External and internal correlates of teachers' satisfaction and willingness to report stress.
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Biomedical subjects
Publications and source records attributed to J Smilansky.
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Seventeen randomly selected clinical teaching sessions in a medical school clerkship were videotaped during a one-month period, including teaching rounds, working rounds, morning report sessions, lectures, patient management conferences, grand rounds, and journal clubs. Using a verbal behavior classification schedule, the investigators analyzed the videotapes in terms of the proportion of talking done by clerkship instructors, medical students, residents, and others. The nature of the verbal interaction was examined by assessing the proportion of time devoted to giving information versus asking questions. The proportions on these dimensions were further analyzed according to the cognitive level of the verbal interaction. The data suggest that the teaching observed was not optimal for promoting problem-solving ability, since students were placed in a very passive role in which they received a preponderance of low-level, factual information.
This article describes a teaching technique which provides an alternative to the usual case presentation for teaching small groups. In this method the instructor plays a patient, an intern, and a laboratory technician, while a group of students play the role of physicians. Students have the opportunity to deal with a combination of medical and psychosocial problems, demonstrate their ability to interact with patients, and discover that in the total clinical process a correct diagnosis is only one step toward solving the patient's problem. This technique allows the instructor to teach material not found in standard texts, assess students' problem solving efforts, and observe student interaction. Other advantages of this method are that it involves a group of students in "live" interaction with a patient and various members of the healthcare team. The instructor can also observe the thought processes of students during their interaction around a case paralleling what one typically faces in a clinical setting.
This paper describes an analysis of videotaped segments of a medical school clerkship. The purpose was to quantify variables critical to clinical teaching such as the ratio of instructor to student talk and the nature of their verbal interactions.
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The programme described here concentrated on improving the lecture skills of medical teaching staff in a single department. The training format for this programme included videotaping faculty lectures, providing written feedback, and formal training sessions. As a result of participating in this programme members of teaching staff felt that their lecture skills had improved and wanted additional training in other areas of education. The significance of the programme rests not only with its impact on the staff of this specific department but in its being a pilot of an approach to teacher development utilizing an exclusively self-instructional format.