Weve all heard it:
____ One, _____ One, _____ One
Weve all heard it:
See One, Do One, Teach One
2
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Weve all heard it:
See One, Do One, Teach One
4
Weve all heard it:
See One, Do One, Teach One
Teaching Technical Skills: A Skill Itself
Kevin Kelly, MD MAJ, MC, USA Faculty Development Fellow
Take Home Points
Teaching technical skills is a skill itself Be consciously competent Use the five instructional phases
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Objectives:
Listed the psychomotor skills principles
Applied a 5 step method to teaching technical skills
Addressed teaching challenges
General Challenges
Increased societal expectations Condensed student experience Steep learning curve
Increased technology
Limited resources
Psychomotor Principles
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Psychomotor Principles
Read the definitions on cards as group
Arrange cards in an appropriate order
Psychomotor Principles
Conceptualization Visualization Verbalization Practice Correction and reinforcement Skill mastery Skill autonomy
Steps in Skill Mastery
Unconsciously incompetent Consciously incompetent Consciously competent Unconsciously competent
Steps in Skill Mastery
Unconsciously incompetent Consciously incompetent Consciously competent Unconsciously competent
Instructional Phases
1. 2. 3. 4. 5.
Overview Preceptor demonstration real time Preceptor performs with discussion Student talks through the skill Student performs the skill
George JH, Doto FX. A simple five-step method for teaching clinical skills. Fam Med 33;8:577-9.
Overview Phase
Why the skill is needed How the skill is used Emphasize the decision making process
Preceptor Demonstration
Real time demonstration Give student mental picture Student will reflect on this
Preceptor Performs with Discussion
Take time to describe each step Student sees how step fits in sequence Clarify steps if necessary
Student Talks Through the Skill
Student describes step by step Student visualizes skill and commits to memory Imprints steps in mind
Student Performs the Skill
Preceptor carefully observes Preceptor coaches or provides feedback as needed On a real patient or a simulator?
Task #1:
Apply 5-step method for a simple laceration repair Select at least one teacher Select at least one learner Select an evaluator Develop plan and record on handout
Example: Guitar
Challenges- hand stretch, pick control Overview- music term., guitar anatomy Real time demo Step-by-step demo - breakdown each note, finger transitions Student verbalizes Student performs with feedback
Task #1:
Apply 5-step method for a simple laceration repair Select at least one teacher Select at least one learner Select an evaluator Develop plan and record on handout
Task #2
Read Table 1
Task #3
Teacher(s), learner(s), and evaluator execute your roles
Prepare to share your experience
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Student Having Difficulty
Learner trait ability Inappropriate task description Inadequate demonstration Imprinting of previous incorrect performance Improper correction or reinforcement Affective factors Inaccurate learner perception
Objectives:
Listed the psychomotor skills principles
Applied a 5 step method to teaching technical skills
Addressed teaching challenges
Take Home Points
Teaching technical skills is a skill itself Be consciously competent Use the five instructional phases
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Discussion
