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Clinical Supervision Support Program

Learn about the essential aspects of clinical supervision, adult learning principles, and teaching clinical skills. Discover how to set SMART learning objectives and develop a supportive relationship with your learners. Improve your approach as a clinical educator by embodying desirable characteristics and effective supervision techniques.

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Clinical Supervision Support Program

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  1. Clinical Supervision Support Program

  2. Preparing for learners

  3. Session objectives • Identify the aims and aspects of planning for clinical supervision • Explore learning objectives • Define adult learning principles • Identify different learning styles • Practice teaching a skill using the 4 step model

  4. What Are We Aiming For? • High quality, work-ready graduates And • Positive experiences for students AND clinical educators

  5. Consider what sort of clinical educator you would like to be Please brainstorm: The desirable characteristics you’d like to exhibit as a clinical supervisor/educator……

  6. Approachable Clear with explanations Committed Confident Continual feedback (regular) Educator Encouraging Enthusiastic Fair Flexible Friendliness Helpful Honest Independence Initiative Knowledgeable Mentor Motivating Non-judgemental Passionate Patience Personable Proactive Helpful Reassuring Respect Sensitivity Sympathetic Trustworthy Understanding Well informed Good communication skills Ability to build relationship Understanding of ability Prepared/organised re: caseload Supportive Listens to concerns Constructive feedback given Sense of humour • Want to teach • Working together to improve ourselves and themselves • Good teacher/will help you brainstorm • Don’t throw you in the deep end • Takes time to help you learn • Passionate about their area • Not intimidating • Able to accept constructive criticism • Exposes to a wide variety of patients

  7. What makes an effective clinical supervisor? The A-rated clinical supervisor • Available • Approachable • Able (as both clinician and teacher) • Active (finds the gaps)

  8. Effective Clinical Supervision • It is important that the supervisor does not project to the student that supervision is a burden • The quality of the relationship between the supervisor and the supervisee is the most important factor of effective supervision (Kilminster and Jolly, 2000)

  9. Prior to student arriving • Awareness of requirements • Administrative • Educational • Effect of current workload

  10. When supervision commences • Welcome! • Orientation • Getting to know your learner • prior experiences, interests, expectations, learning style, preferred feedback method • Let your learner know about you • Experience and expectations

  11. Writing SMART Learning Objectives

  12. Learning Objective • A description of what the student will be able to do • The conditions under which the student will perform the task • The criteria for evaluating student performance

  13. To be useful, learning objectives should be SMART:  S pecificM easurableA ttainableR esults-FocusedT ime-Focused 

  14. Learning Objectives How? • Be clear about the university’s/educational institution’s expectations of the placement/learning outcomes • Find out what the student wants/expects • Be clear and specific about what the placement and the supervisor can offer • Develop a plan that balances these three aspects • Use the framework provided by the university/educational institution

  15. Example By the end of week 3 of the placement, the student will be able to independently carry out an initial patient interview, including gaining details of the patient’s financial status

  16. Steps to achievement Week 1 – watch an interview conducted by supervisor, discuss and debrief afterward Week 2 – identify suitable patient/client, read history, discuss with supervisor, carry out interview with assistance, discuss and debrief afterward Week 3 – carry out interview independently

  17. Activity/Discussion • What are some learning objectives for your learners? How do they achieve them?

  18. AndragogyTheory of Adult Learning Adults are: • Are autonomous & self directed 2. Have prior learning & experience 3. Are goal oriented 4. Are relevancy orientated 5. Are practical 6. Self evaluation 7. Require feedback

  19. Activity • Group discussion: How might you encompass adult learning principles in your clinical teaching?

  20. Learning Styles

  21. Activity VARK Questionnaire Remember – these are preferences not strengths

  22. VARK Categories • Visual • Aural/Auditory • Read/write • Kinaesthetic

  23. Clinical Instruction & Teaching Clinical Skills

  24. Models for teaching clinical skills 4 step model • Demonstration of the procedure • Demonstration with explanation • Demonstration with the learner explaining the steps • Learner demonstrates the procedure under supervision

  25. What questions do you have?

  26. Activity • Skills teaching

  27. References • Atherton, J. S. (2011). Learning and Teaching; Bloom's taxonomy. Retrieved from http://www.learningandteaching.info/learning/bloomtax.htm • Best, D. & Rose, M. (1996). Quality Supervision. Theory and Practice of Clinical Supervision. London: WB Saunders Company Ltd. • Bloom, B. S. (Ed.). (1956). Taxonomy of educational objectives: The classification of educational goals. Book 1: Cognitive domain. London: Longman. • Bloomfield, J. (1999). The changing image of Australian nursing, St Vincent’s Hospital Monograph series. Retrieved from Department of Health, UK. • Collins, A., Brown, J., & Newman, S. (1989). Cognitive apprenticeship:teaching the crafts of reading, writing & mathematics. In: Resnick, L (Ed.) Learning and Instruction: Essays in honour of Robert Glaser. (pp453-494). New Jersey: Lawrence Erlaum Associates. • Department of Health (Vic). (2007). Prepare Nurses for the Future. Submission to ‘expand clinical placement settings’-Work Group 2.

  28. References • Fitzgerald, C. (2007). Workshop for occupational therapy clinical educators. [Powerpoint presentation]. Unpublished manuscript. School of Health and Rehabilitation Sciences, University of Queensland. • George, J. & Doto, F. (2001). A simple five-step method for teaching clinical skills. Family Medicine. 33(8), 577-578. • Graham, S. (2009). Student Orientation Package. Unpublished manuscript, Epworth Education Resource Centre, Melbourne. • Kilminster, S.M. & Jolly, B.C. (2000). Effective supervision in clinical practice settings: a literature review. Medical Education, vol. 34, pp. 827–840. • Knowles, M. (1980). The modern Practice of Adult Education: from Pedagogy to Andragogy (2nded). New York: Cambridge • Lieb, S. (1991). Principles of adult learning. Retrieved from http://honolulu.hawaii.edu/intranet/committees/FacDevCom/guidebk/teachtip/adults-2.htmLieb 1991 • Menadue, J. (2005). Health Sector Reform Part 2: Primary Care and Wellbeing, Centre for Policy Development, Sydney. from: http://cpd.org.au/2005/07/health-sector-reform-part-2-primary-care-and-wellbeing/

  29. References • Morton–Cooper, A. & Palmer, A. (1993). Queensland Health Preceptor Program for Transition Support. Unpublished manuscript, Queensland Health, Queensland. • NHS Modernisation Agency. (2005). Improvement Leaders’ Guide to working with groups – General improvement skills. Retrieved from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/index.htm • Nursing: Study & Placement Learning Skills. Retrieved from www.oxfordtextbooks.co.uk/orc/hart • Nurses and Midwives Tribunal of New South Wales. Retrieved from: http//www.austlii.edu.au/au/cases/nsw/NSWNMT/ • Peter MacCallum Cancer Centre. Utilization of alternative settings for undergraduate nursing clinical placements. Retrieved from: http://www.health.vic.gov.au?data/assets/pdffile/0011/185744/PeterMac AltSettings Final - Report07.pdf • Queensland Occupational Therapy Fieldwork Collaborative, QOTFC.

  30. References • St. John of God. (2010). Pastoral services. Retrieved from www.sjog.org.au?hospitals/geelong/patientsvisitors/pastoralservices.aspx • University of Tasmania. Faculty of Health Science & Health & Human Services, Preceptorship. Retrieved from http://www.snm.utas.edu.au/preceptor/what_is_a_preceptor.html • VARK a guide to learning styles. Retrieved from http://www.vark-learn.com/english/index.asp • Woolley, N & Jarvis, Y. (2007). Situated cognition and cognitive apprenticeship: A model for teaching & learning clinical skills in technologically rich & authentic learning environment. Nurse Education Today. 27; 73-79. • Zmeyov, S.I (1998) Andragogy. Origins, developments and trends. International Review of Education.[electronic version] 44(1) p.105. Retrieved Sept 24, 2012 from http://www.springerlink.com/content/u6367k2r10218668/fulltext.pdf • Acknowledgement: Carla Bingham, Occupational Therapist, Gold Coast Hospital.

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