angelo's journey
Part-Time Clinical Sessional Instructor
Angelo Lopez is a 32-year-old registered nurse (RN) who recently completed a master’s degree in nursing from Western University. Angelo has been employed for 10 years as an RN in the Emergency Department at Hamilton General Hospital. Last fall, Angelo accepted a sessional clinical teaching position at McMaster to teach a group of second year bachelor of science in nursing (BScN) students on a medical unit. Angelo thought that his first semester of teaching went well and was shocked by some of the negative tutor evaluation feedback he received from his students:
Angelo is very intelligent but also a “very intimidating” instructor. He likes to put students on the spot. He provides his feedback in the nursing station and sometimes in the hallways where others can hear what he is saying. He should really be communicating his feedback to his students in private.
I know that he is an experienced ER nurse and everything, but sometimes his knowledge and skills are just way beyond our current level of practice as students. Like we told him a few times, “We haven’t had our class in IV medication administration yet, so we cannot administer IV meds—that content is taught in year three of the program.”
His expectations for our learning plans and clinical worksheets are not always consistent with the course outline. It’s so frustrating!
Angelo takes his nursing education job seriously and would like to improve his clinical teaching and supervision approaches. He is looking into any available online and in-class teaching and learning resources he can take at the university before he begins his next clinical teaching rotation in a couple of months. He is also planning on meeting with the course lead to get a head start on the upcoming term.
Q1. What can I do with my teaching feedback?
Here are some resources on how to incorporate student feedback into teaching:
Paper on receiving feedback as a clinical teacher: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825441/
Tips on how make sense of your student evaluation: https://www.hsph.harvard.edu/office-of-education/course-evaluations-2/
Use the quality assurance forms from the CNO to reflect on your learning and create a learning plan for future practice: https://www.cno.org/en/myqa/
Q2. What is the role of teaching evaluations?
Medical education papers on assessments of teaching skills also applicable to other health profession educators
Formative assessment of teaching skills: Learning Conversations: An Analysis of the Theoretical Roots and Their Manifestations of Feedback and Debriefing in Medical Education by Tavares et al Acad Med. 2020;95(7):1020–1025. doi:10.1097/ACM.0000000000002932: https://journals-lww-com.libaccess.lib.mcmaster.ca/academicmedicine/Fulltext/2020/07000/Learning_Conversations__An_Analysis_of_the.26.aspx
Self assessment of teaching: Know Thyself article: https://www-tandfonline-com.libaccess.lib.mcmaster.ca/doi/full/10.1080/0142159X.2021.1948518
Q3. What would be helpful for my development as a clinical instructor?
Video on characteristics of an effective tutor: https://www.macvideo.ca/media/Module+1A+Characteristics+of+an+Effective+Tutor/0_k31fglpp
New faculty guide to teaching and learning at McMaster: https://mi.mcmaster.ca/app/uploads/2019/05/New-Faculty-Guide-to-Teaching-and-Learning-at-McMaster_04_19_2017.pdf
Teaching in clinical setting and skills:
Peer observation of teaching: https://www.macpfd.ca/pillars/inspired-teaching/inspt-peer-observation-of-teaching
Papers on Peer Observation:
Q4. How do I provide feedback to students?
Some helpful resources linked here:
https://www.macvideo.ca/media/Module+6A+Effective+Formative+and+Summative+Assessments/0_fo1pugxe
Lake series on giving feedback: https://www.mja.com.au/system/files/issues/183_05_050905/vic10464_fm.pdf
What is feedback in clinical education? https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2923.2007.02973.x?casa_token=bWnrp023EK0AAAAA:pQgsb-PHLE7746Fmm5VD8dw7Vx2fBq4HlfZlFSNbIy-28fB0Eye5fGNU7kNYvNlLDj-pZtfd-gtRgA
Q5. What are some local avenues where I can expand my clinical teaching skills?
Attend course specific orientation led by your department or program
Program for faculty development (MacPFD blast, Spark podcast): https://www.macpfd.ca
MacPherson Institute – Professional development for teaching: https://mi.mcmaster.ca/professional-development/
MERIT – Community of practice membership: https://healthsci.mcmaster.ca/merit/about-us/membership
Other resources on communities of practice:
Yarris LM, Chan TM, Gottlieb M, Juve AM. Finding your people in the digital age: virtual communities of practice to promote education scholarship. Journal of graduate medical education. 2019 Feb;11(1):1. https://doi.org/10.4300/JGME-D-18-01093.1
Blog post - https://www.harvardmacy.org/index.php/hmi/educators-find-community-of-practice-pretty-tweet
Article: what makes a community of practice work? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5305036/