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TEACHING ELECTIVE

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Email Koller any handouts you give to group. MS2s like to get handouts ... 9/8 Breast exam (Koller) Breast workshops 9/8, 9/9, 9/10 ... – PowerPoint PPT presentation

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Title: TEACHING ELECTIVE


1
TEACHING ELECTIVE MED 420 AB Matthew Fitz,
M.D. Michael Koller, M.D. Patricia McNally, Ed.D.
2
Maureen LocklundMED 420 course coordinator, SSOM
320
3
First of all
  • thank you for helping to teach the second years!

4
Todays agenda
  • Koller Course info
  • Koller Review PCM 2 calendar
  • Koller feedback tips
  • McNally review reflection forms
  • 2 handouts of good reflections
  • Fitz/Hering orienting a learner
  • Intro and video clip
  • Small group discussion
  • Large group
  • 6. Fill out evaluation

5
Teaching Elective Requirements
  • Attend 3 of 4 quarterly evening Didactic
    Sessions 445pm630pm
  • Teach at 5 PCM 2 small group sessions and do
    teaching reflection within 1 week
  • Complete 5 PCM 2 lecturer reflections the day of
    your small group within 1 week
  • Two master teacher reflections (you pick the 2
    teachers) completed before January 1st
  • Paperwork completed online in Student Portfolio

6
Teaching Elective Requirements
  • Attend 3 of 4 quarterly evening Didactic
    Sessions 445pm630pmEach of the quarterly
    sessions is offered twice
  • Summer A/B (July 27 or Aug 3)
  • Fall A/B (October 26 or November 2)
  • Winter A/B (January 25 or February 1)
  • Spring (March 22 or March 29)
  • SSOM 160

7
PCM 2 administration
  • Michael Koller, M.D., Course Director
  • Mary Boyle, M.D., Assistant Course Director
  • Katherine Walsh, M.D, Senior-Course Director

8
PCM 2 administration
  • Les Medley, course coordinator
  • SSOM 310

9
Announcements
  • Dr. Bryan Hertz away through Sept 25
  • Drs. Walsh and Koller covering his small group

10
PCM 2
  • Lectures begin at 115, SSOM Rm 190
  • Contact/page your facilitator(s) and
    co-facilitators before class
  • -discuss what you will do
  • -discuss what youd like to cover
  • -do NOT give MS2s a second lecture
  • -answer any questions MS2s may have from the
    lecture
  • This year, assigned questions for small groups up
    to mid-semester break to get MS2s reading the
    Bates textbook

11
Your handouts
  • Email Koller any handouts you give to group
  • MS2s like to get handouts
  • I will link them so MS2s can see everyones
    handouts
  • Goal - Standardizing the groups

12
Write ups
  • Semester 3 write-ups (two histories)
  • Go back to patients bedside whenever possible
    with MS2
  • First, you review, evaluate, give feedback
  • Try to review with them after small group
  • Dont take write-ups with you to away electives!
  • Second, facilitator reads ands gives feedback
  • Oral presentation not required, but.
  • NEW Strict Deadlines for each write-up
  • History 1 9/11/09
  • History 2 10/23/09

13
PCM 2
  • Grading
  • Pass/Fail (4th year)
  • Go to LUMEN for course materials (not printed)
  • Objectives
  • Power point
  • Handouts
  • Answer sheets in small group folder, or get from
    Les Medley in Rm 310
  • Assigned questions from readings
  • EKGs (10/09)
  • CXRs (1/010)

14
  • -PCM 2 webpage is also MS4 teaching elective
    webpage
  • Middle column, scroll to bottom to find
    materials
  • -Complete online portfolio
  • -Master teacher (2)
  • -Preparation for small group (5)
  • -Lecturer for PCM 2 assessment (5)

15
  • -2 Textbooks new editions, but not much changes
  • -Bates 9th edition
  • -Thalers The only EKG book youll ever need
    5th ed
  • -Harvey sessions and software on CALL lab
    computers

16
May 2010
Aug 2009
PCM 2
August September 1.Review Learn PE and
write-up 2. Head to-toe with facilitator
October May abnormal findings Correlate with
mechanism of disease
  • October April
  • Interpret EKGS
  • Preceptor program (4 write-ups)

January April 1. Interpret CXRs 2. Oral
presentations
17
(No Transcript)
18
Small groups
  • If you are on call Monday, do NOT come to PCM 2
    on Tuesday afternoon
  • Let your facilitator know who will be there each
    week
  • No more than 2 MS4 at any small group
  • Pick a leader to coordinate your schedules
  • Leader emails schedule to Maureen Locklund
    Facilitator(s)
  • Try to come two weeks in a row so MS2s get to
    know you

19
Small groups
  • Ask for permission from elective or required
    clerkship director to come to PCM 2 or OB
    orientation
  • Ask EARLY
  • Dont assume PCM 2 trumps your daily schedule
  • CANNOT COME TO PCM 2 during Neuro
  • NO more than 2 PCM2 small groups/ 4 wk rotation

20
New since you took PCM 2
  • Ophthalmologist run eye exam workshops
  • One hour slot per M2 (2 Wednesdays)
  • Three cardiac exam lectures instead of two
  • Clinical skills exam
  • semester 4 (April 14-16)
  • Fundus simulator, ear simulator, Harvey, etc

21
Quick over view of semester 3
22
AUGUST 2009
  • 8/3 Introduction/overview MONDAY (Koller) no sm
    grp
  • 8/4 General appearance (Koller)
  • HEENT lung exam (videos in LUMEN) and writeup
  • 8/10 Harvey session Monday Normal heart exam
  • 25 minutes/40 students Rm 460 (1 pm 430 pm)
  • 8/11 Peripheral Vascular exam (Aulivola)
  • PV exam Heart exam review (video in LUMEN) and
    write-up PE
  • 8/13 Normal pediatric Thursday (Barbato) no
    small grp
  • 8/19 Eye exam (Jay) and write up
  • Ophth workshops on Wed 8/19 8/26
  • Dr. Amy Lin in charge
  • 8/26 Neuro and mental status exams (Gruener)
  • Neuro exam and Writeup

23
September 2009
  • 9/1 Skin exam (Boyle)
  • Abd exam (video in LUMEN) Write-up PE of skin and
    abd
  • 9/2 Geriatrics (Wednesday Dr. Sih, lecture
    only)
  • 9/8 Breast exam (Koller)
  • Breast workshops 9/8, 9/9, 9/10
  • 9/11 Reflex workshop (Friday - optional )
  • Neuro OSCE (memorized focused exam)
  • Monday Sept 14 or Friday Sept 18 (100 to 530
    pm)
  • 9/15 Lymphatic system (Smith)
  • 9/22 and 9/29 Head to toe physical exam on female
    SP
  • One hour with facilitator and SP
  • DO PE WITHOUT PROMPTS
  • No lectures or small groups- NO MS4s

24
OCTOBER 2009
  • 10/3 10/11 MS2 mid semester break
  • 10/19 Preceptor program begins
  • 10/13 EKGS (Boyle)
  • Begin EKG interpretation in small groups
  • You will get answer sheet found in folder
  • 10/20 Problem lists, /-, Reasons to admit,
    Orders (Koller)
  • EKGS
  • 10/26 - Harvey workshop (Monday)
  • 10/27 Heart sounds (Wallis)
  • Practice case or you bring in a real case to work
    through
  • EKGs

25
November December 2009
  • 11/3 Heart sounds 2 (Wallis)
  • 11/5 Harvey workshop 2
  • 11/10 Heart sounds 3 (Wallis)
  • 11/11 Harvey workshop 3
  • No MS4 needed 11/18 11/25
  • MS2 have GRADED Head to toe exam with
    facilitators
  • NO lecture
  • NO small groups
  • 12/1 Abnormal lung exam findings (Chandrasekhar)
  • 12/8 Abnormal lung exam findings 2
    (Chandrasekhar)
  • 12/14 on-line semester 3 exam

26
Systematic approach to EKGs ( CXRs)
  • Rate (300, 150, 100, 75, 60, 50)
  • Rhythm (regular irregular, sinus)
  • Axis (up in I, AVL) , isoelectric lead,
    Einthovens triangle
  • Intervals - PR, QRS, QT
  • Hypertrophy (semester 3 4)
  • Ischemia (semester 4)

27
Guidelines for giving feedback
  • Well timed
  • Let the learner go first
  • ask MS2 how they think they did
  • Use descriptive, non-judgmental language
  • Be specific, use direct observation, not hearsay
  • Focus on action, not the actor
  • Focus on behaviors, not personality

28
Guidelines for giving feedback
  • Base feedback on goals, objectives, competencies
  • Give both reinforcing () and corrective (-)
    feedback
  • Make a plan on how to improve
  • Verify clear communication/understanding
  • Reassess progress
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