Coursera - Teaching and Assessing Clinical Skills

Doctors teaching Doctors
Term:
2014
Published:
October 6, 2014
Revised:
January 30, 2015

Clinical teaching takes place in the clinical setting for health professions. Clinical teachers have the challenging and meaningful responsibility to convey the bedside art and science of medical practice. This course will provide clinicians with the tools to improve their clinical teaching and assessment practices. This course provides instruction and experience for educating members of the health professions an asynchronous way to obtain, expand, and improve their clinical teaching skills. While many courses seek to build knowledge and knowledge application, this course will extend the application to performance- based skills. These skills can be applied within their own professional context, with a variety of learners, extending across many stages. We will ask you go out and apply the skills you are learning and then come back and reflect discuss with classmates.

Course Objectives

After completing this course, learners will:

  1. Learn a variety of applied teaching techniques
  2. Be able to have an effective feedback discussion
  3. Be able to orient the learner in their clinical setting
  4. Be able to analyze the RIME* level of the learner and share strategies for learner to improve
  5. Understand and apply entrustment and autonomy to effectively supervise and teach residents
  6. Share successful strategies in these areas
  7. Integrate these teaching and assessing strategies successfully in their clinical environment

Instructor: Sally Santen

Syllabus

Course Syllabus
Each section will be covered leading professors in the specific areas:

Week 1 - Feedback: Dr. Sally Santen (Assistant Dean of Educational Research and Quality Improvement, Associate Chair of Education, Department of Emergency Medicine, Professor, Department of Emergency Medicine and Learning Health Sciences) and Dr. Jocelyn Schiller (Clerkship Director, Associate Professor of Pediatrics and Communicable Diseases) from the University of Michigan Medical School

The content will cover

  • What is feedback?
  • Why should we provide feedback? Why is feedback difficult?
  • A model for providing feedback

Week 2 - Orienting your Learner: Dr. Jenny Christner (Associate Dean for Undergraduate Medical Education, Associate Professor of Pediatrics, Upstate Medical University, State University of New York) and Dr. Sally Santen

The content will cover

  • Why is orientation important?
  • A model for ORIENTing the learner
  • What belongs in orientation
  • Designing and providing orientation to your setting

Week 3 - Integration & Connection: Dr. Sally Santen

This is a period for catchup, reflection, integration and connection. It will include some discussion forums and specific times to connect in real time via social media (hang-out)

Week 4 - RIME* Model for Learner Assessment and Feedback: Dr. Jenny Christner and Dr. Sally Santen

The content will cover

  • What is RIME? (Reporter, Interpreter, Manager, Educator model from Dr Lou Pangaro)
  • RIME in use
  • How to incorporate RIME into your practice

Week 5 - How to Effectively Supervise and Teach Residents: Entrustment and Autonomy: Dr. Sally Santen and Dr. Meg Wolff (Assistant Fellowship Director, Assistant Professor of Emergency Medicine Pediatrics and Communicable Diseases) from the University of Michigan Medical School

The content will cover

  • What is entrustment?
  • Factors affecting entrsutment
  • Entrustment in practice
  • Tips to entrustment

Week 6 - Integration, Connection & Summation: Dr Sally Santen

This is a period for catchup, reflection, integration, connection and summation. It will include some discussion forums, specific times to connect in real time via social media (hang-out) and final action plans of how to move forward.

Recommended Background
The appropriate background is a health professional working with learners in the clinical environment. This course is provided by physicians and therefore aimed at physician learners. We think that the principles can be applied to all of the health professions.

Suggested Readings
In the reference section of each unit, you are provided a list of recommended/optional resources that you can use to enhance your learning on the topic. These materials are not required for your participation in the course.

Course Format
Because this course is trying to teach you skills the format is aimed towards. Each session has:

  1. Material to be learned
  2. A series of videos to apply the content with a debrief discussing the videos.
  3. At each step we will ask you to reflect on the material though a discussion board and respond to others posts. You are encouraged to participate in the Discussion Forums to further explore and develop your knowledge about the topic areas. We have created discussion forums corresponding to some of the video segments. You will be encouraged to participate in these discussion threads created by us as part of your planned activities for the course.
  4. In addition, we will provide several experts talking about their effective approaches
  5. Finally, we will ask you to go out and apply the skills, get some feedback, reflect on the process and through the workplace assessments (self assessment & reflection).

** This class will work best for you if you have a partner or a trio in your institution for you to work with. The course is designed to teach skills that are best learned with practice and feedback.  Therefore if you partner with a colleague to work on this course, you will learn more through your partener’s input and feedback.

About the Creators

Portrait of Sally Santen

Sally Santen

Sally Santen, M.D., Ph.D., is Assistant Dean for Educational Research and Quality Improvement in the Medical School and Associate Chair of Education in the Department of Emergency Medicine. She also is an Associate Professor of Emergency Medicine and Medical Education.
Her primary work is in the Medical School, where she leads curriculum development, and student assessment and evaluation, in addition to leading the Emergency Medicine educational mission with fellows, residents and students. Her areas of research include assessment, evaluation, burnout, resiliency and entrustment. more...

Doctors teaching Doctors
Term:
2014
Published:
October 6, 2014
Revised:
January 30, 2015

Lectures

Document Title Creator Downloads License

01.00 - Unit 1 Introduction

Sally Santen

01.01 - What is Feedback

Sally Santen

01.02 - What is Important About Feedback

Sally Santen

01.03 - What is Difficult About Feedback

Sally Santen

01.04 - Pediatrics History - Taking Feedback

Sally Santen

01.05 - Debrief of Pediatrics History

Sally Santen

01.06 - RIME and ACGME

Sally Santen

01.07 - Providing Feedback

Sally Santen

01.08 - Debrief of Providing Feedback

Sally Santen

01.09 - Wrap Up Video Discussion

Sally Santen

01.10 - How to Provide Feedback

Sally Santen

01.11 - Lumbar Puncture Procedure Roleplay

Sally Santen

01.12 - Debrief of Lumbar Puncture Video

Sally Santen

01.13 - Anesthesia Case Feedback

Sally Santen

01.14 - Debrief of Anesthesia Case Feedback

Sally Santen

01.15 - Wrap Up

Sally Santen

02.00 - Introduction

Sally Santen

02.00 - Unit 2 Introduction

Sally Santen

02.01 - Orienting Your Learner

Sally Santen

02.02 - Orienting the Learner - Student Perception

Sally Santen

02.03 - Model for ORIENTing the Learner

Sally Santen

02.04 - Vignette: Orientation to Clinic

Sally Santen

02.05 - Debrief of Orientation

Sally Santen

02.06 - Vignette: Orientation to Clinic 2

Sally Santen

02.07 - Debrief of Orientation 2

Sally Santen

03.00 - Unit 3 Introduction

Sally Santen

03.01 - What is RIME?

Sally Santen

03.02 - Patient With Abdominal Pain

Sally Santen

03.03 - Pediatric Case

Sally Santen

03.04 - Smoking Counseling

Sally Santen

03.05 - Chest Pain Case

Sally Santen

03.06 - Another Patient With Chest Pain

Sally Santen

03.07 - Young Woman With Chest Pain and Shortness of Breath Case

Sally Santen

03.08 - Patient With Hand Pain

Sally Santen

03.09 - How to Incorporate RIME in Your Practice

Sally Santen

04.00 - Unit 4 Introduction

Sally Santen

04.01 - What is Entrustment

Sally Santen

04.02 - Entrustment from Resident's Perspective - Dr. Josh Glazer's first experience

Sally Santen

04.03 - Entrustment from Resident's Perspective - Dr. Josh Glazer's second experience

Sally Santen

04.04 - Entrustment from Resident's Perspective - Dr. Ashley Pavlic

Sally Santen

04.05 - Faculty Factors Affecting Entrustment

Sally Santen

04.06 - Other Factors Affecting Entrustment

Sally Santen

04.07 - Entrustment in Vitro

Sally Santen

04.08 - Josh and Emily

Sally Santen

04.09 - Debrief of Josh and Emily

Sally Santen

04.10 - Joe and Morgan

Sally Santen

04.11 - Debrief of Joe and Morgan

Sally Santen

04.12 - Emily and Morgan Evaluating Patient with Chest Pain

Sally Santen

04.13 - Debrief of Chest Pain - Emily and Morgan

Sally Santen

04.14 - Melissa and Emily and Pediatric Resuscitation

Sally Santen

04.15 - Debrief of Emily and Melissa

Sally Santen

04.16 - Bedside Rounds

Sally Santen

04.17 - Debrief of Bedside Rounds

Sally Santen

04.18 - Rounds 2

Sally Santen

04.19 - Ben and Team CPR

Sally Santen

04.20 - Debrief of Ben and Team CPR

Sally Santen

04.21 - How Do We Entrust?

Sally Santen

04.22 - Dr. Andy Oden

Sally Santen

04.23 - Dr. Meg Wolff

Sally Santen

04.24 - Dr. Michelle Caird

Sally Santen

04.25 - Tips to Entrustment

Sally Santen
Doctors teaching Doctors
Term:
2014
Published:
October 6, 2014
Revised:
January 30, 2015

Unit 1 - Providing Feedback

Document Title Creator Downloads License

01.00 - Unit 1 Introduction

Sally Santen

01.01 - What is Feedback

Sally Santen

01.02 - What is Important About Feedback

Sally Santen

01.03 - What is Difficult About Feedback

Sally Santen

01.04 - Pediatrics History - Taking Feedback

Sally Santen

01.05 - Debrief of Pediatrics History

Sally Santen

01.06 - RIME and ACGME

Sally Santen

01.07 - Providing Feedback

Sally Santen

01.08 - Debrief of Providing Feedback

Sally Santen

01.09 - Wrap Up Video Discussion

Sally Santen

01.10 - How to Provide Feedback

Sally Santen

01.11 - Lumbar Puncture Procedure Roleplay

Sally Santen

01.12 - Debrief of Lumbar Puncture Video

Sally Santen

01.13 - Anesthesia Case Feedback

Sally Santen

01.14 - Debrief of Anesthesia Case Feedback

Sally Santen

01.15 - Wrap Up

Sally Santen

Unit 2 - ORIENTing the Learner

Document Title Creator Downloads License

02.00 - Introduction

Sally Santen

02.00 - Unit 2 Introduction

Sally Santen

02.01 - Orienting Your Learner

Sally Santen

02.02 - Orienting the Learner - Student Perception

Sally Santen

02.03 - Model for ORIENTing the Learner

Sally Santen

02.04 - Vignette: Orientation to Clinic

Sally Santen

02.05 - Debrief of Orientation

Sally Santen

02.06 - Vignette: Orientation to Clinic 2

Sally Santen

02.07 - Debrief of Orientation 2

Sally Santen

Unit 3 - Using the RIME model

Document Title Creator Downloads License

03.00 - Unit 3 Introduction

Sally Santen

03.01 - What is RIME?

Sally Santen

03.02 - Patient With Abdominal Pain

Sally Santen

03.03 - Pediatric Case

Sally Santen

03.04 - Smoking Counseling

Sally Santen

03.05 - Chest Pain Case

Sally Santen

03.06 - Another Patient With Chest Pain

Sally Santen

03.07 - Young Woman With Chest Pain and Shortness of Breath Case

Sally Santen

03.08 - Patient With Hand Pain

Sally Santen

03.09 - How to Incorporate RIME in Your Practice

Sally Santen

Unit 4 - Entrustment and Autonomy

Document Title Creator Downloads License

04.00 - Unit 4 Introduction

Sally Santen

04.01 - What is Entrustment

Sally Santen

04.02 - Entrustment from Resident's Perspective - Dr. Josh Glazer's first experience

Sally Santen

04.03 - Entrustment from Resident's Perspective - Dr. Josh Glazer's second experience

Sally Santen

04.04 - Entrustment from Resident's Perspective - Dr. Ashley Pavlic

Sally Santen

04.05 - Faculty Factors Affecting Entrustment

Sally Santen

04.06 - Other Factors Affecting Entrustment

Sally Santen

04.07 - Entrustment in Vitro

Sally Santen

04.08 - Josh and Emily

Sally Santen

04.09 - Debrief of Josh and Emily

Sally Santen

04.10 - Joe and Morgan

Sally Santen

04.11 - Debrief of Joe and Morgan

Sally Santen

04.12 - Emily and Morgan Evaluating Patient with Chest Pain

Sally Santen

04.13 - Debrief of Chest Pain - Emily and Morgan

Sally Santen

04.14 - Melissa and Emily and Pediatric Resuscitation

Sally Santen

04.15 - Debrief of Emily and Melissa

Sally Santen

04.16 - Bedside Rounds

Sally Santen

04.17 - Debrief of Bedside Rounds

Sally Santen

04.18 - Rounds 2

Sally Santen

04.19 - Ben and Team CPR

Sally Santen

04.20 - Debrief of Ben and Team CPR

Sally Santen

04.21 - How Do We Entrust?

Sally Santen

04.22 - Dr. Andy Oden

Sally Santen

04.23 - Dr. Meg Wolff

Sally Santen

04.24 - Dr. Michelle Caird

Sally Santen

04.25 - Tips to Entrustment

Sally Santen