What makes a good clinical teacher?
Medical Rants May 7th. 2008, 2:03pm
What makes a good clinical teacher in Medicine? A review of the literature
They conclude that superb teaching is a complex phenomenon.
The authors emphasize these common themes:
- Medical/clinical knowledge - obviously this is a sine qua non
- Competence and clinical reasoning
- Positive relationships with students and supportive learning environment
- Communication skills
- Enthusiasm
This study suggests that excellent teaching, although multifactorial, transcends ordinary teaching and is characterized by inspiring, supporting, actively involving, and communicating with students. These activities produce an emotional arousal in the student. Sometimes a relationship is forged between the student and teacher. Sometimes this inspiration arises internally from a personal identification with that teacher. We remember our greatest mentors: we either developed relationships with them or patterned ourselves after them. With ease and aplomb, our teachers performed challenging surgeries, respectfully imparted teaching nuggets to students, and spoke with their patients with compassion, and we wanted to be just like them. Many of our behaviors were similar to those of a child following a parent.
We must recognize those who have these skills and reward them. We must learn if we can teach good teachers to become great. But most important we must value these teachers!

May 7th, 2008 at 7:31 pm
Something I’ve wrestled with: some of my best teachers have terrible beside manner. I notice that’s not in your list of 5. The best teachers are full of knowledge, and will take time out of their busy days to explain difficult concepts to me.
Some of these teachers are wonderful clinicians, some are rude, judgmental, and are disliked by the patients. Some fall in the middle.
May 7th, 2008 at 9:24 pm
That’s an interesting thing to study. “A good teacher?” Teaching is such a subjective skill. Different people learn differently, some people learn better from some pople than others. In elementary schools there is a litany of standardized objective tests they use to figure out who the “good teachers” are. The good ones produce students with high scores. But I don’t know of any such analagous objective standards when it comes to medical education. That’s why I think it’s such a weird thing to “study” - like doing a study on what makes for a good song or a good movie.