The teacher, the learner and the method

M R C O G PA R T 2 · S O S P O C K E T C A R D · K N O W L E D G E A R E A 2 – T E A C H I N G A N D R E S E A R C H

The Teacher, the Learner and the Method Duthie SJ, Garden AS. The teacher, the learner and the method. TOG 2010;12:273–280. doi:10.1576/toag.12.4.273.27620

7 7 10,000h YEARS, RCOG TRAINING PROGRAMME STEPS, STANFORD FRAMEWORK TO ELITE EXPERTISE (10 YRS)

DO N' T-M IS S FA C TS

  1. Harden & Crosby teacher roles: information provider, role model, facilitator, assessor, curriculum/course planner, resource creator

  2. Stanford 7-step framework: set stage → control session → identify goals → meaningful interaction → evaluate → feedback → self-directed learning

  3. RCOG training 7 years: basic (yrs 1–2), intermediate (yrs 3–5), advanced (yrs 6–7)

  4. 1-minute preceptor 5 steps: commitment, justification, application, reinforcement, correction – must use all five

  5. Triangulation = ≥2 assessors, >1 encounter, >1 method where possible

  6. Simplified procedural hierarchy = demo only, no feedback; complex procedural hierarchy = graded competence over time with feedback

  7. 10 years/10,000h → elite expertise; 15,000–20,000h → surgical mastery. CCT = milestone, not the end

  8. GMC: educational supervisor must discuss educational framework/support at induction

METHOD QUICK-MAP

Early learners: lecture, schema activation, snowballing, simplified procedural hierarchy, brainstorming

Advanced learners: schema refinement, complex procedural hierarchy, problem-based learning

ABBREVIATION KEY

RCOG — Royal College of Obstetricians and Gynaecologists ST1–ST7 — specialty trainee, year 1 to year 7

MRCOG — Membership of the RCOG examination GMC — General Medical Council

CCT — Certificate of Completion of Training mini-CEX — mini-clinical evaluation exercise

ARCP — annual review of competence progression NHS — National Health Service

Source: The Obstetrician & Gynaecologist (TOG), RCOG journal — Duthie SJ, Garden AS. The teacher, the learner and the method. TOG 2010;12:273–280. doi:10.1576/toag.12.4.273.27620

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