Activity #10: Challenges to teaching-learning in the clinical setting

Clinical Teaching Challenges in Ophthalmology

Clinical Teaching Challenges in Ophthalmology

by Darby Santiago -
Number of replies: 4

Reflecting on my past experiences in the retina clinics, here are some of the challenges that I encountered:

1. Too many patients to see, leading to short period to time to teach the students. SOLUTION: try utilizing the one-minute preceptor technique.

2. Students present cases without having seen the retina of the patient with retinal disease! They join the clinic with little or experience performing funduscopy. It eats up a lot of time to just teach this skill. SOLUTION: Inform and encourage all students about to rotate to the retina clinic to perform funduscopy in the General Clinic on as many patients as they can. 

3. As the residents present all the new cases, the student just stand idly by on the side, listening to my discussion with the residents while he waits for his turn to present his case. I don’t even know if he understands what I have been discussing with the residents. SOLUTION: Ask the student to present his case first, so that he will be more relaxed while the rest of the cases are being presented. Tell the residents that the student must also know the gist of the other cases and read up a little bit on them while waiting for the consultant to arrive.

210 words

In reply to Darby Santiago

Re: Clinical Teaching Challenges in Ophthalmology

by Ellen Palomares -
Agree with you on the time constraints when balancing time between service and teaching. The one-minute preceptor is a high yield tool to use when pressed for time to teach students. Having simulation at our disposal, the students can either use a simulated patient OR practise fundoscopy on their classmates before coming to the clinics (as a form of flipped classroom). Actively engaging the students in the case discussion thru history/PE already ensures that you have their attention :)

79 words

In reply to Darby Santiago

Re: Clinical Teaching Challenges in Ophthalmology

by Jose Francisco -
Thank you Darby. I learned something new. Student presenting a case of a patient with retinal disease without seeing the retina is I think an example of the gap between classroom and clinics which we discussed at the start of the course.

42 words

In reply to Darby Santiago

Re: Clinical Teaching Challenges in Ophthalmology

by Dr. Gisel Catalan -
Student engagement is an art by itself and unfortunately not deliberately planned.

12 words

In reply to Darby Santiago

Re: Clinical Teaching Challenges in Ophthalmology

by Maria Elizabeth Grageda -
Those are good suggestions on ways the challenges can be overcome.

11 words