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Introduction to Clinical

Practise
• Medical education, unlike any other theoretical education, includes
clinical skills training.
«The end of education,
especially
professional education is
Not knowledge
but appropriate action»
When Student İs Allowed Enter İn The
Profession?
• Having studied the Science
• Having grasped the meaning
• Having acquired the skills
• Having practise on models and mannequins
• And with ability to teach the science
«a Physician should enter the profession»
• WHAT İS THE SKİLL?
Skill

• An ability and capacity acquired through


deliberate, systematic and sustained effort to
smoothly and adaptively carry out complex
activities or job functions involving ideas
(cognitive skills), things (technical skills) and
/or people (interpersonal skills).
Skill- types
• Intellectual skill
• Psycho-motor Skill
• Communication skill
• Team Skill Ability
Skill- types
• Intellectual skill

• To think in a desirable way- underlining component is knowledge


• e.g. - Ability to interpret liver function test results of a patient with
jaundice
Skill- types
• Communication skill
• Ability to communicate with others in a given situation. Strong
underlying component is attitude
• e.g. - Ability to motivate relatives for blood donation.
Communication skill

• Comunication skills in Medicine


• Verbal, Non Verbal Comm Skill
• Listening Skills
• Active Listening Skills
• Questioning Skills
• Giving Feedback
• Patient Encounter
Skill- types
• Psycho-motor Skill
• Manual abilities needed towards diagnosing and treating patients
• e.g. - Ability to obtain a blood sample by vein puncture
 Washing hands

 Applying and removing sterile gloves

 Measuring pulse

 Measuring arterial blood pressure

 Intramuscular injection

 Subcutaneous injection

 Intravenous injection

 Basic life support


Skill- types
• Team Skill Ability
• to work together in a team e.g. - Ability to work towards
implementing a project/ operating on a patient with the team.
Current trends of teaching “skill”
• Master- apprenticeship model
• ‘ See one, do one’- heralds problems
• Knowing and watching a procedure does not mean one can perform it
• Passive observation rather than active
participation of learners
• The “master is the model”, who directs, demonstrates, comments,
inspires
&
• The “apprentice is the disciple”, who, listens, watches, imitates,
does and seeks approval

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