Prioritizing safety of patients |
“Know your limitations” |
Creating a positive learning climate |
“…for the patient's sake, and also for the fellow's learning, you've got to keep it positive. Be calm. Be patient. No yelling.”
“…while patience is important, I think being able to fake patience is also just as important. If you can’t be patient, at least pretend you are.”
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Teaching to the level of the learner |
“I would never ask a first-year who is trying to learn how to advance a scope 'So, what is the differential that you're thinking about here?', I just wouldn't do that to them because I just think their brain is just too busy and should be focusing on the technical [aspects].“ |
Setting goals and milestones for fellows |
“Early on in the first year, you try to establish a concept… for example, keep a straight scope…and then demonstrating or teaching how you do that. So, keep a straight scope, means pull back and reduce, minimize air, for example.“ |
Explicit communication for troubleshooting |
“The reason I took it [the scope] wasn't because you were doing a bad job, it was that a patient was screaming, so it wasn't a good situation”;
“If I find a fellow is having a problem and not progressing and I have to help them, I will do it, but I will explain what I'm doing, or how I'm doing it, etc.”
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Standing next to the fellow |
“I'm right next to the fellow where I can see their hand movements and their dial work … I can anticipate their moves and when their having trouble … if they're trying to get through the sigmoid or it’s a difficult corner, I will try to imagine what I would do in that situation.” |