This document discusses maximizing clinical training opportunities for medical students. It addresses several questions, including the objectives of clinical training, improving the curriculum and checklists, appropriate teaching methods, optimizing the clinical skills lab and teachers' roles, staff development programs, and increasing student participation in patient care while overcoming limitations of patient availability. Recommendations include making the clinical skills curriculum consistent, reproducible, reliable and measurable. It also recommends defining objectives, required skills per department, skill descriptions, and skill acquisition levels using frameworks like Miller and Dreyfus. Assessments should include feedback to students and teachers. Solutions involve simulated patients, skills labs, training software and educational videos.

1. Maximizing clinical training
opportunities
Sameh Shehata
Alexandria
Egypt

3. “Clinical skills education in the undergraduate medical curriculum is
fundamental to the development of basic clinical method and the lifelong
achievement of excellence in clinical practice”

5. Where do we stand ?

6. • What are the objectives and expectations
of clinical training ? (learning outcome?

7. • How to improve (modify) the curriculum
regarding the contents and availability and
implementation of “standard check-lists”

8. • What are the appropriate clinical teaching
methods ?

9. • How to improve the workplace
environment for clinical training ?

10. • How to maximize the use of the clinical
skill lab?

11. • What is the clinical teacher’s role ?

12. • Do we need “Staff development programs”
concerning medical education (teaching /
learning)?

13. • How to maximize participation of the
students (medical officers) in patient care?

14. • How to overcome the increasing number
of students and non-availability of
patients?

15. Student/Patient

19. • Tianjin Medical University had built a
20,000 sq. ft. simulation hospital in 2008.

22. Skill lab

23. • Medrills apps for iOS and Android
teach basic clinical skills to Army
Medics

26. USMLE

27. Recommendations
•
•
•
•
Consistent .
Reproducible.
Reliable .
Measurable.

28. STRUCTURED !

29. Task Force
• Clinical skills curriculum .

30. Recommendations
•
•
•
•
Define objectives .
Define clinical skills required for each dept.
Describe skill clearly .
Define level of skill acquisition
– Miller
– Dreyfus

31. Miller

32. Dreyfus

33. • Announced to student and teacher .
• Teacher orientation .
• TDP
– Tutorial
– Demonstration
– Performance

34. Assess /feedback
• Assess ( OSCE )
• Feed back
– Student
– Teacher

35. Student/patient
• Learning environment :

36. Solution Student/patient
•
•
•
•
Simulated patient .
Skill lab .
Training Software .
Educational Videos.

37. Thank you !