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What is the Microskill Teaching Strategy?
 The microskills provide a simple framework for daily teaching during
patient care.
This strategy was developed from a combination of educational
theory and practical experience and has been validated in teaching medical
students
and residents
in several different situations such as in the clinic or during hospital rounds.
The microskills can be used to structure effective precepting encounters
that last five minutes or less OR to address problems that arise during
teaching sessions.
Like patient care, the microskills technique begins
with diagnosis and moves to intervention. Also like patient care, the
technique requires
a rationale for
the diagnosis and the intervention progresses from broad general terms to highly
specific directives.
The original microskills uses a five-step approach. We have
added an initial "goal-setting" and
a final "reflection" stage because we have found that otherwise the
learning can be very transient and the student or resident can be overwhelmed
by a rapid succession of disconnected learning episodes during a busy clinic
or rounding session.
1Knowles ME. The Modern Practice of
Adult Education . Englewood Cliffs, NJ Cambridge / Prentice Hall
1980:43-44
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