Neher: Teach General Rules
Through the first two steps, you have ascertained a learning gap around which you have something to teach - the teachable moment. Resist the temptation to teach everything you know about this topic; stick to a general rule that meets the learner's need. "Let's focus on what you identified as the issue here. When X happens, the literature suggests you should do Y." This model supports:
- Critical thinking
- Targeted exchange of information
- Greater interest in the material
- Greater motivation to learn
Teaching Tips
- Be clear and organized (e.g., "Based on your problem list, let's focus on...")
- Create a comfortable (positive) learning environment, whether in a patient's room, the hall, or a more private area.
- Demonstrate your own commitment to the learning process with thoughtful, directed comments
Goals
- The level of teaching is defined by the learner's need
- The content of material is defined by the teachable moment
- You can select the focus based on your strengths
Teaching Hints...
- Do not try to accomplish too much in a single teaching encounter - one targeted key point is ok.
- Be satisfied with small teaching achievements.
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The Five-Step Microskills of Clinical Teaching
Neher J, Stevens, N G (2003). The one-minute preceptor: Shaping the teaching conversation. Family Medicine, 36 (6); 391-393.