don't be a pimp
Post on 17-Jul-2015
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“Don’t Be a Pimp!” Pearls for Outstanding Clinical Educators
J. Scott Wieters, M.D. Assistant Professor Texas A&M HSC College of Medicine
Clerkship Course Director Eternal Medical Student of the year....Forever
Baylor Scott & White Memorial Hospital
“Don’t forget to teach the medical students!” :) -jsw
Twitter @jscottwieters
QR code for copies of slides
https://www.slideshare.net/slideshow/embed_code/key/2YDdhzTQdzy8e
Will work for
Conflict Of interest
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Remember Being a Med Student?
7 San Antonio, TX Circa 1997
Go Teach Students!!!
It’s Not About You…
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Get out your Cell phone
• Text a message to 37607 as the recipient
• To join the session, type in “Wieters”
WietersWieters
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
2007 World Championship Gold
Bejing Olympics 2008
Connect Your
Audience
DiagnoseYour Learner
Expectations
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Information, Knowledge, Skills
Promote Knowledge Transfer
Sniper? or Shotgun?
Avoid Overload
Seven867-5309
Four is the new Seven
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP butkinik@msu.edu
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP butkinik@msu.edu
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP butkinik@msu.edu
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP butkinik@msu.edu
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
One Minute Preceptor!
Conditional !
Knows when to use procedural knowledge!
Procedural! Procedural!
Applies declarative knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #Now#go#read#up#on…#
Aunt Minnie Model:! If you see yourself recognizing a pattern POINT ! IT OUT!!
Serious!Probable!Interesting!Treatable!
What if....! Take the case presented to you ! and change the variables to test! the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP butkinik@msu.edu
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
Stories?Facts?
OR
Stories?Facts?
OR
Why?
What If?
Embrace Technology
poll everywhere
SIM
SIM“It’s ok if you make mistakes and Kill me….”
Bring SIM to the Student
Ultrasound Selfie?
Be Brave!
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Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Which one are You?
Praise Outcomes
Praise Process
OR
Praise Outcomes
Praise Process
OR
“You must be smart…”
“You must have worked really hard…”
OR
Which test? Challenging?
or Easy?
”Must be smart” = Easy test
”worked hard” = Challenging test
Later Given the Same difficulty test
“smart” = 20% decrease
”worked hard” = 30% increase
Praise Answers?
Look smart
Praise Answers?
Look smart
Praise Answers?
Word Associate
Look smart
Praise Answers?
Hide Learning GapsWord Associate
Look smart
Praise Answers?
Avoid RisksHide Learning Gaps
Word Associate
Look smart
Praise Answers?
Avoid RisksHide Learning Gaps
Exacerbate Discouragement
Word Associate
Praise Process
Value Concepts
Praise Process
Value Concepts
Praise Process
DeeperUnderstanding
Value Concepts
Praise Process
Power of Perseverance
DeeperUnderstanding
Value Concepts
Praise Process
Power of Perseverance
DeeperUnderstanding
Take Chances
Value Concepts
Praise Process
Power of Perseverance
DeeperUnderstanding
Life-Long LearnerTake Chances
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Mistakes Happen
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Can you believe they pay us to do this?
G.O.A.T.?
`
Break for
Questions?
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
$%&*#@!
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