Pimping or grilling – students generally like being asked questions

My colleagues and I ask students and residents questions constantly.  I talk with students and residents constantly about their educational experiences.  The great majority like being asked good questions. But what is a good question?  A good question refers to something that they need to know.  The good question frames the importance of the topic.  A bad question is pure trivia that will not really help them (what percent of alcoholic ketacidosis patients have a negative urine ketone – the answer is approximately 10%).  Knowing that some AKA patients have negative ketones and why is useful. Additionally, to ask questions the questioner should establish the proper learning climate.  The learners should understand that the questions are asked to help them learn, not to embarrass them.  I use a technique that I call question and rescue.  When the learner obviously does not have a clue, I quickly move to the next person. When several learners do not know the answer I will proclaim something like, “excellent question, but difficult – we have an opportunity to learn something”.  This succeeds when the learners understand that questioning is used to make the education process directed to helping them with things they do not already know. A good question should include teaching thought process.  Students and residents want to learn to think.  They (and I) look about data regularly.  On rounds I often task one of the learners to quickly look up a ...
Source: DB's Medical Rants - Category: Internal Medicine Authors: Tags: Medical Rants Source Type: blogs