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Teaching in Clinical Settings

Published on Nov 23, 2015

Provides an introduction to the BDA and RIME frameworks and how to combine these to establish or clarify expectations for student participation in clinical encounters. Author: Karen Spear Ellinwood, PhD, JD, EdS, Director, Faculty Instructional Development, Residents as Educators Program; Assistant Professor, Department of Obstetrics and Gynecology, University of Arizona College of Medicine.

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1.

Teaching in Clinical Settings

A Structured Reflective Approach
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Integrating BDA & RIME

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BDA provides structure

for Teaching in Clinical Encounters
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4.

BEFORE
What do I want the learner to gain from participating in or observing this encounter?

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5.

DURING
What should the learner be doing during the encounter to achieve that objective?

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6.

DURING
What could I be doing during the encounter to help the learner achieve that objective?

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7.

AFTER
HOW should I follow up with the learner?

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8.

A Framework for Establishing

or Clarifying Learner Roles in Clinical Encounters
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9.

RIME

Reporter - Interpreter - Manager - Educators
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REPORTER
Gathers and reports pertinent information

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INTERPRETER

Analyzes & interprets information, determines relevance and application to patient's case

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MANAGER

Organizes & Prioritizes information; Develops & Implements plan of care

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13.

EDUCATOR

Explains the WHAT, HOW & WHY to patients, peers and supervising physicians

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Find Strategies Combining BDA & RIME at http://bit.ly/bda-rime

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References: BDA

  • Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.
  • Plack MM & Greenberg L. The Reflective Practitioner: Reaching for Excellence in Practice. Pediatrics 116(6), pp. 1546-1552; 2005.
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Reference: RIME

  • Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.
17.

Director, Faculty Instructional Development

Karen Spear Ellinwood, PhD, JD, EdS
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18.

FID.medicine.arizona.edu

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Karen Spear Ellinwood

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http://fid.medicine.arizona.edu