education learning style medical education
Regularly I write posts about medical education.Medical education is not alway fun. Female students suffer sexual harassment, during clerkship they sometimes have to stay late, which isn’t always such a good idea.
In my time most students dropped out at the first years. Don’t know if that is still the case. But how do you prepare your self for choosing med school?
MedSchool Hell has: 101 Things You Wish You Knew Before Starting Medical School.
- You won’t be a medical student on the surgery service. You’ll be the retractor bitch.
- Residents will probably ask you to retrieve some type of nourishment for them.
- Most of your time on rotations will be wasted. Thrown away. Down the drain.
- You’ll look forward to the weekend, not so you can relax and have a good time but so you can catch up on studying for the week.
- You’ll meet a lot of cool people, many new friends, and maybe your husband or wife.
- # If you piss off your intern, he or she can make your life hell. If your intern pisses you off, you can make his or her life hell.
- You’ll probably change your specialty of choice at least 4 times.
Very typical but sometimes true.
Patients participate in teaching students in many ways. For instance during lectures. We usually choose a patient very carefully trying to find someone that may even enjoy it. Before the lecture I will explain the purpose of the lecture, the questions I will most certainly be asking and the number of students and equipment used in order to prepare the patient. At the end of the demonstration I give the patient a small token of appreciation: a cup from the university or a pen, something small but with the logo on it. After the lecture I will again talk with the patient about the experience, see whether there are questions about the lecture or anything else and thank them.
According to this article on BBC NEWS HEALTH patients must participate:
At the moment, patients have to give explicit permission before medical students are allowed to become involved in their treatment or care.
What we are trying to do is move towards a situation where the default answer from a patient is ‘yes’
Professor Jim Parle, Birmingham University
The researchers said this should be replaced by a system that starts with the premise that there is no reason why students who are competent in carrying out a procedure, such as taking a blood sample, should not be doing so.
If you want patients to participate you should to my opinion fulfill the following conditions:
- Students should train with people who are as healthy as possible before moving to more vulnerable patients, a careful selection
- Consider some form of compensation. This could be in the sense of a small present, but there is also the question of financial compensation for these matters.
- Provide a controlled supervised environment. If one of the students is way out of line during the interview, arrives late or is deliberately not paying attention he has a huge problem with me.
- Consider videos, computerized systems, the use of models if possible.
- Patients must be able to draw personal boundaries, retain privacy and consider the risks and benefits of student participation in their care.
Watch out for these adverse effects
- Marginalization of the patient in the doctor’s duties
- Strain in the doctor patient relationship, as a patients who expects to see the doctor is instead seen by a student
- Exposure of the patient to potential harm, discomfort and invasion of privacy.
Arguments used to justify an obligation
- Patients may feel obliged out of simple pragmatism. Most people prefer a doctor who has learned skills in a supervised environment before they have to do it on their own.
- Necessity of participating in teaching, research and quality assurance because without this obligation the system would collapse. But the system could be set up in many different ways not always needing the participation of patients.
- If a student learns the procedure with a patient, then both the patient and future patients will benefit.
- Communitarian argument that as we all benefit from the presence of a medical system, we should all be prepared to contribute to it.
- Statements as: “well it is a teaching hospital after all”, are used to justify the notion that those who use the public hospital get something for nothing
There is no a convincing argument that patients have an obligation to participate in medical teaching.
The challenge for educators is to develop an authentic process of consent whereby the risk of student participation are acknowledged but contained, and whereby patient altruism is encouraged but not assumed
Patients don’t have an obligation they participate out of altruism.
You learn best when information is presented visually and in a written language format. In a classroom setting, you benefit from instructors who use the blackboard (or overhead projector) to list the essential points of a lecture, or who provide you with an outline to follow along with during lecture. You benefit from information obtained from textbooks and class notes. You tend to like to study by yourself in a quiet room. You often see information “in your mind’s eye” when you are trying to remember something.
Learning Strategies for the Visual/ Verbal Learner:
To aid recall, make use of “color coding” when studying new information in your textbook or notes. Using highlighter pens, highlight different kinds of information in contrasting colors.
Write out sentences and phrases that summarize key information obtained from your textbook and lecture.
Make flashcards of vocabulary words and concepts that need to be memorized. Use highlighter pens to emphasize key points on the cards. Limit the amount of information per card so your mind can take a mental “picture” of the information.
When learning information presented in diagrams or illustrations, write out explanations for the information.
When learning mathematical or technical information, write out in sentences and key phrases your understanding of the material. When a problem involves a sequence of steps, write out in detail how to do each step.
Make use of computer word processing. Copy key information from your notes and textbook into a computer. Use the print-outs for visual review.
Before an exam, make yourself visual reminders of information that must be memorized. Make “stick it” notes containing key words and concepts and place them in highly visible places –on your mirror, notebook, car dashboard, etc..
What I like about this survey is the practical and modern advice you get. I suggest all students in particular medical students should do the survey. It will deliver some new tricks and this survey is better than the surveys I did when being trained as a teacher.
These result probably also explain my interest in websites and good design as well as gadgets.