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Module 6: Teaching in the Ambulatory Setting
Daily Routines
Having a regular clinic routine with a learner present requires planning.
The presence of a general framework will help put the learner at ease and
assist him/her in fitting into the flow of the clinic. Generally, you and
the learner may initially interact with the patient together with appropriate
introductions and an explanation of the learner's role. What parts of the
teaching interaction between the student/resident may be done in the presence
of the patient is a decision made by the preceptor. As the preceptor becomes
more familiar with the skill level of the student/resident, the degree of
freedom depends of the learner's experience, level of comfort with patient
care and your perceptions of his/her competence.
David Pascal is a fourth year student
taking his last required clerkship with you. Kimberly Kline is a third year
student taking her first clerkship block. Dwight Wong has had three required
clerkships. How would you conduct the orientation and plan for teaching?
Obviously, Kimberly needs a more detailed orientation and may not be ready to
interact with the patient alone. David has fulfilled all but his last
clerkship and should be much more comfortable interacting with patients.
David is somewhere in the middle since he has had three clerkships and should
have gained experience, knowledge and confidence. A discussion of expectations
(yours and theirs) is appropriate for all three students. An orientation to
the clinic, the staff and the routines would be helpful in making all of the
students comfortable in the clinic.
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