BDA Framework for Clinical Teaching (RAE 2016)

Published on Nov 19, 2015

This is a modified presentation of the BDA Framework for Clinical Teaching, offered as the RAE Orientation 2016. Poll Everywhere Questions and Exit Survey included. The BDA (Before, During, After) framework applies the concepts of Donald Schon (1993) regarding reflective engagement in professional practice and a guided approach to literacy development described by Vacca & Vacca (2008). This framework is used to teach faculty and residents how to teach in clinical settings, and was presented at the 2015 RAE Orientation, by Karen Spear Ellinwood, PhD, JD, Director, Faculty Instructional Development, Residents as Educators Program.

PRESENTATION OUTLINE

The BDA Framework

for Teaching in Clinical Settings

Key Points

  • Describe good teaching\teachers, challenges of teaching and issues of professionalism
  • Describe the BDA framework for teaching in clinical settings
  • Practice applying BDA to clinical teaching scenarios
  • Make a commitment to good teaching

Tell us! What's good teaching?

Photo by pipcleaves

What Challenges do you anticipate

in teaching medical students?

What do you think about when you hear

Unprofessional & Teaching in the same sentence?

Medical students need guidance in learning how to become physicians.

BDA Offers Structure for Clinical Teaching

Photo by thievingjoker

The Bottomline

Is the student just tagging along?
Photo by Joel Olives

Or, do they have a specific purpose before entering this room?

For Teaching and Learning

The BDA Framework

BEFORE

the clinlical encounter

Establish or clarify expectations

Identify roles or tasks that will support patient care

while creating a learning experience for students
Photo by HowardLake

Think about...

Photo by ancawonka

The demands of a particular clinical situation

Whether this student has the pertinent knowledge or skills to perform the task

Photo by crackdog

Challenge Students

It's always good to...
Photo by mathiasbaert

Not too great!

Be sure the challenge is...
Photo by Capt Acab

Knowledge Check BEFORE!

That's why we do a
Photo by mag3737

Encourage questions

Remember to...
Photo by Orin Zebest

DURING

the clinical encounter
Photo by phalinn

Strategic Autonomy

Provide opportunities for
Photo by mrsdkrebs

ASK YOURSELF...

Is the student demonstrating established expectations?

Photo by COMSALUD

Should I step in?

Photo by aldoaldoz

How could I assist the student's learning?

AFTER

the clinical encounter
Photo by jdlasica

Ask the student to present to you

Photo by Engin Erdogan

Invite the student to present to

the attending (as appropriate)

Have a conversation

Encourage students to ask questions or discuss issues that emerge from the experience

Photo by weesen

Offer Constructive Feedback! Remind students...

Say more than “good job” or “that could have been better” ...

Photo by mistergesl

Tell the student what they did well, and ...

you think so

Provide specific examples of behavior

Tell the student what they need to improve, and ...

performance could be improved

Provide specific examples of behavior...

Offer Guidance as to HOW students could improve

Photo by madichan

Identify resources for continued learning

Photo by Stéfan

How will you apply BDA?

How will you commit to good teaching?

Photo by thenext28days

Please give us Feedback!

Photo by Hatters!

References

  • Gaberson KB, Oermann MH & Shellenbarger T. Clinical Teaching Strategies in Nursing. Springer:NY; 2015.
  • Vacca RT and Vacca JL. Content Area Reading: Literacy and Learning Across the Curriculum. Boston: Pearson Publishers; 2005.

Untitled Slide

Photo by Ken Whytock

References

  • Plack MM & Santasier, LG. The Reflective Practitioner: Reaching for Excellence in Practice. Commentary, In Pediatrics. pp. 1545-1553; 2005.
  • Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

Karen Spear Ellinwood, PhD, JD

Director