don't be a pimp

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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

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Page 1: Don't Be A Pimp

“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

Page 2: Don't Be A Pimp

QR code for copies of slides

https://www.slideshare.net/slideshow/embed_code/key/2YDdhzTQdzy8e

Page 3: Don't Be A Pimp

Will work for

Conflict Of interest

Page 4: Don't Be A Pimp
Page 5: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 6: Don't Be A Pimp

Remember Being a Med Student?

Page 7: Don't Be A Pimp

7 San Antonio, TX Circa 1997

Page 8: Don't Be A Pimp

Go Teach Students!!!

Page 9: Don't Be A Pimp

It’s Not About You…

Page 10: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 11: Don't Be A Pimp

Get out your Cell phone

• Text a message to 37607 as the recipient

• To join the session, type in “Wieters”

WietersWieters

Page 12: Don't Be A Pimp
Page 13: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 14: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 15: Don't Be A Pimp

2007 World Championship Gold

Page 16: Don't Be A Pimp

Bejing Olympics 2008

Page 17: Don't Be A Pimp

Connect Your

Audience

Page 18: Don't Be A Pimp
Page 19: Don't Be A Pimp
Page 20: Don't Be A Pimp

DiagnoseYour Learner

Page 21: Don't Be A Pimp
Page 22: Don't Be A Pimp

Expectations

Page 23: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 24: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 25: Don't Be A Pimp

Information, Knowledge, Skills

Promote Knowledge Transfer

Page 26: Don't Be A Pimp

Sniper? or Shotgun?

Page 27: Don't Be A Pimp

Avoid Overload

Page 28: Don't Be A Pimp

Seven867-5309

Page 29: Don't Be A Pimp

Four is the new Seven

Page 30: Don't Be A Pimp
Page 31: Don't Be A Pimp
Page 32: Don't Be A Pimp

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 [email protected]

Michigan State University College of Osteopathic Medicine

McLaren Oakland, Pontiac, MI

Page 33: Don't Be A Pimp

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 [email protected]

Michigan State University College of Osteopathic Medicine

McLaren Oakland, Pontiac, MI

Page 34: Don't Be A Pimp

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 [email protected]

Michigan State University College of Osteopathic Medicine

McLaren Oakland, Pontiac, MI

Page 35: Don't Be A Pimp

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 [email protected]

Michigan State University College of Osteopathic Medicine

McLaren Oakland, Pontiac, MI

Page 36: Don't Be A Pimp

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 [email protected]

Michigan State University College of Osteopathic Medicine

McLaren Oakland, Pontiac, MI

Page 37: Don't Be A Pimp

Stories?Facts?

OR

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Stories?Facts?

OR

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Why?

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What If?

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Embrace Technology

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poll everywhere

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SIM

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SIM“It’s ok if you make mistakes and Kill me….”

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Bring SIM to the Student

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Ultrasound Selfie?

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Be Brave!

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Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 55: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 56: Don't Be A Pimp

Which one are You?

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Praise Outcomes

Praise Process

OR

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Praise Outcomes

Praise Process

OR

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“You must be smart…”

“You must have worked really hard…”

OR

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Which test? Challenging?

or Easy?

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”Must be smart” = Easy test

”worked hard” = Challenging test

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Later Given the Same difficulty test

“smart” = 20% decrease

”worked hard” = 30% increase

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Praise Answers?

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Look smart

Praise Answers?

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Look smart

Praise Answers?

Word Associate

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Look smart

Praise Answers?

Hide Learning GapsWord Associate

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Look smart

Praise Answers?

Avoid RisksHide Learning Gaps

Word Associate

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Look smart

Praise Answers?

Avoid RisksHide Learning Gaps

Exacerbate Discouragement

Word Associate

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Praise Process

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Value Concepts

Praise Process

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Value Concepts

Praise Process

DeeperUnderstanding

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Value Concepts

Praise Process

Power of Perseverance

DeeperUnderstanding

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Value Concepts

Praise Process

Power of Perseverance

DeeperUnderstanding

Take Chances

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Value Concepts

Praise Process

Power of Perseverance

DeeperUnderstanding

Life-Long LearnerTake Chances

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Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 77: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

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Mistakes Happen

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Embrace Mistakes

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Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

Page 82: Don't Be A Pimp

Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

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Can you believe they pay us to do this?

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G.O.A.T.?

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cid:1B7FEB36-2916-47C5-8542-06C8E1182F76

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`

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Break for

Questions?

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Engage and Inspire

Promote Knowledge Transfer

Connect Your Audience

Coach Not Referee

Embrace Mistakes

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$%&*#@!

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Twitter Email@jscottwieters [email protected]

Page 97: Don't Be A Pimp

Twitter Email@jscottwieters [email protected]