Presentations
Presentations
Presentations
- No tags were found...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
www.downstatesurgery.orgAnswer the questions:• Why do we think a new approach toteaching medical students is even needed?• How do I implement this?• Does it work?• What are the benefits of this curriculum?
www.downstatesurgery.orgWhy did we think a new approach toteaching medical students was evenneeded?
www.downstatesurgery.orgResidents are already teaching• “Clinical Assistant Instructors”• This curriculum is meant to augment orassist in already developed teachingstyles.
www.downstatesurgery.org3 reasons residents cite forNOT teaching effectively:TimeconstraintsStudents seemunmotivatedUnclear goals“We are forced to cram patientcare duties into fewer hours, sowe got rid of teaching.”“It’s only the first week and wehave 12 weeks to study.”“What topics are appropriate toteach medical students?”
www.downstatesurgery.org3 Steps to implementationAssign Present Discuss
www.downstatesurgery.org
www.downstatesurgery.orgGeneral Surgery TopicsGENERAL SURGERYWound HealingPerioperative managementSurgical infectionsFluid and electrolytesAppendicitisSmall bowel obstructionDiverticular diseaseGallstone diseasePancreatitisHerniasBleeding/Coagulation cascadeSurgical nutritionBreast cancerPeripheral Vascular diseaseColorectal polyps and cancerAnal cancerPerianal infectionsHemorrhoidsInflammatory bowel diseaseColonic obstruction and volvulusAneurysmsCarotid diseaseSeptic ShockVentilator management, acid/baseThyroid carcinomaPheochromocytomaPortal hypertensionChronic liver disease scoresMENDisorders of splenic function
www.downstatesurgery.orgSICU TopicsSICUWound HealingPerioperative managementSurgical infectionsFluid and electrolytesVentilator Modes & ExtubationInvasive Monitoring in the ICUSurgical NutritionManagement of ARDSUse of pressors in the ICUSepsisManagement of Renal FailureHematological Disorders in the ICUAbdominal Compartment SyndromeManagement of TachycardiasEnd Points of RescusitationManagement of Liver FailureEndocrine DysfunctionTraumatic Brain InjuryShockVentilator Associated PneumoniaAcid Base DisordersMultiple Organ DysfunctionAirway Management
www.downstatesurgery.org
www.downstatesurgery.org
www.downstatesurgery.orgMaySUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY5 6 7 8 9 10 11Infections/Fluids &ElectrolytesAppendicitis/SBOWound/Diverticular dzGallstone dz/Pancreatitis12 13 14 15 16 17 18Hernias/PerioperativeBleeding/CoagulationNutrition/Breast caPVD/Colorectal19 20 21 22 23 24 25Anal ca/PerianalinfectionsHemorrhoids/IBDColonic obs. &volvulus/AneurysmsCarotid dz/Septic Shock26 27 28 29 30 31Ventilator/acid/baseThyroid ca/PheoPortal HTN/Liver dz scoresMEN/Splenic d/o
www.downstatesurgery.org3 Steps to implementationAssign• 30predeterminedTopics• PretestPresentPresentDiscuss
www.downstatesurgery.orgWhat do I actually tell thestudents to do?• Oral presentation• No powerpoints!–Must be able to be given “on the fly”during rounds• May supplement with handout, butemphasize that you do NOT wantthem to simply read it.
<strong>Presentations</strong>• Strict time limit of 5 minutesper presentation• Have one student set a timerwith an alarm.www.downstatesurgery.org– Explain that this is not to rush thestudent, rather to teach them tobe concise.
www.downstatesurgery.orgDesignCore surgical topicsExplicit outline ofhow topics should becovered along with arecommendedtextbook (Lawrence)<strong>Presentations</strong>during morningrounds limited to 5mins with a timer
www.downstatesurgery.orgWhen and where?Bedside Rounds• Downstate General Surgery• KCHC GS/Trauma/SICU• RUMCI• BVAGroup Teaching• LICH General Surgery• UHB CT/Transplant/GS• <strong>Presentations</strong> may be given any time duringmorning rounds, or preferably whenrounding on a patient with relevantsymptoms or diagnoses
www.downstatesurgery.orgWhat if I’m interrupted?• PGY3/ PGY2 most important member of theteaching team• Can also take over if called to OR• Should be present during rounds anyway
www.downstatesurgery.orgBut doesn’t this mean a lot ofpreparation on my part?• NO!• We have made available a compilation ofthe most informative presentations,qbanks & topic schedules.http://www.downstatesurgery.org/forms.aspx• Chiefs can be easily refreshed just beforerounds or even during the studentpresentation!
The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again.www.downstatesurgery.orgPast Presentation Refresher
www.downstatesurgery.org3 Steps to implementationAssign• 30predeterminedTopics• PretestPresent• 5 minpresentations ondaily roundsDiscussDiscuss
www.downstatesurgery.orgDiscuss• No more than 3 minutes by chief• Adding relevant information• Correcting erroneous presentation data• Referencing a current patient on the floor• Likely exam questions
www.downstatesurgery.org3 Steps to implementationAssign• 30predeterminedTopics• PretestPresent• 5 minpresentations ondaily roundsDiscuss• Correct errors,add missedinformation,cite patients• Post test
www.downstatesurgery.orgDoes it work?
80706050403020www.downstatesurgery.orgSignificant improvement in preand post test scores10043.0 65.4Total p < 0.05
www.downstatesurgery.orgBetter results than when simplylistening to the chief!35Average Improvement in Scores30252015105015.3 26.2TotalAxis TitleMedicalStudentsChief p < 0.05
www.downstatesurgery.orgImproved Shelf Scores82807876747270686672.3 78.0ControlGroupTotalAxis TitleStudyGroupp < 0.05
www.downstatesurgery.orgStudents find it usefulStudent Ratings of Study Styles100%90%80%70%60%50%40%30%20%10%0%Curiosity improvedlearningInterested in surgicaltopicsExplaining topicsfocused studyingOutline of topicsfocused studyingPre-clerkship testfocused studying
www.downstatesurgery.orgAnd prefer it!50%45%40%35%30%25%20%15%10%5%0%Student #1 Ratings of Studying TechniquesPreparingpresentationsQuestions onroundsQuestion banksHearingpresentations
www.downstatesurgery.orgResidents Learned As Well807570656055504540353052.92 72.9PretestAxis TitlePosttest p < .05
www.downstatesurgery.orgBenefits for the teacher• Other than assigning the presentationsat the beginning of the month, no extrapreparation• Structured teaching plan with < 15 minper presentation day• Mentorship and Role modeling• Easy evaluation tool• Receive more positive student feedback
www.downstatesurgery.orgBenefits for the student• Structure to the clerkship• Have a list of topics to help directstudying, especially earlier in rotation• Improved knowledge base, presentationskills and shelf scores• More opportunity to interact with chiefresidents
www.downstatesurgery.orgBenefits for the program• Structured & disciplined surgical team• Highly motivated and dedicated residents& medical students• Better performance on the shelf andABSITE examinations• Excellent patient care
www.downstatesurgery.orgWhat came from this study?12 Podium presentations, 5 Manuscripts
www.downstatesurgery.orgFuture• Update and adjust curriculumyourself to meet specific needs• Continued research opportunity forcurrent residents and students
www.downstatesurgery.orgThank You• Dr. Alfonso• Dr. SchulzeResearch Group• Chris Turner• Mike Klein• Kaylene Barrera• Bethany Malone (MS3)• Keith Wirth (MS3)
www.downstatesurgery.orgQuestions?
Change language