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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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Macy Initiative on Health Communication
Division of Primary Care
NYU School of Medicine
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