Introduction: Neher Model

Introduction: Neher Model

Because a large number of housestaff teach, increased formal instruction in teaching methods enables residents to be more effective teachers, and increases enjoyment in teaching.

The five-step microskills model of clinical teaching (Neher & Stevens, 2003) consists of the following five step sequence. The intent of the sequence is to optimize the benefit of the teaching encounter, even if it is terminated early. Though each preceptor-resident encounter will vary according the needs of the resident and the case, the model is designed to limit the encounter to five minutes or less. Please read The one-minute preceptor: Shaping the teaching conversation before beginning this module.

The five-step model is as follows:

• Get a Commitment (what do you think is going on?)
• Probe for Supporting Evidence (what led you to that conclusion?)
• Teach General Rules (when this happens, do this…)
• Reinforce What was Done Correctly (specifically, you did an excellent job of…)
• Correct Mistakes (next time this happens, try this…)