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Perioperative and Critical Care Medicine: Educational Issues 2005

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Teaching is an ancient activity; it requires a predisposition and ability to transmit one’s own knowledge to others. It is also an innate quality that tends to strengthen over time, due to the interaction between teacher and pupil that develops and intensifies during their association, and to the ready availability of constantly improving teaching methods. Teaching is a predisposition to communication. It is a constant commitment that becomes a way of life and offers the capacity for self-renewal. In the clinical context, this desire to transfer and receive information, together with the ability to summarise and authoritatively reach decisions take on both professional and ethical significance.

Training provides an opportunity to deepen one’s foundation of knowledge and to stimulate the development of a reasoned clinical approach that allows significant elements to be emphasised, with a view to improving one’s ability to correctly recognise and evaluate important clinical indications, both in routine and in emergency situations. Clinical evaluation marks a key moment in the training process, and knowing how to take note of all the relevant elements, including paucisymptomatic ones, forms an integral part of a long process that, though fully attainable, demands methodological meticulousness and the use of specialised forms of teaching. These include teaching in small groups, establishing a one-to-one relationship between teacher and pupil, taking advantage of computer systems (micro-teaching), and a willingness of the teaching team to share ideas while employing a practical, personalised approach. Finally, also required is a close empathy between teachers and pupils, who must share the aim of gaining excellence (mastery learning); this is best supported through multidisciplinary collaboration. For example, if a diagnosis cannot be confirmed by standard investigations, the doctor must call into play all available resources, so that the clinical approach is newly focused and geared towards improving the patients’ quality of life.
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