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Teaching and Learning in PT

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Reflection   "examiing an expeirence that raises issues/concerns"  
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3 types of reflection   1. reflection-in-action (in moment), 2. reflection-on-action (what worked?), 3. reflection for action (what will you do next time?)  
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Reflection-in-action "requires 2 simultaneous levels." What are they?   1. Interacting with the pt, 2. Continually questioning and adjusting thoughts  
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Reflection-in-action   Questioning/obsessing while interacting with pt  
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Reflection-on-action   What worked? What didn't? Why?  
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Reflection for action   What will you do differently next time? (anticipate problem)  
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Type of reflection: "How can I perform better as a physical therapist?"   Reflection for action  
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Type of reflection: "Why didn't this treatment work?"   Reflection-on-action  
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Content reflection   consider perspective of everyone involved  
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Process reflection   analyze situation to determine the best problem solving strategy  
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Premise reflection   recognize your assumptions  
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"Self-reflection is important for self-____"   assessment  
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4 activities that assist reflective process   journals, threaded discussions (TDs), blogs, action learning  
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Steps of Clinical Reasoning and Reflection Tool (PT-CRT) (we might not need to know this)   interview, generate hypothesis, examination, evaluation, plan of care, reexaminaiton, outcomes  
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Considerations for teaching:   who is your audience? (learning style, experience, types of learners, what do they want to know?)  
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4 types of learners (Garmston and Wellman Classificaiton)   Scientist, Professor, Friend, Inventor  
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Type of learner: Scientist   WHY; Wants to know why he/she should pay attention (wants personal connection)  
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Type of learner: Professor   WHAT; Wants to know what is important (wants objective info)  
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Type of learner: Friend   SO WHAT; Want to know how the info is relevant to themselves  
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Type of learner: Inventor   WHAT IF; Wants to know how he/she can creatively use/apply the info to their needs.  
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How to assess audience in PT setting   interviews, questionnaires, med documents  
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Considerations for developing learner-centered behavioral objectives (as a PT)   Begin with end in mind, make outcome-driven objectives (goals)  
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Bloom's 3 domains of learning   cognitive, psychomotor, affective  
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Cognitive domain of learning   develop knowledge + concepts (language-based)  
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Psychomotor domain of learning   motor skills  
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Affective domain of learning   development of attitudes, beliefs, and values  
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ABCD of writing objectives/goals   A. Audience (who?), B. Behavior (what?), C. Condition (when/how?), D. Degree of mastery (how well?)  
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ABCD example of education objective   The student will identify through palpation the sternal origin of the SCM muscle during lab on three separate classmates.  
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ABCD example of therapy goal   The patient will jump forward 12 inches on command with a two foot take off and landing.  
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Individualism (cultural)   values self-reliance/autonomy  
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Collectivism (cultural)   values group effort/harmony  
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Equality vs hierarchy   values egalitarianism vs values status/position  
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Monochronic vs polychronic time   values scheduling (being prompt) vs values multitasking (being late = not as important)  
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Proxemics   concepts of appropriate personal space  
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4 levels of cultural awareness   Parochial (my way or nothing), Ethnocentrism (my culture is better), Synergistic (my culture = their cultures), Participatory (our way)  
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LEARN Model   Listen (to pt perspective), Explain (your perspective), Acknowledge (differences), Recommend (plan of care), Negotiate (treatment/POC)  
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Modified Explanatory Model (ESFT)   Explanatory (ID pt perception), Social/Financial (ID barriers), Fears/concerns (over illness/intervention), Treatment  
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Considerations for Hispanic American pts   eye contact, polychronic (PT relationship > punctuality), informal, decisions made by eldest man of family  
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Considerations for African American pts   open communication, spirituality, polychronic, respect, matriarchy, eye contact, personal space issues  
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Considerations for Asian American pts   respect for elders + authority, passive learning style  
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Traditionalists   value: conformity, hard work, authority; Challenges: do not like to buck the system  
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Baby Boomers   value: youth, health, team oriented; challenges: judgemental, self-centered  
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Gen X'ers   value: technology, informal; chalenges: skeptical, instant gratification  
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Gen Y'ers   values: street smarts, diversity; challenges: bore easily  
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Teaching Elderly   slow, clear voice, check for hearing/visual impairment  
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