.
- Provide both reinforcement of positive
actions and constructive correction of mistakes or misconceptions.
- Coach and enjoy!
Using the microskills strategy in difficult
teaching situations
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