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Suspected Cancer Pathway: Effective Medical Teaching

Updated: Aug 1

Teaching Station Overview

General Approach

  • Understanding the Task

  • Recognize it is a teaching station.

  • Adopt a demeanor suitable for teaching peers (medical students, nurses).

  • Rapport Building

  • Start with friendly small talk to build rapport.

  • Appreciate students' interest in learning complex topics.

  • Continue rapport-building throughout the session.

  • Encourage students by appreciating their efforts.

Key Teaching Techniques

  • Checking Understanding

  • Regularly check for understanding by asking students to repeat key points.

  • Ensure the student's ability to replicate taught information.

  • At least two comprehension-check questions should be included.

  • Correcting Misunderstandings

  • Identify and correct wrong answers politely.

  • Use constructive feedback to correct errors.

  • Provide mnemonic aids (e.g., FLAWS for general symptoms of cancer: Fever, Loss of weight, Anemia, Weight loss, Sweating).

  • Engagement and Encouragement

  • Use interactive methods like mnemonics and practical examples.

  • Encourage students to ask questions and seek further clarification.

  • Keep them engaged with questions and interactive teaching methods.

  • Continuously offer positive reinforcement, even when correcting mistakes.

  • Open Line of Communication

  • Offer to continue the discussion later for unresolved queries.

  • Provide contact information for future questions.

  • Ensure students know they can reach out anytime for further assistance.

Structure of a Teaching Session

  • Introduction and Rapport Building

  • Greet and engage the student in small talk.

  • Incorporate student identifiers naturally (name, year).

  • Appreciate their enthusiasm for learning.

  • Overview of the Topic

  • Start with a brief overview of the topic.

  • Outline key points to be covered to ensure understanding even if time runs out.

  • Interactive Teaching and Checking Understanding

  • Explain concepts and ask students to repeat them.

  • Use mnemonics and other aids to reinforce learning.

  • Correct any misunderstandings immediately and constructively.

  • Encouraging Continuous Learning

  • Offer continuous support and provide contact details.

  • Encourage students to ask questions and seek further clarification as needed.

Case Scenario: Suspected Cancer Pathway

Data Gathering

  • Key Questions

  • What the student wants to know.

  • Why they want to know it.

  • How much they already know.

  • Continual Inquiry

  • Regularly ask questions to gauge understanding and interest.

  • Ensure the student’s expectations are met.

Teaching the Cancer Pathway

  • Overview of Suspected Cancer Pathway

  • Explain how cancer is suspected through general and specific symptoms.

  • Use mnemonics like FLAWS for general symptoms (Fever, Loss of weight, Anemia, Weight loss, Sweating).

  • General Signs and Specific Symptoms

  • Discuss general signs of cancer.

  • Detail specific symptoms related to different cancers.

  • Initial GP Steps

  • Conduct baseline tests to rule out other conditions.

  • Utilize available tumor markers (though not confirmatory).

  • Referral to Specialist

  • Explain the urgency of referrals (two weeks for adults, 48 hours for young adults/children).

  • Describe the role of specialists in confirming cancer.

  • Multidisciplinary Team (MDT) Approach

  • Outline the role of the MDT in managing confirmed cancer cases.

  • Emphasize holistic treatment involving various specialists.

Examining and Confirming Cancer

  • Referral and Diagnosis

  • Explain the referral process and urgency based on age and suspected cancer type.

  • Detail the specialist's role in confirming cancer through advanced tests.

Additional Teaching Points

  • Safety Netting

  • Advise on steps if specialist appointments are missed or delayed.

  • Educational Resources

  • Provide leaflets, pamphlets, and NHS website references.

  • Follow-Up

  • Emphasize the importance of follow-up appointments before the specialist meeting.

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