2. Goal of Clinical Physiotherapy education is to produce the
PT we would like to see if we were sick!
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4.
5.
6.
7.
8. Overview
Clinical environment
Focused on patient
Problems, Diagnosis & Management
Real life situations
Decision making on time
Apply theoretical & practical knowledge
Acquire clinical skills
9.
10.
11. Challenges of Clinical Teaching
1. Time constraints
2. Work demands : clinical, research or administrative
3. Often unpredictable and difficult to prepare for
4. Engaging multiple levels of learners(PG/Interns/IV/III/II/I)
5. Patient related challenges: short hospital stays; patients
too sick or unwilling to participate in a teaching encounter
6. Lack of incentives and rewards for teaching
7. Physical clinical environment not comfortable for teaching
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15. Skills that make a excellent clinical teacher
1. Share a passion for teaching
2. Are clear, organized, accessible, supportive and compassionate;
3. Are able to establish rapport; provide direction and feedback; exhibit
4. Integrity and respect for others
5. Demonstrate clinical competence
6. Utilize planning and orienting strategies
7. Possess a broad repertoire of teaching methods and scripts
8. Engage in self-evaluation and reflection
9. Draw upon multiple forms of knowledge, they target their teaching to
the learners’ level of knowledge.
16.
17. Challenges in outpatient teaching
1. Busy clinical setting
2. Teaching time often short, no time for elaborate teaching
3. No control over distribution and organization of time
4. Attending to several patients at the same time with multiple learners
5. Brief teacher-trainee interactions
6. Patient care demands usually take priority and must be addressed
7. Multiple patient problems must be addressed simultaneously, so
8. teachers cannot focus on one problem to teach
9. Learning and service take place concurrently
10. Organic and psychosocial problems are intertwined
11. Diagnostic questions often settled by follow up of empiric treatment
12. Teacher should be a guide and facilitator than information provider
18.
19. Challenges of inpatient teaching
Difficult to set teaching goals, unanticipated events occur frequently
Ward team usually composed of varying levels of learners
Patients too sick or unwilling to participate in the teaching encounter
Patient stays are too short to follow natural history of disease
Teachers could compromise trainee-patient relationship if they dominate the
encounter
Trainees and teachers feel insecure about admitting errors in front of the patient and
the rest of the medical team
Tendency by many clinical teachers to lecture rather than practice interactive
teaching
Engaging all learners simultaneously can be difficult
Teachers need to pay close attention to learner fatigue, boredom and workload
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21. Education is not teaching what learners doesn’t know but
making them to behave as they don’t behave!
39. Problems with Clinical Teaching
Lack of clear objectives and expectations
Teaching pitched at the wrong level
Focus on recall of facts rather than problem solving
Lack of active participation by learners
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41.
42. Don’ts
1. Leave the student alone until asked to supervise
2. Correct the student's mistakes in front of patient
3. Fails to set time limit for clinical teaching activities
4. Give general answers to a specific question
5. Not approachable
6. Difficult person to summon for consultation/help
7. Fail to adhere to teaching schedule
8. Ask questions in threatening manner
9. Put down them(you don’t know this?)
10. Insecurity about up to date knowledge
43.
44. Do’s (Practical Tips for clinical teacher)
1. Preparation
2. Planning
3. Orientation
4. Introduction
5. Observation
6. Interaction
7. Summarize
8. Debrief
9. Feedback
10. Plan for next interaction