SlideShare a Scribd company logo
“Don’t Be a Pimp!”
Pearls for Outstanding
Clinical Educators
J. Scott Wieters, M.D.
Assistant Professor Texas A&M HSC College of Medicine
Clerkship Course Director
Eternal Medical Student of the year....Forever
Baylor Scott & White Memorial Hospital
“Don’t forget
to teach the
medical
students!” :)
-jsw
Twitter @jscottwieters
QR code for copies of slides
https://www.slideshare.net/slideshow/embed_code/key/2YDdhzTQdzy8e
Will work
for
Conflict Of
interest
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Remember Being a Med Student?
7 San Antonio, TX Circa 1997
Go Teach Students!!!
It’s Not AboutYou…
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Get out your 

Cell phone
• Text a message to 37607
as the recipient
• To join the session, type
in “Wieters”
WietersWieters
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
2007 World Championship Gold
Bejing Olympics 2008
Connect
Your
Audience
Diagnose
Your Learner
Expectations
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Information, Knowledge, Skills
Promote Knowledge Transfer
Sniper? or Shotgun?
Avoid Overload
Seven
867-5309
Four is the new Seven
One Minute Preceptor!
Conditional !
Knows when to use
procedural knowledge!
Procedural! Procedural!
Applies declarative
knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##
What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#
What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#
Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #
Now#go#read#up#on…#
Aunt Minnie Model:!
If you see yourself recognizing a pattern POINT !
IT OUT!!
Serious!
Probable!
Interesting!
Treatable!
What if....!
Take the case presented to you !
and change the variables to test!
the resident’s prediction!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%
model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%
S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
www.emrapee.com%Episode%4%July%2009.%
Amal%Mattu%
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%
The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%
Adolesc%Med.%153.%Feb%1999%
SPIT!
CORD Academic Assembly April 13-16 2015!
‘Bedside Teaching: Why Pimping is Bad’!
Nikolai Butki DO, MPH, FACOEP, FACEP butkinik@msu.edu
Michigan State University College of Osteopathic Medicine
McLaren Oakland, Pontiac, MI
One Minute Preceptor!
1.#Get#a#commitment##
What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#
What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#
Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #
Now#go#read#up#on…#
Serious!
Probable!
Interesting!
Treatable!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step
model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%19
S44:53%
http://www.youtube.com%%%search:%one%minute%prec
SPIT!
McLaren Oakland, Pontiac, MI
One Minute Preceptor!
1.#Get#a#commitment##
What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#
What#makes#you#think#that?#
3.#Teach#general#rules#
4.#Reinforce#what#was#right#
Specifically#you#did#a#good#job#at….#
5.#Correct#mistakes# #
Now#go#read#up#on…#
Aunt Minnie Model:!
If you see yourself recognizing a patt
IT OUT!!
erious!
robable!
nteresting!
reatable!
Neher%JO,%Gordon%KC,%Meyer%B,%Stevens%N.%A%8ive:step%“microskills”%
model%of%clinical%teaching.%%J%Am%Board%Fam%Pract.%1991;%5%(1%Suppl):%
S44:53%
http://www.youtube.com%%%search:%one%minute%preceptor%
Cunningham%AS,%Blatt%SD,%Fuller%PG
The%Art%of%Precepting.%Socrates%or%A
Adolesc%Med.%153.%Feb%1999%
IT!
One Minute Preceptor!
Conditional !
Knows when to use
procedural knowledge!
Procedural! Procedural!
Applies declarative
knowledge to a process!
Declarative! Declarative! Declarative!
1.#Get#a#commitment##
What#do#you#think#is#going#on?#
2.#Probe#for#suppor<ng#evidence#
What#makes#you#think#that?#
Aunt Minnie Model:!
If you see yourself recognizing a pattern POINT !
IT OUT!!
What if....!
Take the case presented to you !
and change the variables to test!
the resident’s prediction!
Cunningham%AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%
The%Art%of%Precepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%
Adolesc%Med.%153.%Feb%1999%
sembly April 13-16 2015!
s Bad’!
EP butkinik@msu.edu
College of Osteopathic Medicine
, MI
nnie Model:!
rself recognizing a pattern POINT !
What if....!
Take the case presented to you !
and change the variables to test!
the resident’s prediction!
www.emrapee.com%Episode%4%July%2009.%
Amal%Mattu%
AS,%Blatt%SD,%Fuller%PG,%Weinberger%HL.%1999.%
cepting.%Socrates%or%Aunt%Minnie?%Arch%Pediatr%
153.%Feb%1999%
Stories?
Facts?
OR
Stories?
Facts?
OR
Why?
What If?
Embrace
Technology
poll everywhere
SIM
SIM“It’s ok if you
make mistakes
and Kill me….”
Bring SIM
to the Student
Ultrasound Selfie?
Be Brave!
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Which one are You?
Praise Outcomes
Praise Process
OR
Praise Outcomes
Praise
Process
OR
“You must be smart…”
“You must have worked
really hard…”
OR
Which test?
Challenging?
or
Easy?
”Must be smart” = Easy test
”worked hard” = Challenging test
Later Given the Same
difficulty test
“smart” = 20% decrease
”worked hard” = 30% increase
Praise Answers?
Look smart
Praise Answers?
Look smart
Praise Answers?
Word Associate
Look smart
Praise Answers?
Hide Learning Gaps
Word Associate
Look smart
Praise Answers?
Avoid Risks
Hide Learning Gaps
Word Associate
Look smart
Praise Answers?
Avoid Risks
Hide Learning Gaps
Exacerbate
Discouragement
Word Associate
Praise Process
Value Concepts
Praise Process
Value Concepts
Praise Process
Deeper
Understanding
Value Concepts
Praise Process
Power of
Perseverance
Deeper
Understanding
Value Concepts
Praise Process
Power of
Perseverance
Deeper
Understanding
Take Chances
Value Concepts
Praise Process
Power of
Perseverance
Deeper
Understanding
Life-Long Learner
Take Chances
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Mistakes Happen
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
Can you believe they
pay us to do this?
G.O.A.T.?
cid:1B7FEB36-2916-47C5-8542-06C8E1182F76
`
Break
for
Questions?
Engage and Inspire
Promote Knowledge Transfer
Connect Your Audience
Coach Not Referee
Embrace Mistakes
$%&*#@!
Twitter Email
@jscottwieters jswieters@sw.org
Twitter Email
@jscottwieters jswieters@sw.org

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