Puzzling Over Self Assessment

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Deirdre Bonnycastle Physical Medicine & Rehabilitation Resident Retreat July 2014 Puzzling Over Self Assessment

description

My presentation for medical residents on improving their self assessment skills.

Transcript of Puzzling Over Self Assessment

Page 1: Puzzling Over Self Assessment

Deirdre Bonnycastle

Physical Medicine & Rehabilitation

Resident Retreat

July 2014

Deirdre Bonnycastle

Physical Medicine & Rehabilitation

Resident Retreat

July 2014

Puzzling Over Self AssessmentPuzzling Over Self Assessment

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Prerequisite Knowledge

Motivation

Prerequisite Knowledge

Motivation

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Extrinsic MotivationExtrinsic Motivation

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Intrinsic MotivationIntrinsic Motivation

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ObjectiveObjective

Upon completing this session, you will be able to use Deliberate Practice Theory to develop a process of self assessment

Upon completing this session, you will be able to use Deliberate Practice Theory to develop a process of self assessment

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TaskTask

At your table discuss

why self assessment is difficult.

At your table discuss

why self assessment is difficult.

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Why Deliberate Practice?Why Deliberate Practice?

Expert performance is the end result of individuals‘ prolonged efforts to improve performance while negotiating motivational and external constraints.

-Anders Ericsson, 1993

Expert performance is the end result of individuals‘ prolonged efforts to improve performance while negotiating motivational and external constraints.

-Anders Ericsson, 1993

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Deliberate Practice ProcessDeliberate Practice Process

1. Practice problems in medicine at the upper level of your ability

2. Develop a livelong habit of self monitoring (seek out blind spots/cognitive errors)

3. Repeat tasks to level of automaticity to improve performance.

-Guest 2008

1. Practice problems in medicine at the upper level of your ability

2. Develop a livelong habit of self monitoring (seek out blind spots/cognitive errors)

3. Repeat tasks to level of automaticity to improve performance.

-Guest 2008

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Why Deliberate Practice?Why Deliberate Practice?

High achieving medical students showed more characteristics of deliberate practice than low achieving students.

-Moulaert 2004

WHY?

High achieving medical students showed more characteristics of deliberate practice than low achieving students.

-Moulaert 2004

WHY?

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Develop a livelong habit of self monitoring

Develop a livelong habit of self monitoring

At your table, brainstorm as many ideas as possible about how this might be done.

Table with the largest number of ideas, gets a

prize.

(Extrinsic Motivation!)

At your table, brainstorm as many ideas as possible about how this might be done.

Table with the largest number of ideas, gets a

prize.

(Extrinsic Motivation!)

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Making it ExplicitMaking it Explicit

pick one of the items from the brainstorming that you would be willing to try

write it down and pass it to the person on your left

read what was on the paper and pass it on.

Comments!

pick one of the items from the brainstorming that you would be willing to try

write it down and pass it to the person on your left

read what was on the paper and pass it on.

Comments!

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Thank YouThank YouResourcesThe Role of Deliberate Practice in the Acquisition of Expert PerformanceThe definitive article from K.A. Ericsson who initially proposed the concept although not specifically medical

The Effects of Deliberate Practice in Undergraduate Medical EducationThe present study investigated the relationship between several aspects of deliberate practice and study achievements among undergraduate medical students

The Rigorous Application of Deliberate Practice Methods in Skills Courses Prepared for: UCLA/IALS Sixth International Clinical Conference Enriching Clinical Education

Clinical Skills Training – practice makes perfect Research in instructional science demonstrates that the acquisition and maintenance of skills expertise in clinical medicine depend upon the learner’s engagement in deliberate practice of desired educational outcomes

The Lifelong Challenge of Expertise (Guest article) The development and maintenance of expertise requires extensive time dedicated specifically to the improvement of skills, an activity termed deliberate practice

ResourcesThe Role of Deliberate Practice in the Acquisition of Expert PerformanceThe definitive article from K.A. Ericsson who initially proposed the concept although not specifically medical

The Effects of Deliberate Practice in Undergraduate Medical EducationThe present study investigated the relationship between several aspects of deliberate practice and study achievements among undergraduate medical students

The Rigorous Application of Deliberate Practice Methods in Skills Courses Prepared for: UCLA/IALS Sixth International Clinical Conference Enriching Clinical Education

Clinical Skills Training – practice makes perfect Research in instructional science demonstrates that the acquisition and maintenance of skills expertise in clinical medicine depend upon the learner’s engagement in deliberate practice of desired educational outcomes

The Lifelong Challenge of Expertise (Guest article) The development and maintenance of expertise requires extensive time dedicated specifically to the improvement of skills, an activity termed deliberate practice

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Developing Clinical Reasoning: The role of deliberate practice, reflection and analogical mapping

Research indicated that practice, reflection, and cognitive processes are necessary for effective clinical reasoning ability but do not adequately answer the question of how they are related

The Structure of Reflective Practice in Medicine The capability to reflect consciously upon one’s professional practice is generally considered important for the development of expertise and, hence, for education

Deliberate Practice and CPD in PsychiatryThis editorial outlines the philosophy of deliberate practice and potential difficulties in making use of it in psychiatry

Mastery Learning Of Advanced Cardiac Life Support SkillsOur objective was to use a medical simulator to assess PGY-2 medical residents' baseline proficiency in six ACLS scenarios and evaluate the impact of an educational intervention grounded in deliberate practice on skill development to mastery standards

Reflection, perception and the acquisition of wisdom Medical Education 2008

Rewards and Punishment http://medicaleducation.wikifoundry.com/page/Rewards+and+Punishment

Developing Clinical Reasoning: The role of deliberate practice, reflection and analogical mapping

Research indicated that practice, reflection, and cognitive processes are necessary for effective clinical reasoning ability but do not adequately answer the question of how they are related

The Structure of Reflective Practice in Medicine The capability to reflect consciously upon one’s professional practice is generally considered important for the development of expertise and, hence, for education

Deliberate Practice and CPD in PsychiatryThis editorial outlines the philosophy of deliberate practice and potential difficulties in making use of it in psychiatry

Mastery Learning Of Advanced Cardiac Life Support SkillsOur objective was to use a medical simulator to assess PGY-2 medical residents' baseline proficiency in six ACLS scenarios and evaluate the impact of an educational intervention grounded in deliberate practice on skill development to mastery standards

Reflection, perception and the acquisition of wisdom Medical Education 2008

Rewards and Punishment http://medicaleducation.wikifoundry.com/page/Rewards+and+Punishment