Introduction
In this module I would briefly discuss the challenges associated with teaching in Emergency Medicine (EM), how these challenges influences my approach to teaching in EM. I would describe what teaching and learning methods I adapted to in EM to address the learning outcomes of the trainee doctors. Finally I would aim to reflect on the approach and methods used and my role in the process.
Challenges in EM
EM is highly attractive specialty. Internationally, EM residencies rank among the top few specialties attracting junior doctors of the highest calibre in large numbers (College of Emergency Medicine EM Taskforce interim report 2012).
On the other hand, College of emergency medicine highlighted concerns about junior doctors EM training in its 2012 annual report to the GMC stating continuing service pressures is reducing the amount of time trainers can dedicate to delivering training. Also, medical educators have budgetary constraints to improve the quality of medical education and the safety of medical care. (Vozenilek, Huff, Reznek, & Gordon, 2004)
Even though EM is a highly attractive specialty, according to my experiences, the service pressures and budgetary constraints are real and I feel that junior doctors in EM don’t get structured and supervised teaching on the shop floor. We have teaching programme for junior doctors where once a week they get lectures on various topics covering their curriculum. This type of traditional teaching in the form of lectures or skill stations in the emergency department is particularly unsatisfying and unproductive for adult learners. (Kilroy, 2004)
I believe that what they can learn on shop floor, by doing things with supervision, by getting experience and reflecting on these expe...
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...ll characteristics at all time. Teachers are human being and can be effected by multiple factors and sometimes its beyond their control. We should aim to achieve these characteristics to maximise our effectiveness in teaching.
Summary
There are various challenges facing teaching in Emergency Department from service delivery to budgetary constraints. Approach and teaching method can varies with learner, teacher and circumstances, but small group teaching type with use of clinical problems seem to be effective and liked by learners. On reflection and personal development level, feedback process is important and often been given less importance as compared to curriculum cover. In future, I would use this step more constructively and although effective teaching can be affected by various variables, we should aim to incorporates characteristics of an effective teacher.
All in all, for EMC to survive in a competitive environment the administrative staff at the hospital will need to re-evaluate the services they want to offer and what population demographics it will serve to better their organization.
Williams, B, Jennings, P, Fiedler, C & Ghirardello, A 2013, ‘Next generation paramedics, agents of change, or time for curricula renewal?’, Advances in Medical Education & Practice, vol.4, pp. 225, doi: http://dx.doi.org/10.2147/AMEP.S53085
During clinical this week, the student nurse got the opportunity of an observational experience in a Specialty Care Unit. The student was directed to the Surgical Intensive Care Unit (SICU) to observe a patient that was critically ill and receiving extensive treatment. The student observed a nurse caring for a patient while administering therapeutic hypothermia after cardiac arrest.
Yvy Llambles, BSN, RN is the Primary Nurse Educator for Memorial Herman North East, Emergency Department (ED). Yvy, as she likes to be called, has the educational responsibilities of overseeing orientation for all departments in the Memorial Hermann North East location. In addition to her overall role as an Educator, Yvy is the Nurse Educator for all Registered Nurses within the Emergency Department. This analysis will explore the characteristics of Yvy in her role as a nurse manager as well as detailing her role as an effective nurse leader. The review of Yvy as a nurse leader will also detail her leadership style, responsibilities and skills. Furthermore, the effectiveness of Yvy’s communication style as a
“Summary Report for: 29-2041.00 - Emergency Medical Technicians and Paramedic.” O*Net. 2008. Web. 18 Feb. 2010.
This experience will definitely influence my future practice; my action plan would be using those teaching strategies in preparing students to face the clinical environment, to ensure optimal patients’ health outcomes and it helps to build a competent and independent clinician.
...ents also joined together in a resolution to expand into EMS. Proposed in 1993, EMT Physicians assumed a bigger role in primary care of non-emergency patients by learning a wide variety of new skills. In 1996, the EMS Agenda for the future was made, further connecting Emergency Medical Services to other medical professions.
Emergency room nursing is an experienced registered nurse whose focus is providing critical care and dedicated treatment to patients that are either critically wounded or severely ill. These nurses specialize in rapid assessments and treatments of their patients conditions. It is with great responsibility that the Emergency Room Nurse work swiftly and responsibly under a variety of different circumstances. Due the stresses and required skill set of emergency room, nurses must do a good job of utilizing their abilities and must possess good time management skills, these demands ultimately leads to burnout.
This essay witnesses my personal learning and teaching style and strategy. I aim to set forth the aspects of teaching and learning that I find help me become a better health care professional. Three of the major learning theories are discussed in order to find the skill sets that each bring to the table. By choosing the skills required in a clinical environment we can pick the required strategy accordingly. I believe that a unique combination of the tree theories where each is able to play to its strength and overshadow its weaknesses is the best teaching-learning strategy.
The goal of my learning plan for this semester is to develop skills in health education specific to adolescents. I chose this as my learning goal because my placement this semester at Sunnybrook Hospital, Injury Prevention Program, gives me an opportunity to provide health education to high school students every Tuesday at out P.A.R.T.Y. Program so I thought I should use this opportunity to develop my and improve my nursing skills in this area. As well as good health education skills to adolescents can benefit the students by proving them a motivating learning environment and better learning outcomes. I hope they can enjoy my teaching and absorb the information and use them in the future. I have considered many factors in the process of developing my learning plan such as the nursing standards of health promotion, prevention and health protection, professional relationships, capacity building etc… I brainstormed possible topics such as possible topics that are related to injury prevention itself for example, concussion prevention or preventing sports related injuries. I also thought about doing topics that are relevant specifically to the P.A.R.T.Y. Program such as teenage suicide and prevention or distracted driving. After assessing my placement and the clients which in this case are the students, I have recognized that one of the program’s goals is to educate the students about injuries and injury prevention. I also found that our clients had a lot of potential in learning about this subject which can greatly benefit their lives and influence change in their behaviour to increase control of their own health and make better choices. In terms of my personal needs, I felt that I had room for improvement in terms of my le...
With the knowledge acquired through the classes I will be a better manager to server to my colleagues in my upcoming career and it will help brighten my future. My passion of being a leader within a healthcare facility comes from knowing that if employees are treated well and happy with their job they will have excellent customer service skills and treat patients with excellence. When a patient is sick they are at the most vulnerable time of their life. If you receive awesome customer service during your most vulnerable time you will feel grateful. I have had many patients at my job express how we don’t make them feel like other doctors office. The patient has expressed that at other doctor office they just feel like another number. When a patient feels as if the staff, doctors, and manager care they will see the whole environment as effective leaders for all healthcare organizations.
In a perfect world, violence, plane crashes floods and other disasters would not occur. Disease and illness would be non-existent. Emergency medical services would not have a basis for fruition. Unfortunately, the world is not perfect place. EMT's and other EMS workers are vital to all societies globally. According to the American College of Emergency Physicians, the definition of an emergency services is, " Emergency services are those health care services provided to evaluate and treat medical conditions of recent onset and severity that would lead a prudent layperson, possessing an average knowledge of medicine and health, to believe that urgent and/ or unscheduled medical care is required." The following pages will illustrate the struggles of an emergency medical technician and other emergency medical service workers.
Working in the emergency department can be easily described as fast placed and at times hectic. Being aware of resource management and learning to prioritize patients are skills that are required to be learned quickly. Once a basic understanding and knowledge of these skills are acquired, nurses are able to build off of them and adapt them however they see fit.
It will seek to demonstrate the appropriateness in supporting the patient and their family, whilst reflecting upon personal experience, and how literature may influence the healing effectiveness. The factors that enhance and inhibit the learning environment will be explored and suggested techniques to improve clinical learning will also be discussed. Finally the nurse-patient learning relationship will be explored along with the application of teaching and learning strategies will be examined.
I have in all my undergraduate study been told what to do as student. All the information, tasks and assignment were delivered and dictated by the teachers in charge of the subject or the modules, and as students I had to follow the instruction giving, however, since I came to Cardiff university to do my master degree on health care science, the attitudes of the teachers and the way the modules structured which was different form the way I used to and had influence (presage) in my view the way we teach our Operating Department Practitioners ODPs and students nurses coming to the operating theatre for their post qualification internal ship and hoping that I will introduce a change in order to assist new ODPs and nurses graduates in order to help them building their capabilities to work independently and safely, the aim of the internal ship period is to produce competent theatre practitioners in term of skills, knowledge, confidence and learning responsibility Quinn et al. (2007). Therefore a lot of effort must be utilised to help them in the transition period form students to qualified staff (Simelane et al.1997).