1. Teaching a Practical Skill
See one ; do one ; teach one?

2. Fundamentals
Observation Feedback
Reflection

3. Teaching Clinical Skills
Demonstrated in skills or simulation centre
Practised in skills centre till confident
Used on real patients!

4. Miller’s Triangle

5. Peyton’s 4 Stage Method Step 1
Demonstration at normal speed with little explanation
visualisation
Step 2
Repetition of skill with full explanation, asking learner to ask and question steps
verbalisation

6. Peyton’s 4 Stage Method Step 3
Demonstrator performs skill as instructed by learner; questions and corrections
Practice and feedback
Step 4
Learner carries out skill with explanation prior to each step
Repetition/embedding

7. Additional Steps Pre-step 1 - Conceptualisation
Understands importance and theory
Willing to learn
Step 5 - Mastery and Autonomy
Competence
Automatic
Able to teach

8. Influence of Trainer on Performance
Environment
Interaction
Challenges

9. Potential Problems Learner doesn’t have necessary skills X
Poor demonstration X
Not paying attention ?
Affective factors
Fear/embarrassment ; lack of importance
Imprinting of incorrect skills from previous learning

10. Questions?