IS S UE

7
Apr 2013

Electronic Newsletter for for Faculty Instructional Development

|Med/Ed News
Editor Karen Spear Ellinwood, PhD, JD, EdS

this issue

Assessing Student Performance P.1

aculty

The AMES\OMSE FID Series P.2 Technology at the Bedside P.3 Upcoming Events P.4

Resources online!
There are a variety of resources online for clinical and classroom educators, including links to learning modules, a guide for engaging students in inquiry learning, Microskills for teaching, and encouraging students to examine for cognitive error. The Office of Medical Student Education posts video recordings of all of the AMES\OMSE Faculty Instructional Development (FID) Series seminars to its website. Community based as well as any other faculty can watch the videos online at their convenience. We are instituting a login application for this resource, but for now all you have to do is Click&Go! Find out more about team learning , CBI and other instructional methods and the recently developed online tools, ThinkSpace and GroupShare.

Bedside Teaching: Patient & Learner Centered Rounding

edside teaching is any clinical encounter that occurs at the patients side, that is, in the presence of the patient. The physicians perspective, how they view the teacher/learner relationship, the patients role in educating students or residents, as well as their role as an educator, will shape their bedside teaching approach. The patient can be seen as an individual, with whom medical decision are made, rather than to whom procedures and tests are applied, thus humanizing and personalizing medical care, says Dr. Waer. Seeing the patient, then, as a partner in clinical care also serves well in viewing the patient as a participant in the educational process. Dr. Waer suggests that the presence of the patient helps the teaching process to be more participative, such that teacher and learner together have the collegial opportunity to understand the patients problems, and work together to solve them. For this reason, Dr. Waer argues, bedside teaching is the ultimate manifestation of the physician as teacher, rather than as lecturer, dis-

Doceri is a registered trademark

cussant, or consultant. thus the approach to bedside teaching should serve as a role model for patient centered, participatory care as well as learner centered teaching. Some physicians may be concerned that discussing the differential, for example, in the patients presence could upset or disturb the patient, or that some physicians are not as adept at educating students without
[Continued on page 3]
Fac ulty Ins tru ctional Develo pmen t

OMSE FID News

Recent Events
[March 27, 2013] Bedside Teaching: Patient Centered Rounding for Learner Centered Teaching

About the FID Series

he AMES\OMSE FID Series results from the partner-

regularly and engage in activities designed to support the professional and educational development of faculty. AMES has provided grants to supplement scholarly research when external funding has not been renewed and provides resources for teacher development. OMSE offers faculty instructional development and support to all faculty one-on-one for those who would like to explore new approaches or implement new technologies or ideas in their teaching practice. If you would like to consult with a professional educator or discuss opportunities for your department or community based faculty at your site, please click here to complete the online form. OMSE Faculty Instructional Development staff will work with you to design a customized plan for faculty instructional development for you, your department or site. The next FID series event, Effective Clinical Preceptorship is April 22nd. Find out more by clicking on the calendar below. For information about upcoming seminars, go to please visit our website! /kse/

ship between the Academy of Medical Education Scholars (AMES) and the Office of Medical Student Education (OMSE). THE FID Series runs from August through May, and presents 13 seminars aimed at developing and improving the teaching and assessment

Presenters: Amy Waer, MD, and Julia Jernberg, MD [March 14, 2013]

skills and practices of basic science and clinical faculty, including preceptors, affiliate faculty, and residents. The College of Medicine in Tucson now has 19 AMES faculty members, who meet

Crafting Single Best Answer Multiple Choice Questions

Presenters: Chris Cunniff, MD, Department of Pediatrics; and Jack Nolte, PhD, Professor.

! forget Dont offer can nOMSE instructio e-ony n t o l facu pment r departo l e v e al d y ou r for one o ment.

July 10, 2013

Medical Education Research Day

To view these presentations

Click &Go!

Faculty Development Events Calendar online!

OMSE FID News

Fac ulty Ins tru ctional Develo pmen t

[Continued from page 1] Technology in Teaching at the Bedside During the Q&A portion of the Bedside Teaching seminar the audience raised an interesting question whether and how clinicians or students/residents should use electronic devices (such as an iPad or cell phone) in bedside teaching situations. For patient education? Locating articles or other information? Using apps to Click here to access this FREE @ Google Books Service! explain complex procedures or disease processes?

compromising patient comfort. As part of a teaching faculty at the UA College of Medicine with extensive expertise and experience, there is always support available from colleagues as well as the Office of Medical Student Education (OMSE). In promoting evidenced based medicine, the profession encourages reflective practice, that is, reflection in and on practice. In general, most errors are not caused by a lack of medical knowledge, but rather a failure of reflection or clinical reasoning. In fact, the most common error is faulty synthesis, such as occurs in premature closurethinking youve arrived at the answer when the situation demands you think outside the box, misinterpreting the significance of facts or symptoms, or misapplying Heuristics (Graber, Franklin & Gordon, 2005).

What do you think? Do you have any suggestions for appropriate uses of technology in bedside teaching? UAHN Policy|Electronic devices Please contact Jeffrey MacEwen, CISSP, Information Assurance Officer, for information.

Bedside teaching offers an opportunity to think out loud, reflect on ones own thinking as well as consider the ideas of others, promoting consultation as an ordinary part of ones reflective practice. OMSE resources include information about cognitive error with suggested inquiries for avoiding it. With these issues in mind, Drs. Amy Waer and Julie Jernberg presented a few essential tips for learner-centered teaching as part of a patient-centered rounding approach:

Get the patients viewpoint & consent - Be sure to ask the patient if it is okay to engage them in this process of teaching. Respect the Patient - Avoid patient discomfort; consider whether the approach being taken making the patient feel like a "guinea pig"? Build trust as a teacher and physician - Is the resident or attending connecting with the students and patient in a manner that builds trust and confidence? Avoid diatribes - It is best to avoid lengthy case presentations or talking about the patient, especially without involving the patient.

>>> Learn more about bedside teaching and view/download related resources

Resources for this article: Presentations by Dr. Waer and Dr. Jernberg
Helpful references Click & Go!

OMSE FID News

Fac ulty Ins tru ctional Develo pmen t

Save the dates!

Date/Time Presentation Title Presenters

April 22, 2013 Effective Clinical Preceptorship 1:303:00 pm Room (FID Series) 3230

Paul Gordon, MD, and Tejal Parikh, MD

P rofessional D evelopment
The AMES\OMSE FID Series presents a topic relevant to teaching, assessment and/or medical education research from August through May each year. Please subscribe to our newsletter for current information on topics, presenters, and special events. If you would like to volunteer to present a topic, contact Karen Spear Ellinwood.

May TBA

Publishing your Education Research (FID Series)

Celia OBrien, PhD, will moderate a panel of clinical and classroom educators and professional education research staff

*DATE CHANGE*
July 10, 2013

Teaching Scholars and other Medical Education Research Day faculty present their work in medical education research

OMSE is starting a new series for Resi-

MedEd eNews

Issue 07

April 2013
Chris Cunniff, MD Director, Faculty Instructional Development Office of Medical Student Education UA College of Medicine
520.626.5173 - ccunniff@peds.arizona.edu

dents as Teachers and community-based faculty beginning Fall 2013. Subscribe!

OMSE FID News

Office of Medical Student Education 1501 N. Campbell Avenue Tucson, AZ 85724 520.626.1743

Karen Spear Ellinwood, PhD, JD Associate Specialist Faculty Instructional Development Office of Medical Student Education UA College of Medicine 520.626.1743 - kse@medadmin.arizona.edu

New Faculty Development Calendar online!

Susan Ellis, EdS Director, Assessment of Student Performance Office of Medical Student Education UA College of Medicine 520.626.3654 - sellis@medadmin.arizona.edu

OMSE FID News

Fac ulty Ins tru ctional Develo pmen t