Individual Teachings

Internal Medicine Teaching Team Co-Preceptor

  • Number and experience of learners: One
  • Experience of learners: Student was on her 3rd pharmacy rotation of P4 year
  • Date/setting/length: August 2nd - August 31st, 2017; Setting was at CAVHS mostly in the resident office and on internal medicine rounds; Length of teaching was 1 month
  • Preparation time involved: This teaching did not require preparation time and was more "on the job" learning.
  • Participants comfort level in leading the activity: This was my first experience co-precepting a student and it occurred during my first learning experience of residency. I had no prior experience in this area. I found that coming up with ideas/tasks for the student and setting aside specific time to teach was the most difficult part of this teaching activity.
  • Teaching/assessment materials used: Patient charts and medication lists
  • Methods for assessing learners understanding: Allowed student to ask questions daily, asked the student questions regarding medication therapy, and made an evaluation for the student at the end of the month
  • Teaching goal/s addressed: 1,2, and 3
  • Reflection of teaching experience: This was my first student to co-precept and this teaching experience also took place during my first rotation of residency. I was very nervous entering into this role so early in residency. I gave the student tasks and aspects to build upon each week, for example, working up 3 patients the first week and working up half of the team the last week, and this worked well to keep the student growing in their clinical abilities each week. Throughout the month, I was unsure of how to make time for required daily activities as well as setting aside separate time to teach and do topic discussions with the student. I also would have liked to teach the student more over the course of the month.
  • Student Evaluation of Internal Medicine Rotation

"Bugs and Drugs" Topic Discussion

  • Number and experience of learners: Two
  • Experience of learners: Students were towards the beginning of their P4 year pharmacy rotations
  • Date/setting/length: September 2017; Setting was at CAVHS in the resident's office; Length of teaching was 1 hour
  • Preparation time involved: 2 hours
  • Participants comfort level in leading the activity: This was my second time to lead a topic discussion with P4 students, so I was more comfortable with time activity compared to the first topic discussion I led. I have an interest in Infectious Disease, which made me even more interested in the teaching activity. Lastly, this teaching activity included a very small group of students, which I was comfortable with.
  • Teaching/assessment materials used: Used interactive “games” and example patient cases
  • Methods for assessing learners understanding: Made evaluations for students, students had the opportunity to ask questions at the end of the topic discussion, matching game made for students
  • Teaching goal/s addressed: 2 and 3
  • Reflection of teaching experience: During this topic discussion, I incorporated an interactive, fill in the blank/matching game for students to engage them more in the discussion. Throughout the discussion, the students said "I don't know" to a lot of the questions and instead of coming up with follow up questions for them to think through, I ended up giving them the answer, which is not something I want to do in the future. The biggest challenge in leading this topic discussion was keeping the students engaged throughout the whole discussion, so it may have been beneficial to do part of the worksheet at the beginning of the session and the other part at the end.
  • Bugs & Drugs Worksheet

Pain and Palliative Co-Preceptor

  • Number and experience of learners: One P4 student
  • Date/setting/length: November 2nd - 30th, 2017; Setting was at CAVHS in the resident's office, the palliative care unit, and the outpatient pain clinic; Length of teaching was 1 month
  • Preparation time involved: This teaching did not require preparation time and was more "on the job" learning.
  • Participants comfort level in leading the activity: This was my third experience co-precepting a P4 student and I had more experience in this area than at the beginning of residency. I asked my preceptor if I could take on more of a primary preceptor role to become even more comfortable in this area. As with other times co-precepting, the most difficult part was coming up with new ideas for the student and setting aside time to teach outside of topic discussions and on rounds.
  • Teaching/assessment materials used: Patient charts and medication lists, topic discussions with student, in-service, asking the student for feedback and providing feedback to the student
  • Methods for assessing learners understanding: Progress throughout the month, midpoint and final evaluation, allowing the student to ask questions daily
  • Teaching goal/s addressed: 1,2, and 3
  • Reflection of teaching experience: This experience involved my third and last student to co-precept during my residency year. I took on more of the "primary" preceptor role, which I had not done with previous students and challenged the student to work up more patients and look at them more in detail each week. As with my previous co-precepting experiences, I would have liked to set aside more time to spend teaching the student in a one-on-one environment. However, I found out the student's interests early on in the rotation and let the student focus more on those aspects. For example, the student was interested in the outpatient clinic over inpatient rounding, so I allowed him the opportunities to partake in clinic as much as possible.
  • Pain Palliative Evaluation

Patient Counseling over Diabetes Management

  • Number and experience of learners: One
  • Experience of learners: Patient at CAVHS with history of diabetes
  • Date/setting/length: April, 2018; Setting was at CAVHS in preceptor's office; Length of teaching was ~30 minutes
  • Preparation time involved: ~30 minutes
  • Participants comfort level in leading the activity: Felt comfortable in counseling the patient as throughout residency year I have grown more comfortable in patient counseling and communication
  • Teaching/assessment materials used: Went over handouts regarding hypoglycemia and how to treat it, proper way to inject insulin, and amount of carbohydrates recommended for meals and snacks as well as examples of carbohydrate containing foods
  • Teaching goal/s addressed: 2 and 3
  • Reflection of teaching experience: This experience took place towards the end of my residency year and at this point I was comfortable in leading counseling sessions with patients. However, I did not have much experience with diabetes mellitus management throughout residency, so I was not as confident in leading this session as I had been with other patient encounters. To overcome this, I printed off various resources for the patient to have that included treatment of hypoglycemia, diet recommendations, and insulin injection technique and I discussed each handout with the patient. The most difficult part of this counseling session was delivering blunt news to the patient and this is something that I want to improve on. For example, the patient had a hemoglobin A1c of 14.4% and it was challenging for me to tell the patient the consequences of an elevated hemoglobin A1c without "sugar coating" it. At the end of the session, I allowed the patient to ask questions and could tell through the questions asked and participation throughout the discussion that he was receptive to our discussion and learned more about his disease state as a result.