EM Vivas · Teaching, supervision and feedback
OMP, Peyton and R2C2
Education viva for fellowship professional practice.
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Study tools
Target exams
ACEMFRCEMABEM
Prompt
Outline the five microskills of the one-minute preceptor, Peyton's four stages for a practical skill, and the R2C2 feedback sequence. How does entrustment decision-making protect patients?
Interpretation
Reveal interpretationShowHide
OMP: get a commitment; probe for evidence; teach a general rule; reinforce what was right; correct mistakes.[1] Peyton: demonstration; deconstruction; comprehension (learner narrates); performance.[3] R2C2: relationship; reactions; content; coach.[2] Entrustment matches supervision intensity to observed competence — if unsafe, increase supervision or take over; teaching never outranks patient safety.
References3ShowHide
- [1]Neher JO, et al. Five-step microskills model of clinical teaching. JABFP, 1992.PMID 1496899
- [2]Sargeant J, et al. Facilitated Reflective Performance Feedback: Developing an Evidence- and Theory-Based Model That Builds Relationship, Explores Reactions and Content, and Coaches for Performance Change (R2C2). Academic Medicine, 2015.PMID 26200584
- [3]Burgess A, van Diggele C, Roberts C, Mellis C. Tips for teaching procedural skills. BMC Medical Education, 2020.PMID 33272273