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ACT

The document discusses four instructional techniques for clinical education: demonstration, war stories, questioning, and listening. It provides examples and implementation guidance for using each technique to engage learners, teach practical skills, stimulate critical thinking, and create a supportive learning environment.

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michelle baylon
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7 views

ACT

The document discusses four instructional techniques for clinical education: demonstration, war stories, questioning, and listening. It provides examples and implementation guidance for using each technique to engage learners, teach practical skills, stimulate critical thinking, and create a supportive learning environment.

Uploaded by

michelle baylon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ACT

In the clinical setting, specific instructional techniques such as demonstration, war stories, questioning,
and listening can be highly effective for teaching and engaging learners. Here’s how each technique can
be applied:

1. Demonstration

Purpose: Demonstrations allow learners to observe a procedure or clinical skill performed correctly,
providing a visual and practical example.

Implementation:

Live Demonstrations: Perform clinical procedures or patient examinations in real-time, ensuring learners
have a clear view. Explain each step as you proceed and highlight key points.

Example: Demonstrating how to perform a lumbar puncture, narrating the steps and important
considerations.

Recorded Demonstrations: Use videos of clinical procedures to provide consistent, high-quality


demonstrations that learners can review multiple times.

Example: Showing a video of a surgical procedure with commentary on technique and best practices.

Simulation: Use mannequins or simulation equipment to demonstrate procedures in a controlled


environment where learners can then practice.

Example: Simulating CPR on a high-fidelity mannequin to demonstrate proper technique and timing.

2. War Stories

Purpose: War stories are anecdotal accounts from experienced clinicians that provide insights, lessons
learned, and a human touch to clinical education.

Implementation:

Relevance: Share stories that are directly relevant to the current learning objectives or clinical cases
being discussed.

Example: Discussing a memorable case of a rare disease encountered during residency to illustrate
diagnostic challenges.

Educational Value: Highlight the key learning points or ethical dilemmas within the story.

Example: A story about managing a difficult patient interaction to emphasize the importance of
communication skills and empathy.

Engagement: Encourage learners to share their own experiences or reflections related to the story.
Example: Inviting learners to discuss how they might handle a similar situation, fostering a deeper
discussion.

3. Questioning

Purpose: Questioning stimulates critical thinking, encourages active participation, and assesses learners'
understanding.

Implementation:

Socratic Method: Use open-ended questions to guide learners through the clinical reasoning process.

Example: "What differential diagnoses should we consider for this patient presenting with chest pain?"

Pimping: Ask rapid-fire questions during rounds to test knowledge and quick thinking, while ensuring a
supportive and respectful environment.

Example: "What are the indications for using this particular antibiotic?"

Case-Based Questions: Present clinical scenarios and ask learners to work through diagnosis and
management steps.

Example: "Given this patient’s lab results and symptoms, what would be your next step in
management?"

Reflective Questions: Encourage learners to reflect on their experiences and learning.

Example: "What did you find most challenging about today’s patient encounter, and why?"

4. Listening

Purpose: Effective listening demonstrates respect for learners, helps instructors understand learners'
perspectives, and facilitates a supportive learning environment.

Implementation:

Active Listening: Show attentiveness through body language, eye contact, and verbal affirmations. Allow
learners to express their thoughts fully before responding.

Example: Nodding and saying, "I see, tell me more about your thought process for choosing that
treatment option."

Feedback Sessions: Conduct regular, structured feedback sessions where learners can share their
experiences and concerns.

Example: After a clinical rotation, having a debriefing session where learners discuss what they learned
and what they found challenging.

Learner-Led Discussions: Encourage learners to lead discussions or case presentations, actively listening
and providing feedback when necessary.
Example: A learner presents a case, and the instructor listens carefully, then asks questions or provides
insights based on the presentation.

Mentorship Meetings: Hold one-on-one meetings where learners can discuss their progress, goals, and
any issues they’re facing, with the instructor primarily listening and offering guidance.

Example: Regular check-ins with a resident to discuss their career aspirations and any difficulties in their
training.

By integrating these techniques thoughtfully into clinical education, instructors can enhance the learning
experience, making it more engaging, practical, and supportive for learners.

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