6th week of Surgery #go #go #go
I think I truly enjoyed the TBL session with DK today.
I liked the way he facilitated the session and when he emphasized active learning, he made sure we implement it as well.
So we have to have a few cases that we came across related to the topic we were going to discuss before the session. When TBL starts, we would decide on the learning issues that we would want to discuss. After that, 40 of us would be divided into 4 smaller groups and the discussions begin. I like the fact that when you actively participate in a discussion, you share the things that you have read/learned previously with your colleagues and if anyone has come across a different information he or she would voice out and then we do further discussion on the matter. It makes learning interactive and fun. TBL would never be boring if it's been done this way from the beginning.
There are a few things that I would want to jot down because I think they are important and would be useful for me for the rest of my wardwork life.
This morning we had a CP with DK.
I guess he saw my nametag on my white coat so he called my name and asked me to talk to a patient. She was an Indian lady. Everyone was already surrounding the patient's bed so I approached to her, greeted her and started talking. I forgot that I should have been listening more than asking. Obviously, he wasn't satisfied with my approach. I made a mistake because for the past 5 weeks of ward work I have been training myself to ask better questions and I think I forgot that I should be more of a listener instead.
He actually said the similar things that he told us on our first CP with him.
He grabbed a chair and sit very near to the patient. The patient was hanging her legs at the edge of the bed and he actually placed his hand on her lap. I have never thought that if I were him, I would do the same. But now I think that's a way to build rapport with the patient. He was speaking in Tamil with the patient so I was just guessing about what they were talking about by their gestures and picking up non-Tamil words. I noticed that DK only spoke a few sentences and then the patient started talking a lot of stories. I did not know how this happened because when I approached the patient, I asked the patient why she was here in the hospital. But she would only answer my question and wouldn't further elaborate. I was a little disappointed to myself at that time because I realized I could have done a better job, especially in front of DK. But nevertheless, I think I learned a lot from him today.
He emphasized on listening to the patients a lot. Do not interrogate the patients. I shall always keep this in mind and always remind myself of this.
To be able to take a good history from the patients, we must not interrogate them. We prompt them to tell their stories, and then we listen. We pick up the important information then. In order to let patient willingly tell you their stories, which could be personal at a lot of the times, we must first make sure that we do not appear as a threat to them. We must be able to GAIN trust from them, by making sure that we are of SOME USE to them. So, make ourselves useful in front of the patient. So that they would be willing to talk to us.
I shall constantly remind myself of the things that I learned from DK today because I think these are the important things that many doctors have forgotten and without these correct approach, we would never be a good doctor who is patient centered.
For the rest of the 2 weeks of my posting, I shall continue to learn as much as I can in the wards. I will aim for improvement in building good rapport with all the patients, and be a good listener as well.
Keep it up =)
I liked the way he facilitated the session and when he emphasized active learning, he made sure we implement it as well.
So we have to have a few cases that we came across related to the topic we were going to discuss before the session. When TBL starts, we would decide on the learning issues that we would want to discuss. After that, 40 of us would be divided into 4 smaller groups and the discussions begin. I like the fact that when you actively participate in a discussion, you share the things that you have read/learned previously with your colleagues and if anyone has come across a different information he or she would voice out and then we do further discussion on the matter. It makes learning interactive and fun. TBL would never be boring if it's been done this way from the beginning.
There are a few things that I would want to jot down because I think they are important and would be useful for me for the rest of my wardwork life.
This morning we had a CP with DK.
I guess he saw my nametag on my white coat so he called my name and asked me to talk to a patient. She was an Indian lady. Everyone was already surrounding the patient's bed so I approached to her, greeted her and started talking. I forgot that I should have been listening more than asking. Obviously, he wasn't satisfied with my approach. I made a mistake because for the past 5 weeks of ward work I have been training myself to ask better questions and I think I forgot that I should be more of a listener instead.
He actually said the similar things that he told us on our first CP with him.
He grabbed a chair and sit very near to the patient. The patient was hanging her legs at the edge of the bed and he actually placed his hand on her lap. I have never thought that if I were him, I would do the same. But now I think that's a way to build rapport with the patient. He was speaking in Tamil with the patient so I was just guessing about what they were talking about by their gestures and picking up non-Tamil words. I noticed that DK only spoke a few sentences and then the patient started talking a lot of stories. I did not know how this happened because when I approached the patient, I asked the patient why she was here in the hospital. But she would only answer my question and wouldn't further elaborate. I was a little disappointed to myself at that time because I realized I could have done a better job, especially in front of DK. But nevertheless, I think I learned a lot from him today.
He emphasized on listening to the patients a lot. Do not interrogate the patients. I shall always keep this in mind and always remind myself of this.
To be able to take a good history from the patients, we must not interrogate them. We prompt them to tell their stories, and then we listen. We pick up the important information then. In order to let patient willingly tell you their stories, which could be personal at a lot of the times, we must first make sure that we do not appear as a threat to them. We must be able to GAIN trust from them, by making sure that we are of SOME USE to them. So, make ourselves useful in front of the patient. So that they would be willing to talk to us.
I shall constantly remind myself of the things that I learned from DK today because I think these are the important things that many doctors have forgotten and without these correct approach, we would never be a good doctor who is patient centered.
For the rest of the 2 weeks of my posting, I shall continue to learn as much as I can in the wards. I will aim for improvement in building good rapport with all the patients, and be a good listener as well.
Keep it up =)
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