06-医院内教学幻灯片.ppt

Summary: A Three-Part Approach for Teaching in the Inpatient Setting总结：医院内教学三步法 Before the first day…在第一天开始之前 The first day… 第一天 Teaching sites… 教学地点 Teaching skills… 教学技巧 Tensions…压力 Evaluation评价 Transfer转诊 之前 之后 之中 * Teaching in the Inpatient Setting医院内教学 Linda Chan,MD Chris Place, MD Program Director HOPE Family Medicine Residency Program, Macau澳门希望住院医生培训项目主任 Assistant Clinical Professor 临床助理教授 Department of Family and Community Medicine Baylor College of Medicine, USA美国贝勒大学家庭及社区医学系 Objectives – By the end of this lecture the learner will…目的：在这个讲座结束时，学习者将会 Understand the importance of teaching in the inpatient setting.理解医院内教学的重要性 Identify unique aspects of teaching in the inpatient setting.识别医院内教学的独特性 Understand a three-part approach to inpatient teaching.理解医院内教学的“三步法” The Importance of Inpatient Teaching医院教学的重要性 For hospital-based learners 对医院为基础的学习者 For clinic-based learners 对门诊为基础的学习者 Historically and culturally here to stay 医院内教学已具有历史和文化的深厚根基 The unique aspects of inpatient teaching 医院内教学的独特的一面 Unique Aspects of Inpatient Teaching医院内教学独特的一面 Physical environment 物理环境 “Resident” “住院” Team dynamics 团队动力学 Consultants and specialists physically present or nearby 督导老师和专科医生的可及性 Spaces 空间 Hospital rooms 医院房间 Conference or meeting rooms 会议室 Others?其它 Interaction with families more likely 更有可能与家庭互动连接 Inpatient Versus Outpatient Teaching医院内和门诊教学的对比 Inpatient医院内 Outpatient门诊 Longer contact with patient 与病人接触时间更长 Shorter contact with patient 与病人接触时间短 Learners physically present longer (“resident”)学习者“呆”的时间长（住院） Learners come and go quickly 学习者来来往往 Team dynamic encouraged 鼓励团队合作 Team dynamic possible (but difficult)有可能有团队合作（但是很困难） Consultants/Specialists nearby 督导老师/专科师资就在旁边 Consultants/Specialists available 督导老师/专科师资的可及性 Long(er) presentations病例汇报更长 Short presentations病例汇报短 Spaces more and varied空间更多且变化 Usually one space for learning 学习通常只在一个空间下 Families and groups larger