BDA Framework for Clinical Teaching

Published on Nov 19, 2015

Mini presentation on the key concept for clinical teaching using the BDA (Before, During, After) framework; adapted from the RAE Orientation presentation on June 30, 2015, by Karen Spear Ellinwood, PhD, JD, Director, Faculty Instructional Development, Residents as Educators Program.

PRESENTATION OUTLINE

The BDA Framework

for Teaching in Clinical Settings

Key Points

  • Describes the BDA framework for teaching in clinical settings
  • Offers suggestion for application

Medical students are learning to care for patients.

BDA Offers Structure for Clinical Teaching

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The Bottomline

Is the student just tagging along?
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Or, do they have a specific purpose before entering the room?

Structure Clinical Teaching

For Reflective Learning & Clinical Practice

Try the BDA Framework

BEFORE

the clinlical encounter

Establish or clarify expectations

Think about...

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How to involve students in patient care while creating a learning experience

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The demands of a particular clinical situation

Whether this student has the pertinent knowledge or skills to perform the task

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Challenge Students

It's always good to...
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Not too great!

Be sure the challenge is...
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Knowledge Check BEFORE!

That's why we do a
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Encourage questions

Remember to...
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DURING

the clinical encounter
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Strategic Autonomy

Provide opportunities for
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ASK YOURSELF...

Is the student demonstrating established expectations?

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Should I step in?

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How could I assist the student's learning?

AFTER

the clinical encounter
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Ask the student to present to you

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Invite the student to present to

the attending (as appropriate)

Have a conversation

Encourage students to ask questions or discuss issues that emerge from the experience

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Offer Constructive Feedback! Remind students...

Say more than “good job” or “that could have been better” ...

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Tell the student what they did well, and ...

you think so

Provide specific examples of behavior

Tell the student what they need to improve, and ...

performance did not meet expectations

Provide specific examples of behavior...

Offer Guidance as to HOW could they improve

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Identify support for continued learning

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References

  • Gaberson KB, Oermann MH & Shellenbarger T. Clinical Teaching Strategies in Nursing. Springer:NY; 2015.
  • Vacca RT and Vacca JL. Content Area Reading: Literacy and Learning Across the Curriculum. Boston: Pearson Publishers; 2005.

References

  • Plack MM & Santasier, LG. The Reflective Practitioner: Reaching for Excellence in Practice. Commentary, In Pediatrics. pp. 1545-1553; 2005.
  • Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

BDA Teaching Guide

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Karen Spear Ellinwood, PhD, JD

Director, Residents as Educators Program
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