clinical education overview
TRANSCRIPT
Learning Objectives
• To Identify the sectors of clinical education
• To explain the aim of clinical education
• Identify and be able to briefly outline the challenges facing clinical education and how they relate to the socio-policial factors
Sectors of Clinical Education
• Undergraduate
• Postgraduate
• Career Professional Development
Aim of Clinical Education
• Knowledgeable
• Skilled
• Up to Date
The Challenges
Research: Conservatism vs Modernisation
Candidate Selection
Bedside Learning
“Medicine is learned by the bedside and not in the classroom. Let not your conceptions of disease come from words heard in the lecture room or read from the book. See, and then reason and compare and control. But see first.” – Sir William Osler
19th Century Surgery to 21rst CenturyA Tale of Complex Efficiency
Practice and Reality SIMULATION Vs. SAFETY
Not tolerating high error rates
Developing tracking mechanisms that expose errors.
Relying on the abundant reports of errors and "near misses.“
Thoroughly investigating errors, including a root causes analysis.
Applying to error reduction a systems approach that embraces a wide array of human factors, technical, and organizational remedies.
Focusing on systems solutions that do not seek to find individual fault and blame.
Changing Attititudes
Clinical Education
Patient Partnerships
Learning and safety
Competency
Developing Expertise
Rise of The Clinical Teacher
Hard Science Education
READING REFERENCES
Swanwick T (2014) Understanding Medical Education Evidence, Theory and Practice. 2nd Edition. Chapter 1 pg.3-5 Wiley Blackwell. MA, USA.
William Osler Qoute full qoute http://lifeinthefastlane.com/resources/oslerisms
Understanding medical error (1998) QuIC Report Accessed via http://archive.ahrq.gov/quic/report/mederr4.htm on the 07.10.2015
IMAGE REFERENCES• Aim of Ed
http://www.novalung.com/fileadmin/_migrated/pics/academy_collage_en.png
• Politics Image http://www.123rf.com/photo_9033698_politics-magnifying-glass-over-background-with-different-association-terms-vector-illustration.html
• Society https://www.indymedia.org.uk/images/2011/07/482135.jpg
• Med Ed http://kurdistantribune.com/wp-content/uploads/2013/08/love-medicine-2.jpg
• Changes https://leadershipcafedotorg.files.wordpress.com/2013/12/change-sign1.jpg
• Conservatism satire http://2.bp.blogspot.com/_dnnY20Bu_hM/TMNIqmO_RLI/AAAAAAAADbo/vFUVNun0-J4/s1600/liberal-conservative-partisan-complex-issues.png
• Recruitment stairs https://mettl.com/blog/wp-content/uploads/2014/01/BLOG-PROCESS2.jpg
• Recruitment selection http://www.visier.com/wp-content/uploads/2014/07/Recruitment-success.jpg
• Willian Osler https://upload.wikimedia.org/wikipedia/commons/thumb/2/2f/William_Osler_c1912.jpg/250px-William_Osler_c1912.jpg
• 1900 Operating Theatre Replica image http://static01.nyt.com/images/2014/08/03/arts/03KNICK1/03KNICK1-master675.jpg
• Old Surgical Tools adapted image from http://repository.countway.harvard.edu/xmlui/bitstream/handle/10473/1817/instrument_set.gif?sequence=2
• 21rst century medicine image http://www.beaulieu.ch/img/photos/actualites/chirurgie-robotisee/diaporama/image-standard.jpg
• 21rst century lap keyhole robot image http://www.infoniac.com/uimg/surgical-robot-davinci-top10.jpg
• 21rst century scrubs table with tools http://ultrasoundtechnicianexpert.com/wp-content/uploads/2014/06/Surgical-Technician-career.jpg
• Plane Simulator https://upload.wikimedia.org/wikipedia/commons/7/79/AC97-0295-13_a.jpeg
• Caution Ahead Word Clipart • Science and Humanities http://
duckofminerva.com/wp-content/uploads/2015/04/science-vs-humanities.jpg