Enhancing Teaching Effectiveness and Vitality in the Ambulatory SettingKelley M Skeff, MD, PhD
The Stanford Method
Seven-component Framework to Enhance Teaching Effectiveness
1. Establishing a Positive Learning Climate
-Reflects the degree of stimulation, enthusiasm, comfort, and excitement
-Demonstrate enthusiasm for the content being taught and for teaching itself
-Assess if the setting is conductive to teaching
2. Control of the Teaching Session
-Task-management approaches a teacher uses to focus and pace a session
-Time is limited, need to organize the session to manage time well
-Focus on several areas including ongoing disease processes, cost of care, and health maintenance (outpatient). Also need to evaluate and supervise house officers. can’t focus on all aspects and need to respect the time limitations for learners and patients.
3. Communication of Goals
– Expectation setting: educational experiences they should have, attitudes, knowledge and skills that should be acquired.
– Define specific observable behaviors you’d like to see
4. Enhance Understanding and Retention
– Attitudes: learners should have opportunities to consider and discuss their present attitudes, conceptualize their role, and discuss and set their own goals in a supportive environment.
– Knowledge: present material in clear and organized manner, emphasize key points to be remembered, and actively involve the learner in the process.
– Formative evaluation – conducted throughout education experience – helps plan future education experiences to help the learn master desired goals
– Summative evaluation – assessing learners final competence.
– provide information to improve performance.
– inform, reinforce, or praise when performance is acceptable to excellent
– inform and constructively criticize when performance is needing improvement
– referencing stated expectations can provide the standard for feedback
– ensure time for feedback
7. Self-directed Learning