Why it’s less about managing the class than joining with the group

Recently overheard in a high school classroom: “F#*% you…sir!” Wow: Did I just witness respect + disrespect expressed simultaneously? How does that work exactly?

Teaching is a tough job whatever the age group. Adults may be less “out there” than teenagers, but the group dynamics are the same. Groups tend to behave like unitary entities: they can be your best friend or your worst enemy. But if they fall into the latter category they are a many-headed hydra who cannot be vanquished.

Here’s how I see it: If you have to actually “manage” the class that is not a good sign. Now I am not talking about classroom management in terms of providing guidance or direction with respect to learning content or processes. Every group needs a guide to stay on track. What I mean is that if students act out, tune out or walk out, things have already gone bad. At that point it’s likely not so much a student issue as a group issue.

Here are a few tips to help get things off to a good start, and to keep it that way:

1. Mutual respect is an essential precondition for ANY relationship. If it’s lacking there’s no relating. Regularly affirm your respect for each student and for the class as a whole (the “two clients”: the individual and the group).

2. Make it interesting. Easy to say, but how? Three words: make it relevant. OK, but how? The group will tell you if you ask. What do they care about? Why are they there in the first place? What do they want from you and from each-other?

3. But… what if I am teaching a mandatory course that no one cares about? Here’s the thing: There is no such thing as a topic that’s inherently interesting (have you ever gone to a talk that intrigued you only to be bored out of your mind?). And, conversely, there is no such thing as a topic that’s inherently boring (have you ever gone to a talk you were dreading only to be pleasantly surprised?). Why is the course mandatory? What’s the larger narrative? Why is this essential knowledge and learning? These are the primary questions to address as part of an ongoing group dialogue.

4. Show that you care. Not just about what you’re teaching, and not just about your students as people, but about their experience in the here-and-now. Who’s tired? Who’s bored? How comfortable is the room? What else is happening in the world and how does that impact the tasks at hand? This in-the-moment reflection continuously reestablishes the connection between facilitator and class. In clinical practice it’s called therapeutic use of self – tune in to your own experience to help you tune in to the group.

5. Be generous. Generous with your humour, your time, your interest, yourself. I think of generosity as comprised of curiosity, authenticity, empathy and joy. It’s less a focus on how the group sees you than on who is in the group and what you see in them. And be generous with people when they’re having a bad day. It happens to all of us.

Over the last two days I facilitated a mandatory training for a diverse group of health and social service professionals in Halifax, Nova Scotia. What a pleasure – even if some learners started off the day with ambivalence, we all ended on a high note. And just to add…if you ever find yourself in that beautiful city, be sure to check out Cabin Coffee on Hollis Street for a latte and a killer cinnamon bun!

Why clinical learning is a lot like Drivers’ Ed

January 31, 2013

Clinical Education

2 Comments

Complex skills are best learned in authentic environments

Buying a new car has meant finding a good home for my beloved 95 Chevy. A colleague is now the proud owner, only there is one small but crucial detail…he has never learned how to drive a car with manual transmission (stick shift). Thus, last Sunday afternoon his friend was the one who drove off into the sunset after we did the deal, but that’s no long-term solution. Oh Chevy, I see grinding gears and burning clutch in your future!

Driving a stick shift isn’t easy. In fact, in the beginning it feels pretty complicated and there’s not always much room for error. I’ve been thinking about some of the ways that learning to drive shares common ground with learning the complex skills of clinical practice.

1. The stakes are high: If you don’t master key practical skills, your own and others’ safety are at risk. Have you ever stalled out on a steep grade with other cars right behind? Not a good situation in which to freeze up or panic!

2. It can be a challenge to practice new skills in an environment that feels safe yet also authentic: See Point 1 – you need the experience of stalling the car on a steep hill to learn how to get going again, but you don’t want the reality of rolling backwards into the guy behind. My drivers’ ed training car had a clutch and brake for both me and the instructor/passenger, so I knew that a mistake wouldn’t be catastrophic. Simulation in healthcare education accomplishes the same objectives of safety + authenticity.

3. An experienced mentor can make all the difference: My driving instructor was about 70 years young and had over 40 years experience in teaching new drivers. Everything that a student could possibly do or say he had seen or heard, and literally nothing rattled him. He had this very calm and patient demeanor, which I guess is how he survived that long teaching people like me how to drive. Just knowing that any mistakes I made were par for the course and all part of the learning process freed me up to get into the zone of deep learning.

4. Corrective feedback in the moment shapes behaviour: Direct observation and feedback about the skills I was practicing effectively and where I needed more work helped me learn faster and better. Abstract instructions and memorization aren’t nearly as effective for integrating and mastering practical application of complex skills.

Perhaps a couple of “continuing education” sessions on how to drive a stick shift would not go amiss for Chevy’s new owner. Who knows, might save the cost of a replacement clutch and maybe more. SWP, are you listening?

Reflective Listening: The most powerful tool in the tool-box?

January 25, 2013

Clinical Education, Motivational Interviewing

9 Comments

TO LISTEN

Ears + Eyes + Undivided Attention + Heart

Group facilitation is more about listening than speaking

Facilitating groups is a delicate art: groups progress through certain well-defined stages of development, and our style as facilitators needs to be pitched to where the group is at. Furthermore, facilitators need to respond to the “two clients” – the individual, and the group – and attend to both content and process. This multilayered complexity, whether in education or clinical contexts, is a big part of what makes groups so energizing and exciting.

What is reflective listening?

In its simplest form, it’s a response that paraphrases or mirrors the spoken content of a person’s statement. Reflective listening is a way to check back and make sure that we’ve understood what someone else tells us. This type of response is also a good alternative to the “Righting Reflex”!

Done artfully, the skill of reflective listening looks easy but is far from it (at least in my own experience). Really impactful reflective listening goes further than paraphrasing, and mirrors back the implied meaning beneath a person’s words; exploring the emotions, assumptions, ideas, hopes, concerns or wishes. These types of complex reflections demand our full listening attention and focus on the other. We all want to feel understood, and reflective listening helps bridge the communication gap in a respectful and validating way.

Here’s an analogy: simple reflections are like the tip of an iceberg – the content “above the waterline” – while complex reflections go deeper.

This video example of an angry client demonstrates how the practitioner uses lots of reflective listening to establish understanding and build rapport.

Reflective Listening in Groups

Reflective listening in groups ups the ante because of their interpersonal complexity. But, looked at another way, groups give us even more options and opportunities to use this important skill. I’ve come up with three general categories for practicing reflective listening in groups (and I’m sure that there are more):

1. Simple versus complex reflections

2. Reflecting an individual’s comments versus content taken from the group’s overall contributions

3. Reflecting group content versus group process.

Note that a facilitator might decide to use any one of these approaches (and within each category are a myriad of alternate ways of responding)…that’s the artful strategy part!

Here’s an illustrative example of a hypothetical client who is coming to the first session of a support group for people living with heart disease. The facilitator has asked group members to share their goals for attending, and the last client to speak says:

“I’m only coming to group today because my doctor and my wife are both pressuring me.”

Notice how each reflective strategy builds on the next – but they aren’t sequential (or prescriptive for that matter). Just some pretty powerful tools that are appropriate across a spectrum of clinical, educational, professional and other kinds of groups. Because in the end, the best facilitation is more about listening than talking.

Resist the Righting Reflex

January 18, 2013

Clinical Education, Motivational Interviewing, Post-secondary Education

12 Comments

Unsolicited advice is the junk mail of life (Bern Williams, in Miller & Rollnick)

Compassionate listening – stepping back and allowing learners to individually explore their ambivalence, concerns and ideas about an issue or concept – is at the crux of individual discovery and adult learning.

Here’s the rub: as educators we want to support student success, so when we see someone heading in the wrong direction or struggling, we’re often galvanized into action with all good intentions! This “Righting Reflex” is essentially the imperative to do something…to “fix it”, and often kicks in without any conscious awareness (see Miller and Rollnick’s 2013 text on Motivational Interviewing).

To add clarity: A a quick illustration of the Righting Reflex from a conversation I had on my way in to work this morning (for real):

Me: “I’m thinking that I’d like to buy a Smart Car.”

Significant other: “Well what about a Honda CR-V? I know someone who has one for sale.”

Me: ? ! ?

O-kayyy…How useful was that unsolicited (albeit well-meaning) advice in helping me think things through? And, to be fair, my own Righting Reflex isn’t hard to activate in both personal and professional spheres. Learner autonomy as being at the heart of constructivist approaches is widely discussed and accepted, yet in practice it’s “simple but not easy”.

In an ideal world, educators validate, explore, question. They evoke and encourage students to critically examine different sides of an issue. This doesn’t negate our roles of teacher, guide or concerned other, but it does place the onus – quite rightly – on the learner’s capacity for decision-making and problem-solving.

A big part of education in health care (and other fields) is less about teaching the correct answer, than in facilitating the process of ethical and nuanced judgment and decision-making. If we can resist the Righting Reflex we’re creating a positive space in which to explore, experiment and make mistakes.

So…as for my own automotive decision-making process…a design endorsement by the MOMA may just tip the balance!

Top 10 Inspiring Tools and Ideas for Educators and Presenters

December 28, 2012

Clinical Education, Education Research, Post-secondary Education, Social media

4 Essential Processes in Teaching and Learning

December 14, 2012

Clinical Education, Motivational Interviewing, Post-secondary Education

2 Comments

How can we bridge the teaching/learning gap?

The evidence-based clinical practice model that I use and teach, Motivational Interviewing, is a respectful and collaborative way to talk about change with people who are ambivalent or unwilling.

In fact, conversations about change are clearly relevant beyond counselling, therapy or health care. The new edition of Motivational Interviewing by William Miller and Stephen Rollnick outlines four essential processes that map well onto processes of adult education, particularly in contexts where learners may be less than enthusiastic. These processes are somewhat linear but also recursive – one naturally leads to (and provides a foundation for) the next, but we may also circle backwards and forwards as needed.

1. Engaging:

This is about establishing a relationship with the group and creating a positive learning community. Is it safe to speak up, disagree, critique and explore? Meaningful discourse hinges on successful engagement.

2. Focusing:

Engagement comes first, but it is also important to understand and highlight the relevance of the topic/learning objectives to real world problems and issues. What will I learn, and why should I care? How will mastering new knowledge and skills make my work easier and better? Individuals may raise topics or issues that instructors hadn’t anticipated. These are the burning questions that need to be resolved through successful focusing. Optimally, adult learners are engaged in co-creating curricula.

3. Evoking:

Learning is 100% volitional. Constructivism and paragogy mark a shift from installing knowledge and solutions towards evoking these. Although faculty bring expertise to the table – and we shouldn’t shy away from sharing this – a motivational approach presupposes doing so in partnership with learners, and with a spirit of nonjudgmental acceptance and compassionate empathy.

4. Planning:

We’ve engaged learners in an active partnership, linked curricula to real-world issues, and evoked new connections, insights, ideas and approaches. Now what? Identifying implications for practice and committing to an action plan are key. The planning process helps bridge the gap between learning and life. If new learning has no real-world implications, then we’ve missed the boat somewhere along the way.

True or False: Are multiple choice exams relevant to 21st Century education?

November 29, 2012

Clinical Education, Post-secondary Education

1 Comment

Will it be on the exam?

In-class exams may well be one of the most stressful – and for some, traumatic – experiences in a student’s life. This truism came front and centre last week at a certificate program I was teaching, geared to seasoned interprofessional practitioners. The varying responses to our in-class, summative, multiple-choice exam tended to cluster around the less enthusiastic end of the spectrum.

Why are exams so aversive?

One obvious reason is that they can be high stakes, as in this (admittedly oversimplified) equation:

high grades = approval + scholarship $$$ + grad school admission

Another reason may have to do with lack of autonomy: we didn’t write the exam questions, and we generally can’t know – or in many cases – anticipate – them in advance. And people inherently strive towards personal autonomy.

But I think that radical pedagogical analyses get closest to the crux of the matter, in their critical interrogation of power dynamics in the classroom, the stance of the professor as “expert”, and framing of “curricular content” (for example, Laura Béres 2008 article).

Constructivism frames learning as socially constructed by learners, where learning is meaningful and relevant to real life. In-class exams are, by nature, removed from real life and focus on content domains that the instructor sees as key.

This can be an uneasy alliance in progressive classrooms, and one that I am still struggling to reconcile… Especially in a knowledge landscape where locating information should take precedence over memorizing information (see Julio Frenk’s influential report in the Lancet, “Health professionals for a new century: transforming education to strengthen health systems in an interdependent world”).

Closing thought:

Exams do stimulate affective arousal, which is associated with enhanced memory retention. I’m just not sure that those memories correlate well with the exam content!

Personal Learning Networks (PLNs)

October 24, 2012

Clinical Education, Post-secondary Education

3 Comments

Network of networks = your very own PLN

Today, there’s no problem finding information – the challenge is sifting through and locating the right information at the right time. And not just the right information at the right time – it’s also about access to tools and ideas that you never even knew you needed until you saw them. That’s where PLNs come in.

In the olden days before the advent of online academic journals and research databases, I always made at least one serendipitous discovery while browsing library holdings or leafing through print materials. I would be scanning a row of books looking for a particular call number, and suddenly notice a different book that was a great fit for some other topic I was researching. It’s hard to replicate that kind of happenstance when digital searches yield a specific document or information source with laser-like precision.

Plus, learning is not just about acquiring information – paragogy (a.k.a. the new andragogy) views learning as inherently non-linear and socially constructed via networks/peers. So PLNs – because they’re naturally hyper-textual and social – fit beautifully within a paragogical frame.

This article about PLNs at edudemic.com gives a great overview and rationale for the functions of various social media tools in building, customizing and contributing to your own composite, ongoing knowledge stream. Your very own PLN.

The 3 steps for success in school (and life)

October 16, 2012

Clinical Education, Post-secondary Education

3 Comments

3 tips for success

Students want to know: “What do I need to do to succeed in this course?”

As in many things, the answer is simple (but not always easy). At the start of each semester I share the following three elements that, in my experience in university teaching, almost always translate into academic success.

Show up: If you don’t actually come to class you miss important stuff.
Be 100% present: If you show up and spend the class on your smartphone, you’re not really present.
Do your homework: The real learning happens outside the classroom.

BUT here’s the caveat: It’s a three-legged stool. You need all three elements or you “fall off” (and if you start shaving away any of the legs, it gets a bit wobbly).

And I’ve found that these are pretty good rules to live by in life generally, whether in work, relationships, travel, and so on. When things get complicated it’s nice to take it back to the basics!

Freedom’s just another word for nothing to present

October 10, 2012

Clinical Education

More Predictions: Higher Education

September 15, 2012

Clinical Education, Post-secondary Education

3 Comments

Predicting the Future: Higher Education in 2112 (Part 2)

My workplace overlooks a big downtown university campus, and it’s always fun to see the frosh week excitement and back-to-school energy.

This made me think about: what will higher (university) education look like 100 years from now? Hard to imagine, especially because universities have sustained a pretty enduring business model and delivery system for – what – the last thousand years or so?

But I think we’re seeing the fault lines in higher education, some driven by students themselves and their expectations/learning preferences, some changes being driven by new technologies/social media, and perhaps the most significant changes are a result of globalization and rise of “educational megalopolies”.

So – here are some of my predictions:

This first one is kind of a no-brainer: Face-to-face learning will be the exception. Students will design and access knowledge and skills guided by both human and virtual tutors/faculty

Students will register and be affiliated with multiple academic institutions from the same family of university “brands” (as smaller schools become gobbled up by the big names)

Students will travel virtually or geographically throughout their academic careers and access a plethora of institutionally-branded choices in different metropolitan centres and online, with the entire academic record in a single transcript file location

The electronic transcript will look more like a virtual portfolio of students’ work and assessments, and will link to other accomplishments/activities

There will be no such thing as “full” courses (due to over-enrollment) because all courses will be webcast

The most successful university brands will offer programs in multiple languages: for example, English, Mandarin, Portuguese, Hindi, Russian (via automatic simultaneous translation of faculty/instructional materials)

Unique, personalized programs of study will be developed so as to fit specific jobs via proprietary algorithms (and these will be recalibrated as students’ career goals change)

Teaching performance will be graded on a variety of metrics – including student performance and feedback/reviews – and this will be integrated within mobile academic course calendars (inside-out universities).

The Hive Mind in action

August 16, 2012

Clinical Education

1 Comment

Lately everyone is asking “what happens after the workshop is over?”

In high school I worked as a cashier in my neighborhood convenience store. The pay wasn’t great, but at 16 what do you expect? However I got to see, over and over again, the actualization of the “let’s go to the corner store” meme: the place would be dead quiet (time to read a trashy celebrity mag cover-to-cover), then suddenly – how did all these people appear out of nowhere??? From a social anthropology perspective it allowed me to experience the “hive mind” in action.

Well, a similar phenomenon seems to be happening this summer: I am seeing a convergence in the training requests I’m getting that go beyond “can you do a one-day workshop”. For the first time, organizations and individuals have been initiating the ask to explicitly integrate time and process on implementation during and after the course or workshop. Now, I’m not suggesting that in the past no one cared about implementation – in fact the opposite is true. It just seems like there is more attention being paid from the very beginning of the continuing professional education (CPE) process to a longer-term perspective and ultimate goal of performance improvement. This is in line with the proliferation of publications and calls for competency-based medical education, including recommendations in the 2012 “Future of Medical Education in Canada” report.

It’s exciting to me that organizations are starting to hold us educators accountable for what happens after the workshop is over. Positive course evaluations aren’t enough to demonstrate value when the real purpose of CPE is to facilitate change. And that’s a tough one. That’s why I no longer make New Year’s resolutions (they were always the same resolutions).

But the beauty of the hive mind is that it generates a certain energy. If our collective gaze (hive mind) is focused on the horizon as opposed to the windshield, I foresee some creative paragogical alternatives to “business as usual”.

How to be a great teacher in 7 not-so-easy steps

July 17, 2012

Clinical Education

Andragogy 2.0: Emerging Theories

July 10, 2012

Clinical Education

8 Comments

Pushing the boundaries of education theory – A hurricane at our backs

How are teaching and learning theories evolving to take into account the opportunities and advances in social media and “Web 2.0”?

Andragogy, as a theory of adult learning, has been around since the 1980s, extending the notion of pedagogy to an adult learning context (Malcolm Knowles, discussed in a chapter I wrote on online learning theory). I have been thinking about what a “2.0” conceptualizing of andragogy might look like, given the incursions of user-generated content into both live and online learning contexts. Two recent models – paragogy and heutagogy – have captured my attention as useful extensions of Knowles’ adult learning theory. These models may well constitute a kind of “Androgogy 2.0.”

Both paragogy and heutagogy present a model of learning that is (1) decentred, (2) non-linear, (3) peer-led and (4) self-determined. These characteristics map onto social media applications and the democratization of knowledge and information. Paragogical and heutagogical approaches also extend traditional adult learning frameworks through their emphasis on meta learning, or learning how to learn.

A new model for health care education is needed at this time for a number of reasons:

The explosion of evidence-based information in health care means that “just in time” learning may be more helpful and important than “just in case” learning.

Patient access to – and use of – internet-based health information means that providers need to understand how to access, assess, critique, and translate credible sources of information.

The new generation of learners are already “hyper-learners” (i.e. non-linear in their approach to accessing and processing information), and are accustomed to generating as well as consuming content.

Power dynamics in the classroom are already shifting towards learner-as-consumer, with all of the attendant opportunities and pitfalls that we are seeing. On one hand, learning is volitional, so it makes intuitive sense that learners should be autonomous and self-determining. Shifting the power dynamics in the classroom in favour of the learner can facilitate many-to-many communication and crowdsourcing. On the other hand, our educational structures and institutions are not set up to accommodate radically student-centred approaches, and as faculty we can find ourselves caught in the middle.

So what are the practical implications for clinical education? I have been experimenting with student-centred assignments and activities, as well as peer evaluation and use of social media, and the going is not always easy. The preconditions of psychological safety and willingness to risk are key, and I find that these strategies take considerably more of my time in coaching and reassuring. However based on students’ feedback, there is a depth and richness to the learning that goes beyond instructor-centric approaches.

In any case, when it comes to radically student-centred approaches to 21st Century health care education, “We’re not walking into a headwind, we have a hurricane at our backs.”

View a presentation on the topic of “Andragogy 2.0: Introducing emerging frameworks for teaching and learning: Paragogy and Heutagogy” on Slideshare

—educateria

A balanced diet of tips and reflections for educators and presenters

Archive

Tag Archives: student-centered learning

Classroom Management 101

Why clinical learning is a lot like Drivers’ Ed

Resist the Righting Reflex

4 Essential Processes in Teaching and Learning

True or False: Are multiple choice exams relevant to 21st Century education?

Personal Learning Networks (PLNs)

The 3 steps for success in school (and life)

Freedom’s just another word for nothing to present

More Predictions: Higher Education

The Hive Mind in action

How to be a great teacher in 7 not-so-easy steps

Andragogy 2.0: Emerging Theories

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TO LISTEN

Ears + Eyes + Undivided Attention + Heart

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