Teaching

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Teaching Learning in Surgery

• www.jwrodneypeyton.com

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How Did We Get Here?

• Apprenticeship
• Tradition
• Textbooks
• Research/Papers
• Conferences
• Masculine energy

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New Professional Environment

• Rapid advances in knowledge
• New technologies
• Super-specialisation
• Recertification
• Day Procedures
• Volume of work
• Financial constraints
• Feminine energy

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New Social Environment

• EWTD
• Work/life balance
• Public expectations
• Aging population
• Social status
• Management Vs Administration

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Teaching Learning

• Historically
• Apprenticeship v Training Model

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Historic Function of the Teacher

• Role Model
• Demonstrator
• Assessor

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Who are the Learners?

• Mastership
• is in a specific context at a
• specific time

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Learners Shall Inherit the Earth

• Those who have learned will be
• beautifully equipped to live in a world
• which no longer exists.
• Eric Hoffer

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Training

• Practice Makes Perfect

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Training

• Practice Makes Perfect

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Training

• Practice Makes Permanent

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Training

• Competencies are Tools

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Training

• Perfect Practice Makes Perfect

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Training

• Perfect Practice Makes Perfect
• Apprenticeship

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Training Apprenticeship

• Perfect Practice Makes Perfect Performance

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Outcome of Learning

• Trained
• (knowledge skills)
• V
• Educated
• (attitude judgement)

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Teaching Learning

• Future Direction
• Training Apprenticeship
• (Fellowship)

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Learning Style

• Mediocrity
• Speed Entitl
  ement

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Learning Style

• Mediocrity
• Speed Give Up
  Entitlement

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Learning Style

• About Self Mediocrity
• Speed Give Up
  Entitlement

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Learning

• Cannot Learn Less
• Can Care Less

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Mastery

• You must be able to correct yourself without
  invalidating or condemning. Accept results and
  improve on them. Correct, dont protect.
  Correction is essential to power and mastery.
• Stewart Emery

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Learning Style

• Excellence
• Apprentice
  Correction/Improvement

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Learning Style

• Excellence
• Apprentice Step
  Up Correction/Improv
  ement

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Learning Style

• About Others Excellence
• Apprentice Step
  Up Correction/Improv
  ement

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Performance

• Dont do your best
• Do what has to be done

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Acquiring Competence

• Competence Trainer
• Trainee
• Time to Develop

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Syndrome

• Perceived /- witnessed threat to survival
• Perceived small act of kindness
• Perceived inability to escape
• Negative feelings towards others who try to help

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Stockholm Syndrome

• Perceived /- witnessed threat to survival
• Perceived small act of kindness
• Perceived inability to escape
• Negative feelings towards others who try to help

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Stockholm Syndrome

• Hostage situation
• Child abuse
• Battered/abused spouse
• The elderly
• Prisoners of War

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Stockholm Syndrome

• Hostage situation
• Child abuse
• Battered/abused spouse
• The elderly
• Prisoners of War
• Controlling/intimidating relationships

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Forms of Facilitation

• Modelling
• Scaffolding
• Coaching
• Mentor/collaborator
• Peer

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Roles of a Teacher

• Demonstrator
• Role Model
• Good Teacher
• Excellent Teacher
• Scholarly Teacher
• The Teaching Scholar

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Faculty Development

• On the Job Training/Assessment

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Faculty Development

• Sine Qua Non

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The Learning Pyramid
National Training Laboratories, Bethel, Maine, USA
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Conclusion

• Selection Aptitude/Attitude
• Appraisal to set objectives
• Competencies tools for the job
• Assessment performance on the job
• Faculty Development Sine Qua Non