Chief Learning Officer - April 2008 - (Page 25) These values and principles create a learning environment and culture embodied in the following comment by a Johns Hopkins resident: “You start out with the recognition that everyone around you is smarter than you are … so that everyone you encounter you can learn something from. And, everyone you encounter wants to help you learn something new.” This egoless culture drives real-time learning, increases trust between team members and creates a heightened sense of individual and team accountability for quality patient care. All this is done in the normal course of work as individuals are developing into medical professionals. Key Philosophies At the root of the teaching hospital model is a central philosophy of individual responsibility, quality teaching and patient ownership embodied in three practices: 1. Point of the wedge: Like Lia, the “point of the wedge” is the most junior member of a medical team, tasked with diagnosing and recommending a course of action for the patient. This practice of pushing responsibility to the most junior person accelerates and deepens learning and personal development. According to junior residents at Johns Hopkins, being the point of the wedge requires them to prepare rigorously and present confidently, thereby improving their planning and communication skills. The wedge — composed of attending physicians, fellow residents, medical students, nurses, physical therapists and other caregivers — provides continual and constructive support to the “point.” 2. Socratic method: The Socratic method employs questions and inquiry to “teach rather than tell.” In this way, an answer is not given when a question is asked. Rather additional questions are posed to stimulate enlightening conversation and ultimately increase understanding of a patient’s situation or condition. 3. Owning the patient: In top teaching hospitals, residents and medical students feel a magnified sense of accountability and focus on performance as a result of the aforementioned principles. As exhibited in A More Productive Estate of Mind Clear communication, enhanced retention and inspiring surroundings lead to better productivity. With a dedicated learning environment, free from distraction and engineered for effective exchange, training becomes more valuable and rewarding. Discover how Tarrytown House Estate & Conference Center can put your group in a more productive Estate of Mind. 866.389.2805 | tarrytownmeetings.com 49 East Sunnyside Lane, Tarrytown, NY 10591 Chain Code: DN http://tarrytownmeetings.com http://tarrytownmeetings.com
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.