Teaching Up: Addressing Hierarchical Challenges in Clinical Education
Description
In clinical education, “teaching up” refers to instances when students tactfully share updated clinical information with preceptors who may not be up to date on recent evidence-based practices. In this podcast and article , Drs Ragan Johnson, Janelle Bludorn, and Brittany Macon-Davis describe this challenges for students and offer 2 methods of preparing students to educate their preceptors. In the graduate nursing program, after a prebrief, students role-played scenarios, including outdated asthma guidelines, with faculty serving as preceptors. A structured debrief on giving and receiving feedback, role of power dynamics in professionalism, and psychological and patient safety with the entire class followed with opportunities for students to share various language suggestions. The PA program used a self-directed approach where learners role-played scenarios in which a PA student addressed a preceptor using outdated hypertension guidelines. Structured questions explored giving and receiving feedback and interacting with supervising physicians.
United States
