Teaching in the Moment:
The Microskills
Adopted from:
Neher JO, Gordon KC, Meyer B and Stevens N. A five-step "Microskills"
Model of Clinical Teaching. Journalof
the American Board of Family Practice. 5:419-424, 1992.
- Get a Commitment
Example-What do you think is going on with this
patient?
- Probe for Supporting Evidence
Example-How did you come to that conclusion?
- Teach General Concepts
Targeted to learner's gaps
- Tell Them What They Did Right
Reinforce good work-be specific!
- Correct Mistakes
Diagnosing the Learner
Asking a Good Question
- Remember to pause and wait for an answer!!
- Examples of questions related to:
Diagnosis-
How do you put it all together?
What else have you considered?
What fits and what doesn't?
Treatment-
What do you want to do for this patient?
How are you going to present this to the patient?
What are you concerned about?
Workup-
Do you want to order any tests? Why?
How will the results change your plans?
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