Teaching strategies that are varied are most likely to be successful, and may include information technology training in skills development and writing genres and education about working in a multidisciplinary health care setting where a depth and range of activities and problems solving skills are nurtured among future healthcare practitioners (Biggs, 1999; Huttly, Sweet & Taylor, 2003). .
Teaching strategies must incorporate multiple aims including improving adult critical care workers perceptions and experiences of their education and learning environment and supporting learners at varying developmental levels (Curzon, 2000). Among the skills necessary include improving communication skills in a patient centered manner; this may require that educators focus on assessing the student practitioner and providing information based learning in small groups that emphasizes problem based and problem solving learning (Huttly, Sweet & Taylor, 2003). .
Many support teaching strategies that incorporate good communication, skills and core competency training and specialist options that are student based and emphasize group study skills to support ongoing learning at each development stage among adult learners; further research suggest that the ability of adult learners to discover information and understand subject matter in a clinical setting depends in part on their ability to uncover information about subjects important to them and their professional careers (Huttly, et al. 2003; Wilby, 2001). It is important that teachers adopt strategies that allow them to act as "agents of change" in the classroom, drawing on their own educational experience to provide students with a learning environment that is "condensed but focused" (Huttly, Sweet & Taylor, 150). .
The clinic provides an adequate learning environment for all medical students, and teaching strategies in this environment should focus on providing students with skills, knowledge, expertise and professional ability to treat patients correctly and efficiently (Huttly, Sweet & Taylor, 2003).
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