To debrief or not?

StopwatchLearners have limited time. Residents have work hours restrictions, practicing physicians have work / life demands, and the list goes on. Time is valuable. Therefore, educational interventions must be hard-hitting, effective, and worthwhile.

We discussed previously “What is debriefing?” Debriefing is a facilitated discussion and reflection about objectives previously chosen by the educator. Dr. Ernest Wang (NorthShore Center for Simulation and Innovation) states that it’s about getting learners to that “aha!” moment.

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By |2016-11-11T18:42:32-08:00Dec 14, 2012|Medical Education|

Teaching internationally: More than just a language barrier

JoshiUltrasound1I recently traveled to San Salvador to help teach a pediatric and adult ultrasound course. The course was well received and it was wonderful traveling around San Salvador.

I wanted to share some of our experiences, and discuss some challenges to educating internationally. More importantly, I want to engage you, the readers to share some of your experiences when educating internationally as well.

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By |2016-11-11T18:43:05-08:00Dec 7, 2012|Medical Education, Ultrasound|

The secret to patient presentations

“So there’s a patient, and umm…  they are in the hallway, they came to the ED today for breathing problems, I mean dyspnea.  They also don’t speak any English.  So, uh the respiratory rate is normal, and they had a blood clot, er… I mean PE, in the past, but not on coumadin anymore.  Shoot, I forgot to tell you my exam…they had pitting edema for 3 months.  By the way, the labs came back on that other anemic patient in the other hallway, and they are really anemic…” – Anonymous medical student

Sounds familiar? Imagine working in a hectic ED while listening to this chaotic presentation. 

What’s the secret to presenting patients?

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By |2013-06-12T19:57:57-07:00Nov 30, 2012|Medical Education|

Andragogy: How adults learn best

Andragogy refers to learning strategies which help adults to learn more effectively.

It is a term that was first used by Alexander Kapp in 1833 and later expanded by Malcolm Knowles to fit the needs of adult education. The concept is contrasted with pedagogy in which the child is lead through the learning process by the teacher. In andragogy most of the learning is self-directed and the teacher is a facilitator in the learning process.  (more…)

By |2016-11-16T09:38:06-08:00Nov 29, 2012|Education Articles, Medical Education|

What is debriefing in simulation education?

Medical education high-fidelity simulation allows for deliberate practice in a safe environment. We are able to miss the intubation repeatedly or botch up the management of aspirin overdose without the demise of the patient.  At the end of each session, we gather in a pow wow and debrief….

I have been involved with debriefings, and often wonder what residents are thinking:

  • Do they understand what debriefing means?
  • Do they think this is the time where they are scolded for mistakes?
  • Do they think it is a valuable part of the simulation?

What does debriefing even mean? 

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By |2016-11-11T18:43:14-08:00Nov 16, 2012|Medical Education, Simulation|

Seth Godin’s TED talk on "Stop Stealing Dreams"

Seth Godin, a marketing guru, discusses his opinion about “what school is for” in this above video. Although this talk or Seth Godin are not directly related to medical education, this is still related to education and can still be applied to today’s medical education curriculum in many aspects.

Mr. Godin goes on to explain that school was modeled in the industrial age and has changed little ever since. The video covers such concepts as:

  • Standardized exams in the industrial age were used as a tool to sort students. The person who created the standardized exams later on came to believe that the standardized exams were too crude, but due to his new conclusions he was excluded from his field.
  • Teachers in the industrial age believed that school was about teaching obedience and respect.
  • The industrial revolution created products en mass, but also needed people who were educated on consuming these products in order to survive. Therefore, schools were also created to educate people (or make replicas of people) about these products.

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By |2018-10-28T21:48:27-07:00Nov 15, 2012|Medical Education|
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