Challenges Associated with Teaching Emergency Medicine

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Introduction
In this module I would briefly discuss the challenges associated with teaching in Emergency Medicine (EM), how these challenges influences my approach to teaching in EM. I would describe what teaching and learning methods I adapted to in EM to address the learning outcomes of the trainee doctors. Finally I would aim to reflect on the approach and methods used and my role in the process.
Challenges in EM
EM is highly attractive specialty. Internationally, EM residencies rank among the top few specialties attracting junior doctors of the highest calibre in large numbers (College of Emergency Medicine EM Taskforce interim report 2012).
On the other hand, College of emergency medicine highlighted concerns about junior doctors EM training in its 2012 annual report to the GMC stating continuing service pressures is reducing the amount of time trainers can dedicate to delivering training. Also, medical educators have budgetary constraints to improve the quality of medical education and the safety of medical care. (Vozenilek, Huff, Reznek, & Gordon, 2004)
Even though EM is a highly attractive specialty, according to my experiences, the service pressures and budgetary constraints are real and I feel that junior doctors in EM don’t get structured and supervised teaching on the shop floor. We have teaching programme for junior doctors where once a week they get lectures on various topics covering their curriculum. This type of traditional teaching in the form of lectures or skill stations in the emergency department is particularly unsatisfying and unproductive for adult learners. (Kilroy, 2004)
I believe that what they can learn on shop floor, by doing things with supervision, by getting experience and reflecting on these expe...

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...ll characteristics at all time. Teachers are human being and can be effected by multiple factors and sometimes its beyond their control. We should aim to achieve these characteristics to maximise our effectiveness in teaching.

Summary
There are various challenges facing teaching in Emergency Department from service delivery to budgetary constraints. Approach and teaching method can varies with learner, teacher and circumstances, but small group teaching type with use of clinical problems seem to be effective and liked by learners. On reflection and personal development level, feedback process is important and often been given less importance as compared to curriculum cover. In future, I would use this step more constructively and although effective teaching can be affected by various variables, we should aim to incorporates characteristics of an effective teacher.

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