Continuous Adult Learning

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Continuous Adult Learning

• Robert K. Schneider, MD
• Departments of Psychiatry, Internal Medicine and
  Family Practice
• The Medical College of Virginia at
• the Virginia Commonwealth University
• Richmond, Virginia

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Continuous Adult Learning

• Continuous
• Information that influences regular behaviors
• NOT short term learning (cramming for tests)
• Half-life of information is short
• Adult
• Cant teach old dogs new tricks
• Windows of learning
• Learning
• Information and Evidence
• Skills and Behaviors

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UNCONSCIOUS COMPETENCE
CONSCIOUS COMPETENCE
CONSCIOUS INCOMPETENCE
UNCONSCIOUS INCOMPETENCE
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• Active Learning
• Uncomfortable
• Self Assessment
• Individual Learning Plan
• Multimodal/Multisensory Learning

• Passive Learning
• Comfortable
• External Assessment
• External Requirements
• Lectures/Highly Structured CME

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Passive Learning
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Active Learning
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Why bother?

• Youre going to spend the time anyway?
• Its good for your patients
• Its fun
• well most of the time

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Goals for this morning

• Dont drool
• Individualized Learning Plan
• Teachers
• YODAs
• Coach-Mentors
• Personal Libraries

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Individualized Learning Plan

• Self Assessment
• Conscious Incompetence
• Unconscious Incompetence
• Resource Assessment
• Written (paper vs eletronic)
• Conferences

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Self Assessment

• Conscious Incompetence
• Patient question
• Clinical problem
• Unconscious Incompetence
• Written assessment MKSAP
• Evaluations
• Observed examinations

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Resource Assessment

• Written (paper vs eletronic)
• Paper textbooks, journals
• Electronic Internet, CD ROMs
• Conferences
• Local, State, National
• General vs. Specialized

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Teachers

• YODAs
• Coach-Mentors

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Your Own Data Analyst

• YODAs
• Evidence in the literature is complex
• Filtering through it is difficult
• Find someone who has already done this
• Usually a specialist or someone with that area of
  interest

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Coach-Mentors
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Coach-Mentors

• Peers/Colleagues
• Journal Clubs
• Peer supervision
• Senior Leaders
• Senior partner in a group
• Author of an article
• Teacher/Educators
• Program directors
• Supervisors
• Project partners

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Personal Libraries

• Organizational Matrix
• Needs
• Use of information
• Type of information
• Format
• Paper
• Electronic

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Schneiders Library
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