Monday, 11 February 2013

And we are off..... (PAL award update)


So, this week saw the start of our doc-to-doctor teaching sessions. It has been a long build up and so it felt great to finally put our preparation into action and get on with the reason doc-to-doctor was set up in the first place – to teach!

As chairman of the committee, I started the session with a brief introduction and then handed over to one of our tutors who gave a lecture on the basics of history taking and anatomical planes. We then divided the student cohort into small groups and spent the rest of the evening going through practice history taking sessions and short answer questions. Overall, the evening ran smoothly and I was really pleased with how things came together. The enthusiasm from the students was incredibly rewarding and reinforced my desire to get involved with peer assisted learning.

When it came to tackling the short answer questions, rather than just handing the question sheets out and expecting students to fill them in, I attempted to employ the techniques of Socratic questioning that we were introduced to during our PAL training sessions. I used each question as a starting point for a conversation and tried to encourage students to think more broadly about why the topic of the question was important and how it may link with other aspects of the medical course. Since it was the first time I have attempted such a thing, I really didn’t know how it was going to be perceived. I was worried that the students may find the approach tedious, so it was a relief to receive some positive feedback. The students told me that they much preferred the interactive discussion because it allowed them to appreciate different ways of looking at a particular problem and it forced them to consider more wide ranging implications. Other tutors reported similar findings and so this is certainly a skill that I shall work towards developing over the next sessions.

When it came to the practice history taking sessions, I acted out the role of a patient and the students took it in turns to take a history from me. They all observed each other taking the history and provided each other with positive and critical feedback. Acting as the patient rather than the person taking the clinical history was a novel experience. It offered me a new perspective on the doctor patient relationship and it showed me that by teaching others, you can really learn a lot yourself! As the patient, I was much more aware of the students’ body language and was able to think about how I could adapt my own when speaking with real patients to ensure that they feel comfortable.  I also became more aware of the need to respond to verbal and non-verbal cues given by the patient and how praise or a few supportive words can make a huge difference to a consultation. I aim to bear this in mind for my next round of clinical practice teaching blocks.

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