The art of teaching does not merely involve a simple transfer of knowledge from one to other. Instead, it is a complex process that facilitates and influences the process of learning. Quality of a teacher is estimated on how much the students understand from his/her teaching. The classrooms cannot be used as a learning platform for acquiring primary teaching skills. Training of medical teachers in specific teaching skills is a major challenge in medical education programs. The pedagogic skill for teaching can be acquired only through more structured and cheaper faculty training techniques. ¹ With the introduction of microteaching about five decades ago, the lacunae of scientifically proven or effective methods to be followed in teacher training programs has been overcome. ²

The aim of this article is to emphasize the need for using microteaching techniques more frequently and efficiently with minimum available facilities. A systematic literature search of research articles and reviews was undertaken from various educational databases. From the reference lists of published articles, books available were also reviewed.

Definition and basic concepts

Microteaching is a teacher training technique for learning teaching skills. It employs real teaching situation for developing skills and helps to get deeper knowledge regarding the art of teaching. This Stanford technique involved the steps of "plan, teach, observe, re-plan, re-teach and re-observe" and has evolved as the core component in 91% of on-campus clinical teaching development programs, with the significant reduction in the teaching complexities with respect to number of students in a class, scope of content, and timeframe, etc. ³ , ⁴ , ⁵ , ⁶ , ⁷ , ⁸ Most of the pre-service teacher education programs widely use microteaching, and it is a proven method to attain gross improvement in the instructional experiences. ⁹ Effective student teaching should be the prime quality of a teacher. As an innovative method of equipping teachers to be effective, skills and practices of microteaching have been implemented. ¹⁰

Efficient technique and effective teaching

Microteaching can be practiced with a very small lesson or a single concept and a less number of students. It scales down the complexities of real teaching, as immediate feedback can be sought after each practice session. ¹¹ , ¹² , ¹³ The modern-day multimedia equipment such as audio-video recording devices have a key role in the learning process. ¹⁴

Observing a fellow teacher and using a trial-and-error in own teaching sessions are very common way of self-training. But, both of them have their own demerits. On the other hand, microteaching helps in eliminating errors and builds stronger teaching skills for the beginners and senior teachers. ¹⁵ , ¹⁶ , ¹⁷ Microteaching increases the self-confidence, improves the in-class teaching performances, and develops the classroom management skills. ¹⁸ , ¹⁹

Microteaching in medical education

The traditional medical teaching emphasizes on the transmission of factual knowledge and hence, the teachers are the main source of information. But, the conventional methods of medical teacher training are not adequate. So, the teaching objectives have now shifted to the student centered, measurable, achievable, relevant, and timely concept. ²⁰ Microteaching allows learning each skill to the maximum extent as there is a chance of listening, observing, and practicing.

Implementation of microteaching in medical education

There was an increase in interests toward introducing microteaching techniques in the Indian medical schools. ²¹ This training technique provides medical teachers an excellent opportunity to improve their teaching skills and follows the Skinners′ theory of operant conditioning and also has a scientific basis. ²² The Medical Council of India has also recommended training for medical teachers for their continued, efficient performance in that capacity at any age. It is widely accepted that the quality and competency of medical teachers can be improved by effective medical education training programs.

Steps and requirements of microteaching

Knowledge acquisition, skill acquisition, and transfer are the three different phases of microteaching. ²³ Figure 1describes the various phases of microteaching. Knowledge acquisition phase is the preparatory, pre-active phase, in which the teacher gets trained on the skills and components of teaching through lectures, discussion, illustration, and demonstration of the skill by the experts. In the interactive, skill acquisition phase, the teacher plans a micro-lesson for practicing the demonstrated skills. The colleagues and peers can act as constructive evaluators which also enable them to modify their own teaching-earning practices. ²⁴ The teacher can reinforce behaviors and skills that are necessary and extinguish that are not needed. Ultimately, they can integrate and transfer this learned skills from simulated teaching situation to real class room teaching. ²⁵ Figure 2lists the 10 key steps of a microteaching activity. Figure 1

Various phases involved in a microteaching activity

Merits and demerits

Microteaching has a pivotal role in all medical education training programs and contributes to a great extent to the better understanding of teaching process and its complexities. A case study on microteaching lesson study combining the elements of Japanese lesson study and microteaching technique reported that the pre-and post-lesson plans had successfully demonstrated growth in teachers′ knowledge on teaching. ³⁴ The "teach, critique, re-teach" model in a dental education program identified microteaching as a technique for personality development and confidence-building of health professionals. ³⁵ Heyroth describes microteaching as a "scaled-down teaching encounter designed to develop new skills and refine old ones." ³⁶ In spite of experiencing anxiety, microteaching has evolved as the proven technique in nurse education. ³⁷ Apart from increasing the teaching performances of 57 nursing students, the microteaching had proven to be effective in the retention of the learned behaviors, even 6 months after course completion. ³⁸ Dietetic students had reportedly high confidence levels after an intensive workshop based on microteaching technique. ³⁹ Another study determined the impact of a microteaching experience on development of performance-based skills at a pharmacy college. A microteaching activity incorporated within a professional development seminar series was proved to be an effective method to enhance and develop communication, problem-solving, and critical-thinking skills in pharmacy students. ⁴⁰ Microteaching helps not only in developing skills of the novice teachers but also assists in comparing the effectiveness of variation of one microteaching with another. ⁴¹ Microteaching has the ability to enhance the skills of problem solving, critical thinking, questioning, and reflective thinking. It improves learning by realistic applications. ⁴² The other key benefits of this technique included the following: Transformation of difficult topics into learnable units, usage of advanced organizers, integration of the lecture with applications on topics, and usage of proper questions and pauses. ⁴³ The role of health educators can thus be effectively satisfied by practicing microteaching techniques.

Not just in medicine or health sciences, the microteaching concept had worked more efficiently in teaching mathematics than the traditional teaching techniques. ⁴⁴ The utilization of expanded microteaching activities in a mathematics teaching practical course significantly reduced the levels of anxiety. ⁴⁵ Behaviorist phenomenon of microteaching through a Neo-Vygotskian theoretical lens, employing a case study of two groups of prospective teachers being coached by a professor and clinical instructor was shown by Vare Jonatha. ⁴⁶ The new microteaching model conceptualizes the teacher education program with the advances in social learning theory and meta-cognitive learning strategies. ⁴⁷ An exploratory study by Hansford examined the relationship between various conditions of feedback in peer microteaching, the personality dimension dogmatism, and non-verbal perceptiveness. ⁴⁸

Proper practice is deemed essential for teacher training programs, as it serves trainees to gain their first teaching experience and helps to develop the knowledge, skills, and attitudes. ⁴⁹ But, time remains the major hurdle for microteaching sessions in a medical education training programs. These results in neither all the skills are practiced nor are all trainees given an opportunity for re-planning and re-teaching activities. The training becomes ineffective unless the teacher acquires the quality of effective student teaching.

The other limitations of microteaching include the following: No emphasis on contents, skill dependency, and administrative/logistic problems when the class size is large. This can be minimized by implementing the activities at the departmental level in several sequences. Extensive training programs are possible when the teachers are well equipped with core skills. These programs can then be effectively utilized for learning of new skills and strengthening and elaboration of existing skills. Hence, a better understanding of the complexities of the teaching process by the faculty is more important.

In India, microteaching technique is under-estimated and under-utilized for various reasons. Practicing the economical, simpler methods of microteaching would help develop better teachers for the country. ⁵⁰

Microteaching works as a focused instrument which helps to practice essential teaching skills safely and effectively at any age. This paper describes microteaching as an Efficient Learning Technique for Effective Teaching. Learning is a change in behavior, which is brought about by activity, training, or experiencing at any age. When the learner is more experienced, learning becomes more effective. The most important quality of the participants of microteaching sessions is the ability to give and receive constructive feedback with an open mind and achieves appropriate teaching-learning goals. In addition, it increases self-confidence of teacher in an atmosphere of friendliness and equanimity.

The author thanks Dr. Glorine Gjanathankom, Deputy Director and Head of Medical Education Unit for her inspiring support in medical education activities.