Clinical Education Challenges and Strategies

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Clinical EducationChallenges and Strategies

• Synthesis of the Day

Wow! What a Day
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The Future is Now!

1. Envision the future and find solutions dont
   settle for status quo
2. Determine how technology can be used to enhance
   teaching and how teaching can be done in a
   variety of sites
3. Design clinical activities in a manner that
   clinical partners will value and provide students
   they will value

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Innovative Practices

• Gilberts 6040 rule we pay for the 60 really
  no idea who pays the 40
• Clinical Curriculum Technical competencies
  Clinical skills Professional skills
• BVAC bright, vocal, assertive and comm?

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Innovative Practices

• Must move beyond apprenticeship model
• Strategies
• Geographic mix of experience integrate urban,
  rural and remote
• Develop coherent placement strategy
• Education of practice educators
• Recognize and honour community partners
• Share best practices
• Stakeholder perspectives of costs and benefits
  are an essential pieces of the puzzle
• Partnering with cousin technologies is often
  worth the challenges
• Nothing like an outside perspective to build
  partnership

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Innovative Practices

• Action Calls
• National Planning agency under Fed/Prov/Terr
• Support Innovation
• HsPnet web enhanced application for
  coordinating and improving health science student
  placements e-mail model
• Support of Placement research critical
• Where does the clinical placement belong in a
  program no standard answer!
• Time to think outside the box

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Educational and Evaluation

• Using research, computer technology and testing
  for skill development and assessment
• Some stressors will always exist and there is
  little research on this
• Stress induced anxiety has a negative impact
• Neither training nor experience mediates impact
• Electronic log/tracking
• Enhanced understanding of individual student
  progress and achievements
• More timely and accessible information
  standardization of sign off trackability
  searchability immediacy etc.
• Results will lead to core preceptorship program
  changes
• Web CT allow coordination of multiple sites and
  coordination of multiple students
• Use the array of tools and options to the
  greatest extent
• Work on virtual clinical cases for use by the
  students
• Better student accessibility
• Allows for establishment of professional
  community

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Educational and Evaluation

• Using research, computer technology and testing
  for skill development and assessment
• Web CT allow coordination of multiple sites and
  coordination of multiple students
• Use the array of tools and options to the
  greatest extent
• Work on virtual clinical cases for use by the
  students
• Better student accessibility
• Allows for establishment of professional
  community

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Simulation

• Importance of assessing competency
• Entry to practice and Life Long Learning
• Benefits include hands on consequences of
  decisions, critical debriefing and repetition of
  challenge education/assessment of clinical
  preceptors
• The 6 Rs keep it real!
• Same Challenges Money, Time and Environment
  simulation is tool which can help

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Simulation

• The Goal should be Integrated simulation
  integrated disciplines and industry
• Allows for interactive design of learning needs
• Application and integration of Adult learning
  principles
• Students value the opportunity and the experience
• May assist in re-design length of clinical
  placements

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Final Thoughts
Change Agents and Innovators arent always
popular but they are necessary -

• Old Polish Proverb
• Always be prepared to feel like a flower in a
  field of onions